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Barrois R, Barnerias C, Deladrière E, Leloup-Germa V, Tervil B, Audic F, Boulay C, Cances C, Cintas P, Davion JB, Espil-Taris C, Manel V, Pereon Y, Piarroux J, Quijano Roy S, Vuillerot C, Walther-Louvier U, Desguerre I, Gitiaux C. A new score combining compound muscle action potential (CMAP) amplitudes and motor score is predictive of motor outcome after AVXS-101 (Onasemnogene Abeparvovec) SMA therapy. Neuromuscul Disord 2023; 33:309-314. [PMID: 36881951 DOI: 10.1016/j.nmd.2023.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 01/17/2023] [Accepted: 02/10/2023] [Indexed: 02/13/2023]
Abstract
Spinal muscular atrophy 1 (SMA1) is a severe early genetic disease with degeneration of motor neurons. Motor development is still suboptimal after gene replacement therapy in symptomatic patients. In this study, compound muscle action potential (CMAP) amplitudes were explored as predictors of motor recovery after gene therapy. Thirteen symptomatic SMA1 patients were prospectively included at the Necker Enfants Malades Hospital, Paris, France (Cohort 1) and 12 at the other pediatric neuromuscular reference centers of the French Filnemus network (Cohort 2). In Cohort 1, median CMAP amplitudes showed the best improvement between baseline and the 12 months visit compared to the other tested nerves (ulnar, fibular and tibial). High median CMAP amplitudes at baseline was associated with unaided sitting achievement at M6 (AUC 90%). None of the patients with CHOPINTEND at M0 < 30/64 and median CMAP < 0.5 mV achieved unaided sitting at M6 and this result was confirmed on Cohort 2 used as an independent validation data. Thus, median CMAP amplitude is a valid biomarker for routine practice to predict sitting at M6. A median CMAP amplitude over 0.5 mV at baseline may predict better motor recovery.
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Affiliation(s)
- R Barrois
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France; Centre Borelli - UMR 9010 Centre Borelli, Gif-sur-Yvette 91190, France.
| | - C Barnerias
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France
| | - E Deladrière
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France
| | - V Leloup-Germa
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France
| | - B Tervil
- Centre Borelli - UMR 9010 Centre Borelli, Gif-sur-Yvette 91190, France
| | - F Audic
- Centre de Référence des Maladies Neuromusculaires, Service de Neuropédiatrie, Hôpital Timone Enfants, Marseille, France
| | - C Boulay
- Centre de Référence des Maladies Neuromusculaires, Service de Neuropédiatrie, Hôpital Timone Enfants, Marseille, France
| | - C Cances
- Unité d'explorations neurophysiologiques, Département de neurologie, CHU de Toulouse - Hôpital Pierre-Paul Riquet, Toulouse, France
| | - P Cintas
- Unité d'explorations neurophysiologiques, Département de neurologie, CHU de Toulouse - Hôpital Pierre-Paul Riquet, Toulouse, France
| | - J B Davion
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, Service de Neuropédiatrie, Hôpital Salengro CHU Lille, Lille, France
| | - C Espil-Taris
- Centre de référence Maladies neuromusculaires AOC, Neurologie pédiatrique, CHU de Bordeaux, Bordeaux, France
| | - V Manel
- Service de neurologie pédiatrique, Hôpital Femme Mère Enfant, Lyon, France
| | - Y Pereon
- Centre de Référence des Maladies Neuromusculaires Atlantique Occitanie Caraïbes, Filnemus, Euro-NMD, Explorations Fonctionnelles, CHU Nantes, Nantes, France
