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Patiented Functional Tests Were Found to Be Relable, Scalable Options for Assessing Muscle Function in Idiopathic Inflammatory Myopathies.
Manual Muscle Testing (MMT8) —The Current Gold Standard for Assessing Muscle Function in Patients with Idiopathic Inflammatory Myopathies – Has Faced Considerable Criticism. New Research Using A 3-Pronged Approach Demonstrated that Patiented Functional Tests Are Rliable, Scalable Options for MMT8, with Gait Analysis Providing Complementary Insights.
Anna-Maria Liphardt, PhD, and Colleagues aimed to compare mmt8 with inertial sensor-based gait analysis to evaluate patiented functional tests guided by shared decision-making and investigate adherence to electronic catcomed outcomed (pros) Myopathies. The Findings Were Reported in Arthritis Research & Therapy.
The Study Included 28 Patients (67.9% Women; Mean Age, 57.4 Years), with the Majority (32.1%) Diagnosed with Antisynthetase Syndrome. Mmt8 was performed at Baseline and 3 months.
In Addition, Inertial-Sensor-Based Gait Analysis was completed at Baseline, and 2 Standardized Upper Extreme (Modified Barré Test, 10-Time Arm Lift Test) and 2 Lower Extreme Muscle Endurance Tests (60-Second sit-to-test, Mingazzini Test) to select from. THROUGH SHARED DECISION-MAKING, EACH PATENT SELECTED 1 TEST FOR LOWER AND UPPER EXTREMITS AND OPTED TO RECORD WEEKLY RESULTS ON PAPER OR THROUGH A MEDICAL APP.
The Researchers Analyzed correlations Between Gait Parameters, Functional Tests, and MMT8 and Assesed Agreement Between Patient- and Healthcare Professional (HCP)- Recorded Results at Baseline and 3 Months. They also Evaluated Responsiveness to Change.
They Observed Moderate Correlations Between MMT8 and Gait Parameters Such As Walking Speed (R= 0.545; P= 0.004) and Stride Length (R= 0.580; P= 0.002). All Patients Selected the Modified Barré Test for Assessing Upper Extreme Function, and 60.7% of Patients Chose the Mingazzini Test for Assessing Lower Extreme Function.
The Results Showed Excellent Agreement Between Patient- and HCP-Reded Functional Test Outcomes at Baseline and 3-Month Follow-Up Assessments (Ranging from 0.99 to 1.00), showing The Reliability of Self-Assessment. FUNCTIONAL TESTS DEMONSTED STRONG CORRELATIONS WITH MMT8, PARTY FOR THE MINGAZZINI TEST (R= 0.762; P= 0.002). Most Patients (82.1%) Preferred App-Based Recording to Paper-Based Recording, and Weekly Electronic Pros Were Completed, On Averag, for 6.9 of 12 Weeks (57.1%).
“Patiented Futitional Tests Are Rliable, Scalable Alternatives to MMT8, with Gait Analysis Providing Complementary Insights. Digitally Supported Self-Assessments Can Enhance Clinical Workflows, Remote Monitoring, and Treat-to-Target Strategies, Empowering Patients and Improving Disease Management, ”The Researchers Concluded.
They Noted That Larger Studies Are Warrantd to Establish the Findings’ Broader Applicability and Potential To Improve Patient Self-Management and Clinical Effficacy.
