Improving Musculoskeletal Outcomes for Individuals with Osteogenesis Imperfecta

改善成骨不全患者的肌肉骨骼结果

• 批准号: 7916258
• 负责人: Laura Tosi
• 金额: $ 2.5万
• 依托单位: OSTEOGENESIS IMPERFECTA FOUNDATION, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-15 至 2011-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7916258
• 关键词: Adolescent; Adult; Affect; Aging; Caring; Cause of Death; Chest; Childhood; Clinical; Collagen; Consensus; Data; Decision Making; Degenerative polyarthritis; Disease; Educational workshop; Effectiveness; Endocrine; Ensure; Exercise; Foundations; Fracture; Fracture Healing; Functional disorder; Future; Gene Mutation; Genetic; Goals; Guidelines; Illinois; Independent Living; Individual; Intervention; Knowledge; Laboratories; Life; Measurement; Measures; Medical; Modality; Modeling; Muscular Atrophy; Musculoskeletal; Occupational Therapy; Operative Surgical Procedures; Orthopedics; Osteogenesis Imperfecta; Osteoporosis; Outcome; Outcome Measure; Participant; Perinatal; Pharmacotherapy; Physical Medicine; Physical therapy; Population; Prevention; Property; Publishing; Pulmonary Valve Insufficiency; Quality of life; Recommendation; Rehabilitation therapy; Research; Research Personnel; Role; Scientist; Severities; Specialist; Techniques; Technology; Testing; Therapeutic; Therapeutic Intervention; Treatment outcome; United States; Work; bone; bone quality; design; disability; improved; meetings; multidisciplinary; novel diagnostics; prevent; scoliosis; success; symposium; therapeutic evaluation

DESCRIPTION (provided by applicant): Osteogenesis imperfecta (OI) is a congenital condition that affects about 1/10,000 individuals worldwide. Approximately 30,000 individuals in the United States, including a growing number of adults, are afflicted with the disorder. The hallmark of OI is fragile bones that easily fracture. Severity ranges from a relatively mild form of the condition to forms with varying degrees of disability, including extreme short stature. The most severe forms cause death in the perinatal period from pulmonary insufficiency as a result of marked underdevelopment and fracture of bones of the chest. The growing number of adults with OI demands that we expand beyond the exploration of pediatric musculoskeletal interventions and techniques and begin to evaluate the long-term impact of these interventions in helping adults maximize independent living and function. Success requires a coordinated effort from genetic, endocrine, orthopedic, physical medicine, physical therapy, and occupational therapy specialists _ an effort that must focus on improving evaluation of therapeutic and surgical interventions, with particular emphasis on delineating the role of exercise and preventing muscle atrophy _ so that improved standards of care can be developed. Only such an approach will help meet the primary goal in the treatment for OI: to minimize fracture while maximizing function and quality of life. The April 2010 scientific conference, Improving Musculoskeletal Outcomes for Individuals with OI, which will be held in Rosemont, Illinois, will be the ninth such meeting coordinated by the Osteogenesis Imperfecta Foundation. The conference will consist of a 1 1/2 day workshop in which a multidisciplinary team builds on the Foundation's earlier work to establish guidelines for quality medical care. Participants will begin to explore the issues faced by adolescents and adults with OI and start to build a consensus on essential measures for documenting treatment outcomes. Workshop proceedings will be compiled in a summary document which will be published on-line to ensure that it reaches the largest possible audience.

描述（由申请人提供）：成骨不全（OI）是一种先天性疾病，影响全球约1/10，000的个体。在美国，大约有30，000人，包括越来越多的成年人，患有这种疾病。骨质疏松症的特点是骨骼脆弱，容易骨折。严重程度范围从相对温和的形式的条件与不同程度的残疾形式，包括极端矮小。最严重的形式导致围产期死亡，原因是由于明显发育不全和胸部骨折造成肺功能不全。越来越多的成人OI患者要求我们扩展儿科肌肉骨骼干预和技术的探索，并开始评估这些干预措施在帮助成人最大限度地独立生活和功能方面的长期影响。成功需要遗传、内分泌、整形外科、物理医学、物理治疗和职业治疗专家的协调努力，这种努力必须集中在改善治疗和手术干预的评估上，特别强调运动的作用和预防肌肉萎缩，以便制定更好的护理标准。只有这样的方法才有助于实现治疗OI的主要目标：最大限度地减少骨折，同时最大限度地提高功能和生活质量。2010年4月，将在伊利诺斯州罗斯蒙特举行的科学会议，改善患有OI的个体的肌肉骨骼结果，将是由成骨不全基金会协调的第九次此类会议。会议将包括一个为期一天半的研讨会，其中一个多学科小组在基金会早期工作的基础上建立高质量医疗保健的指导方针。参与者将开始探讨青少年和成人OI所面临的问题，并开始就记录治疗结果的基本措施达成共识。讲习班的会议记录将汇编成一份简要文件，并将在网上公布，以确保尽可能多的人了解。