| | - J Piarroux
- Service de neuropédiatrie, Pôle Femme Mère Enfant, CHU de Montpellier - Hôpital Gui de Chauliac, Montpellier, France
| | - S Quijano Roy
- Centre de Références des Maladies Neuromusculaires, Service de Neurologie Pédiatrique et Réanimation, Hôpital Raymond Poincaré, AP-HP Université Paris Saclay (UVSQ), Garches, France
| | - C Vuillerot
- Service de Médecine physique et réadaptation pédiatriques, Hôpital Femme Mère Enfant, Lyon, France
| | - U Walther-Louvier
- Centre de Référence des Maladies Neuromusculaires, Hôpital Gui de Chauliac, CHU Montpellier, Montpellier, France
| | - I Desguerre
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France; Université Paris Cité, IHU Imagine, Paris F-75015, France
| | - C Gitiaux
- Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile de France, AP-HP, Hôpital Necker Enfants Malades, Université Paris-Cité, Paris, France; Service d'explorations Fonctionnelles, unité de Neurophysiologie Clinique, AP-HP, Hôpital Necker Enfants Malades, Paris, France
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Day J, Deconinck N, Mazzone E, Nascimento A, Oskoui M, Saito K, Vuillerot C, Baranello G, Boespflug-Tanguy O, Goemans N, Kirschner J, Kostera-Pruszczyk A, Servais L, Braid J, Gerber M, Gorni K, Martin C, Scalco R, Yeung W, Mercuri E. P.114 SUNFISH parts 1 and 2: 3-year efficacy and safety of risdiplam in types 2 and 3 spinal muscular atrophy (SMA). Neuromuscul Disord 2022. [DOI: 10.1016/j.nmd.2022.07.199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Lilien C, Baranello G, Coratti G, Edel L, Germanenko O, Krstic M, Mazurkiewicz-Bełdzińska M, Ray S, Shatillo A, Taytard J, Vlodavets D, Vuillerot C, Cruz L, Tachibana G, Viljoen C, Servais L. SMA – OUTCOME MEASURES AND REGISTRIES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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de la Banda MGG, Grimaldi-Bensouda L, Urtizberea J, Behin A, Vuillerot C, Saugier-Veber P, Audic F, Barnerias C, Cances C, Campana-Salort E, Espil C, Laforet P, Laugel V, Pereon Y, Sacconi S, Stojkovic T, Tard C, Chabrol B, Desguerre I, Quijano-Roy S. SMA – OUTCOME MEASURES AND REGISTRIES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
Spinal muscular atrophy (SMA) is a progressive disease characterized by a degeneration of the spinal cord motor neurons. Many clinical trials - planned, in progress, or completed - have chosen motor function as the primary or secondary outcome because motor function assessment tools appeared to be more reliable than quantitative muscle testing in monitoring the course of the disease. Reliable, valid, and responsive outcome measures are needed to be able to capture the effectiveness of the therapeutic approach during clinical trials. Medical staff involved in neuromuscular diseases is faced with increasing pressure regarding the complex issue of choosing the right outcome measure for the objectives they have to assess. This paper provides a narrative literature review of available and validated motor function assessment tools in SMA population based on SMA subtypes, age and ambulant status. © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.
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Affiliation(s)
- C Vuillerot
- Service de Médecine Physique et Réadaptation Pédiatrique L'Escale, CHU Lyon, Université de Lyon, France; INMG, Inserm U1217, CNRS UMR5310, Université Lyon 1, Université de Lyon, Lyon, France.
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Goff LL, Seferian A, Phelep A, Rippert P, Mathieu M, Cances C, de Lattre C, Durigneux J, Gousse G, Quijano-Roy S, Sarret C, Servais L, Vuillerot C. SMA – THERAPY. Neuromuscul Disord 2020. [DOI: 10.1016/j.nmd.2020.08.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ribault S, Rippert P, Genod DV, Barrière A, Berruyer A, Garde C, Bernard M, Bertrand G, Tinat M, Crépin P, Naffrechoux M, Allara A, Morel D, Goff LL, Vuillerot C. OUTCOME MEASURES. Neuromuscul Disord 2020. [DOI: 10.1016/j.nmd.2020.08.246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Gomez-Garcia de la Banda M, Grimaldi L, Urtizberea J, Behin A, Vuillerot C, Saugier-Veber P, Audic F, Barnerias C, Cances C, Campana-Salort E, Spil C, Laforet P, Laugel V, Pereon Y, Sacconi S, Stojkovic T, Tard C, Chabrol B, Desguerre I, Quijano-Roy S. SMA: REGISTRIES, BIOMARKERS & OUTCOME MEASURES. Neuromuscul Disord 2020. [DOI: 10.1016/j.nmd.2020.08.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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9
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Chabanon A, Annoussamy M, Daron A, Péréon Y, Cances C, Vuillerot C, Goemans N, Cuisset J, Laugel V, Schara U, Gidaro T, Seferian A, Lowes L, Carlier P, Hogrel JR, Czech C, Hermosilla R, Kwaja O, Servais L. SMA CLINICAL DATA, OUTCOME MEASURES AND REGISTRIES. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hogrel J, Annoussamy M, Chabanon A, Daron A, Péréon Y, Cances C, Vuillerot C, Goemans N, Cuisset J, Laugel V, Schara U, Gargaun E, Gidaro T, Seferian A, Turk S, Hermosilla R, Fournier E, Baudin P, Carlier P, Servais L, Study Group. SMA CLINICAL DATA, OUTCOME MEASURES AND REGISTRIES. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Neuhaus S, Hayes L, Saade D, Donkervoort S, Mohassel P, Dastgir J, Bharucha-Goebel D, Leach M, Vuillerot C, Iannaccone S, Grosmann C, Beggs A, Foley A, Bönnemann C. CONGENITAL MYOPATHIES: NEMALINE AND TITINOPATHIES. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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de Montferrand C, Morard M, Pons-Becmeur C, Ropars J, Rippert P, Vuillerot C. REGISTRIES AND CARE OF NEUROMUSCULAR DISORDERS. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Odin A, Moineau B, Clarac E, Kistner A, Barbado M, Chipon E, Moreau-Gaudry A, Medici M, Dai S, Vuillerot C, Bosson J, Pérennou D. Conception and content validity of a new scale assessing lateropulsion after stroke: The SCALA. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Morard M, Gonzalez Monge S, Rippert P, Roche S, Bernard J, Lagauche D, Delvert C, Luauté J, Jacquin Courtois S, Caillet F, Di Marco J, Ghelfi F, Otmani S, Calmels P, Marjorie R, Joseph P, Ecochard R, Rode G, Vuillerot C. A new physical and cognitive activities score: the Sofmer activity score (SAS). The feasilibity study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Vincent-Genod D, Gomes Lisboade Souza A, Rippert P, Thomann G, Morard M, Vuillerot C. Automatic assessment of motor function in patients with spinal muscular atrophy: MFM-digital study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Morard MD, Gonzalez-Monge S, Rippert P, Roche S, Bernard JC, Lagauche D, Delvert C, Luauté J, Jacquin-Courtois S, Caillet F, Di Marco J, Ghelfi F, Otmani S, Calmels P, Royet M, Joseph PA, Ecochard R, Rode G, Vuillerot C. Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity. Ann Phys Rehabil Med 2018; 61:315-322. [PMID: 29777770 DOI: 10.1016/j.rehab.2018.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 04/18/2018] [Accepted: 04/20/2018] [Indexed: 10/16/2022]
Abstract
OBJECTIVES For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers' activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. METHODS After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. RESULTS We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. CONCLUSIONS The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care.
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Affiliation(s)
- M D Morard
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Équipe dysfonction vasculaire et hémostase (DVH), Inserm, UMR1059 Sainbiose, université de Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - S Gonzalez-Monge
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France
| | - P Rippert
- Pôle santé publique, service recherche et épidémiologie clinique, hospices civils de Lyon, 69003 Lyon, France
| | - S Roche
- Service de biostatistique, hospices civils de Lyon, 69003 Lyon, France
| | - J C Bernard
- CMCR des Massues - Croix Rouge française, 69005 Lyon, France
| | - D Lagauche
- Clinique IRIS, 69800 Saint Priest, France
| | - C Delvert
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Union RESAMUT - Pouponnière la Fougeraie, 69370 Saint-Didier-au-Mont-d'Or, France
| | - J Luauté
- Service de médecine physique et de réadaptation neurologique, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - S Jacquin-Courtois
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - F Caillet
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - J Di Marco
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - F Ghelfi
- Hospices civils de Lyon, direction centrale des soins, 69002 Lyon, France
| | - S Otmani
- Pôle santé publique, service recherche et épidémiologie clinique, hospices civils de Lyon, 69003 Lyon, France
| | - P Calmels
- Service de médecine physique et de réadaptation, CHU de Saint-Etienne, hôpital Bellevue, 42000 Saint-Etienne, France
| | - M Royet
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France
| | - P A Joseph
- Service de médecine physique et de réadaptation, CHU de Bordeaux, hôpital Saint-André et Pellegrin, pôle neurosciences cliniques, 33000 Bordeaux, France; Unité EA4136 handicap et système nerveux, université de Bordeaux 2, 33000 Bordeaux, France
| | - R Ecochard
- Service de biostatistique, hospices civils de Lyon, 69003 Lyon, France; Équipe biostatistique santé, CNRS UMR 5558, laboratoire de biométrie et biologie evolutive, 69310 Pierre-Bénite, France
| | - G Rode
- Hospices civils de Lyon, direction centrale des soins, 69002 Lyon, France; Inserm UMR-S 1028, CNRS UMR 5292, impact, centre de recherche en neurosciences de Lyon, université Lyon 1, 69000 Lyon, France
| | - C Vuillerot
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Équipe biostatistique santé, CNRS UMR 5558, laboratoire de biométrie et biologie evolutive, 69310 Pierre-Bénite, France; Université Lyon I, 69100 Villeurbanne, France; Université de Lyon, 69000 Lyon, France.
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Poirot I, Laudy V, Rabilloud M, Roche S, Ginhoux T, Kassaï B, Vuillerot C. Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy. Ann Phys Rehabil Med 2017; 60:371-375. [DOI: 10.1016/j.rehab.2017.03.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 03/27/2017] [Accepted: 03/28/2017] [Indexed: 10/19/2022]
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18
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Gargaun E, Seferian A, Quicke G, Moraux A, Gidaro T, Gasnier E, Daron A, Péréon Y, Cances C, Vuillerot C, Cuisset J, Toledano E, Hermosilla R, Khwaja O, Czech C, Chabanon A, Annoussamy M, Vissiere D, Servais L. Innovative home activity monitoring in non-ambulant patients with spinal muscular atrophy: a multicenter observational trial. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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19
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Chabanon A, Annoussamy M, Daron A, Pereon Y, Cances C, Vuillerot C, Goemans N, Cuisset J, Laugel V, Schara U, Gargaun E, Gidaro T, Seferian A, Lowes L, Carlier P, Hogrel J, Czech C, Hermosilla R, Khwaja O, Servais L. Longitudinal data of the European prospective natural history study of patients with type 2 and 3 spinal muscular atrophy. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.154] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Aragon-Gawinska K, Gargaun E, Seferian A, Gidaro T, Gilabert S, Lilien C, Vuillerot C, Cances C, Daron A, Marucco E, De A, Berliac LF, Armier H, Fiedler L, Servais L. Safety, tolerability and clinical efficacy of nusinersen in SMA type 1 older than 7 months: a prospective study. