Perceived exertion is not a substitute for fatiguability in spinal muscular atrophy.


Journal

Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146

Informations de publication

Date de publication:
07 2023
Historique:
revised: 28 11 2022
received: 01 06 2022
accepted: 04 12 2022
pmc-release: 01 07 2024
medline: 15 6 2023
pubmed: 10 12 2022
entrez: 9 12 2022
Statut: ppublish

Résumé

Fatiguability and perceived fatigue are common unrelated symptoms in ambulatory individuals with spinal muscular atrophy (SMA). Ratings of perceived exertion (RPE) measures the sense of effort during an activity and has been used as a proxy for fatigue. Relationships between perceived fatigue, fatiguability, and RPE have been described in healthy populations, but the relationship in SMA has not been examined. Eighteen ambulatory individuals with SMA and 16 age-matched controls (age, 13 to 57 years; 26 [76.5%] males) performed the 6-minute walk test (6MWT) and cardiopulmonary exercise tolerance test (CPET) and completed the International Physical Activity Questionnaire---short form (IPAQ). RPE was collected during the CPET and 6MWT. Fatiguability was measured during the 6MWT. Physical activity (PA) volume was calculated using the IPAQ. Wilcoxon rank-sum tests were used to compare groups. Spearman correlation coefficients evaluated associations between variables. SMA subgroups were predetermined using 6MWT distances of over or under 300 meters. There were no significant associations between fatiguability and RPE or PA in SMA (P > .05). PA was strongly associated with 6MWT RPE (r = 0.71) in SMA individuals who walked fewer than 300 meters (n = 7). There were no significant associations between any variables in controls (P > .05). RPE is not associated with fatiguability in SMA. The possible association of PA and RPE may reflect the increased intensity of the 6MWT in weaker patients. RPE represents a sense of effort during exercise and should not be used as a substitute for fatiguability but may be a measure of patient experience during exercise.

Identifiants

pubmed: 36484158
doi: 10.1002/mus.27765
pmc: PMC10250558
mid: NIHMS1856240
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

81-84

Subventions

Organisme : NICHD NIH HHS
ID : K01 HD084690
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Auteurs

Ricky Cheng (R)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

Julia Feng (J)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

Ashley M Goodwin (AM)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

David Uher (D)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

Ashwini K Rao (AK)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

Michael P McDermott (MP)

Departments of Biostatistics and Computational Biology and Neurology, University of Rochester, Rochester, New York.

Darryl C De Vivo (DC)

Department of Neurology, Columbia University Irving Medical Center, New York, New York.

Carol Ewing Garber (C)

Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, New York.

Jacqueline Montes (J)

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York.

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