Comparison of motor proficiency and ambulation in children with DMD: Bruininks Osteretsky Test of Motor Proficiency- Article Summary
Title: Comparison of motor proficiency and functional ambulation in Duchenne muscular dystrophy with healthy peers
Authors: Sulenur Yildiz, Sedef Sahin, Numan Bulut, Oznur Tunca Yilmaz, Aynur Ayse Karaduman & Burcu Semin Akel
Purpose: The purpose of this article was to examine the differences of gross motor control and fine motor control in children with Duchenne Muscular Dystrophy (DMD) and healthy children.
Study Population: The study evaluated 24 boys with DMD who were referred to Hacettepe University, Faculty of Physical Therapy and Rehabilitation, and Pediatric Neuromuscular Rehabilitation Unit; as well as the 22 healthy children.
Methods: Age, weight, heigh and body mass index (BMI) were recorded. The Bruininks Osteretsky Test of Motor Proficiency- Short Form (BOTMP-SF) was administered to all 46 children to assess fine motor and gross motor control. To assess the correlation between motor proficiency and functional ambulation, the 6-minute walk test (6MWT) and North Start Ambulatory Assessment (NSAA) were given to the boys with DMD. Statistics were performed using the SPSS software to determine mean, range, minimum and maximum values, and correlation.
Outcome Measures: BOTMP-SF, 6MWT, and NSAA
Intervention: No interventions were done in this study.
Results: Gross motor proficiency was shown to be impaired in boys with DMD when compared to the control children. The BOTMP-SF was deemed valuable in assessing gross motor proficiency due to the ability to be used in the first decade of a child’s life. The BOTMP-SP showed that boys with DMD were mostly impaired in relation to strength and bilateral coordination of both the upper and lower extremities. This study also found that gross motor function as seen in the BOTMP-SF is directly correlated to ambulation in the 6MWT.
Strengths: This study utilized multiple, commonly used tests, and examined correlation
Limitations: All boys, not a large sample size
Conclusion: Boys with DMD are more affected in gross motor function than fine motor function. Furthermore, gross motor function impairments seemed to be more on the level of ambulation.
Citation: Sulenur Yildiz, Sedef Sahin, Numan Bulut, Oznur Tunca Yilmaz, Aynur Ayse Karaduman & Burcu Semin Akel (2020) Comparison of motor proficiency and functional ambulation in Duchenne muscular dystrophy with healthy peers, Somatosensory & Motor Research, 37:4, 252-256, DOI: 10.1080/08990220.2020.1784131
One response to “Comparison of motor proficiency and ambulation in children with DMD: Bruininks Osteretsky Test of Motor Proficiency- Article Summary”
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It is interesting that the research only included boys with DMD. I wonder if including girls would change the outcome of the study at all. Did the article state any reasons for choosing only boys?
Overall, it seems like this research did a great job using multiple different outcome measures to assess the child. It is nice to be able to compare the scores from one outcome measure to another in order to assess if the child is scoring similarly for like activities across the board.