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Annoussamy M, Lilien C, Gidaro T, Gargaun E, Chê V, Schara U, D'Amico A, Daron A, Cuisset J, Mayer M, Hernandez A, Vuillerot C, Fontaine S, de Lattre C, Bellance R, Biancalana V, Buj-Bello A, Hogrel J, Landy H, Servais L. Longitudinal data of patients with myotubular myopathy enrolled in a European prospective and longitudinal natural history study. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Saliba E, Debillon T, Auvin S, Baud O, Biran V, Chabernaud JL, Chabrier S, Cneude F, Cordier AG, Darmency-Stamboul V, Diependaele JF, Debillon T, Dinomais M, Durand C, Ego A, Favrais G, Gruel Y, Hertz-Pannier L, Husson B, Marret S, N’Guyen The Tich S, Perez T, Saliba E, Valentin JB, Vuillerot C. Accidents vasculaires cérébraux ischémiques artériels néonatals : synthèse des recommandations. Arch Pediatr 2017; 24:180-188. [DOI: 10.1016/j.arcped.2016.11.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 07/25/2016] [Accepted: 11/22/2016] [Indexed: 12/01/2022]
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Olivari-Philiponnet C, Roumenoff F, Schneider M, Chantran C, Picot M, Berlier P, Mottolese C, Bernard JC, Vuillerot C. Morbidité et impact sur la participation sociale du craniopharyngiome de l’enfant. Arch Pediatr 2016; 23:1225-1232. [DOI: 10.1016/j.arcped.2016.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Revised: 09/21/2016] [Accepted: 09/21/2016] [Indexed: 10/20/2022]
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Abstract
INTRODUCTION Over the last decade considerable advances have been made in the identification, understanding and management of pediatric arterial ischemic stroke. Such increasing knowledge has also brought new perspectives and interrogations in the current acute and rehabilitative care of these patients. Areas covered: In developed countries, focal cerebral arteriopathy is one of the most common causes of arterial ischemic stroke in childhood and imaging features are well characterized. However, there are ongoing debates regarding its underlying mechanisms, natural evolution and proper management. The implementation of thrombolytic therapy in acute pediatric stroke has been shown to be efficient in anecdotal cases but is still limited by a number of caveats, even in large tertiary centers. Finally, neonatal stroke represents a unique circumstance of possible early intervention before the onset of any neurological disability but this appears meaningful only in a selective group of neonates. Expert commentary: While perinatal stroke, a leading cause of cerebral palsy, appears to be multifactorial, a large number of childhood ischemic stroke are probably essentially triggered by infectious factors leading to vessel wall damage. Current research is aiming at better identifying risk factors in both conditions, and to define optimal acute and preventive therapeutic strategies in order to reduce significant long-term morbidity.
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Affiliation(s)
- J Fluss
- a Pediatric Neurology Unit, Pediatric Subspecialties Service, Children's Hospital , Geneva University Hospitals , Geneva , Switzerland
| | - M Dinomais
- b LUNAM, Université d'Angers , Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS) , EA7315 F-49000 , Angers , France.,c Département de Médecine Physique et de Réadaptation , CHU Angers , Angers , France
| | - M Kossorotoff
- d French Center for Pediatric Stroke, Pediatric Neurology Department , APHP-Necker-Enfants Malades University Hospital , Paris , France
| | - C Vuillerot
- e Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, L'Escale , French Center for Pediatric Stroke/Service de Médecine Physique et de Réadaptation Pédiatrique , Bron , France.,f CNRS UMR 5558, Laboratoire de Biométrie et Biologie Evolutive , Equipe Biostatistique Santé , Pierre-Bénite , France
| | - S Darteyre
- g Department of Pediatrics , French Polynesia Hospital , Tahiti , French Polynesia.,h Inserm U1090 Sainbiose and Université Lyon/Saint-Étienne , Dysfonction vasculaire et hémostase Team , Saint-Étienne , France
| | - S Chabrier
- h Inserm U1090 Sainbiose and Université Lyon/Saint-Étienne , Dysfonction vasculaire et hémostase Team , Saint-Étienne , France.,i CHU Saint-Étienne , French Center for Pediatric Stroke/Pediatric Physical and Pediatric Rehabilitation Medicine Department & Inserm CIC1408 , Saint-Étienne , France
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Annoussamy M, Lilien C, Gidaro T, Gargaun E, Chê V, Schara U, Gangfuss A, Daron A, Cuisset J, Mayer M, Arnal J, Hernandez A, Vuillerot C, Fontaine S, Biancalana V, Buj-Bello A, Hogrel J, Landy H, Servais L. Baseline data from patients with myotubular myopathy enrolled in a European prospective and longitudinal natural history study. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Seferian A, Quicke G, Gidaro T, Gargaun E, Gasnier E, Pereon Y, Daron A, Cances C, Vuillerot C, Goemans N, Laugel V, Cuisset J, Schara U, Marquet A, Chabanon A, Annoussamy M, Vissiere D, Servais L. Feasibility of magneto-inertial motion analysis in non-ambulant patients with spinal muscular atrophy. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Chabanon A, Pereon Y, Daron A, Cances C, Vuillerot C, Fontaine S, Goemans N, De Waele L, Laugel V, Cuisset J, Schara U, Gangfuss A, Gidaro T, Gargaun E, Marquet A, Villeret M, Phelep A, Annoussamy M, Servais L. Baseline data from a European prospective and longitudinal natural history study of patients with type 2 and 3 spinal muscular atrophy – NatHis-SMA. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bharucha-Goebel D, Collins J, Hu Y, Reghan Foley A, Donkervoort S, Leach M, Dastgir N, Vuillerot C, Meilleur K, Jain M, Waite M, Jacobson S, Gordish H, Rutkowski A, Hoffman E, Hathout Y, Bonnemann C. Serum biomarker discovery for congenital muscular dystrophies. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Ropars J, Lemeur M, Vuillerot C, Tiffreau V, Peudenier S, Cuisset JM, Pereon Y, Leboeuf F, Delporte L, Delpierre Y, Gross R, Brochard S. Changes in muscle activation during gait of children with duchenne muscular dystrophy. Comput Methods Biomech Biomed Engin 2015; 18 Suppl 1:2042-3. [PMID: 26467719 DOI: 10.1080/10255842.2015.1069615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- J Ropars
- a CHRU de Brest, service de pédiatrie , Brest , France.,b Laboratoire de Traitement de l'Information Médicale INSERM , Brest , France
| | - M Lemeur
- b Laboratoire de Traitement de l'Information Médicale INSERM , Brest , France
| | - C Vuillerot
- c L'Escale, service central de rééducation pédiatrique , Lyon , France.,d CNRS, UMR 5558 , Pierre-Bénite , France
| | - V Tiffreau
- e CHU de Lille , Service de médecine physique et de réadaptation , Lille , France
| | - S Peudenier
- a CHRU de Brest, service de pédiatrie , Brest , France
| | - J M Cuisset
- f CHRU de Lille , service de neurologie pédiatrique , Lille , France
| | - Y Pereon
- g Centre de Référence Maladies Neuromusculaires Nantes-Angers , CHU de Nantes , Nantes , France.,h Atlantic Gene Therapy Institute , Nantes , France
| | - F Leboeuf
- i Laboratoire d'analyse du Mouvement , CHU Nantes , Nantes , France
| | - L Delporte
- j Plateforme 'Mouvement et Handicap' , Hospices Civils de Lyon , Bron , France
| | - Y Delpierre
- k Service de rééducation neurologique pédiatrique , centre de l'Arche , Le Mans , France
| | - R Gross
- l CHU de Nantes , Pôle de Médecine Physique et Réadaptation , Nantes , France
| | - S Brochard
- b Laboratoire de Traitement de l'Information Médicale INSERM , Brest , France.,m CHRU de Brest , Service de Médecine Physique et Réadaptation , Brest , France.,n Laboratoire de Traitement de l'Information Médicale INSERM , Brest , France
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Nichols C, Lehky T, Waite M, Duong T, Nelson L, Keller K, Lott D, Meilleur K, Collins J, Dastgir J, Vuillerot C, Rutkowski A, Donkervoort S, Leach M, Jain M, Bönnemann C. Electrical impedance myography as a potential biomarker in individuals with COL6-related dystrophy. Neuromuscul Disord 2015. [DOI: 10.1016/j.nmd.2015.06.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schreiber-Bontemps A, Brochard S, Fontaine-Carbonnel S, Chabrier S, Gautheron V, Peudenier S, Rippert P, Rauscent H, Rivier F, