The skeletal muscle phenotype of children with Neurofibromatosis Type 1 - A clinical perspective.


Journal

Journal of musculoskeletal & neuronal interactions
ISSN: 1108-7161
Titre abrégé: J Musculoskelet Neuronal Interact
Pays: Greece
ID NLM: 101084496

Informations de publication

Date de publication:
01 03 2022
Historique:
entrez: 2 3 2022
pubmed: 3 3 2022
medline: 19 4 2022
Statut: ppublish

Résumé

Neurofibromatosis type 1 (NF1) can affect multiple systems in the body. An under recognised phenotype is one of muscle weakness. Clinical studies using dynamometry and jumping mechanography have demonstrated that children with NF1 are more likely to have reduced muscle force and power. Many children with NF1 are unable to undertake physical activities to the same level as their peers, and report leg pains on physical activity and aching hands on writing. Children and adolescents with NF1 reporting symptoms of muscle weakness should have a focused assessment to exclude alternative causes of muscle weakness. Assessments of muscle strength and fine motor skills by physiotherapists and occupational therapists can provide objective evidence of muscle function and deficits, allowing supporting systems in education and at home to be implemented. In the absence of an evidence base for management of NF1-related muscle weakness, we recommend muscle-strengthening exercises and generic strategies for pain and fatigue management. Currently, trials are underway involving whole-body vibration therapy and carnitine supplementation as potential future management options.

Identifiants

pubmed: 35234161
pmc: PMC8919663

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

70-78

Déclaration de conflit d'intérêts

The authors have no conflict of interest.

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Auteurs

Amish Chinoy (A)

Department of Paediatric Endocrinology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.

Grace R Vassallo (GR)

NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Department of Paediatric Neurology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Emma Burkitt Wright (E)

Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Judith Eelloo (J)

NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Siobhan West (S)

NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Department of Paediatric Neurology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Eileen Hupton (E)

NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Paula Galloway (P)

Therapy and Dietetic Department, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Amy Pilkington (A)

Therapy and Dietetic Department, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Raja Padidela (R)

Department of Paediatric Endocrinology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.

M Zulf Mughal (MZ)

Department of Paediatric Endocrinology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
NHSE Highly Specialised Service for Complex NF1, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

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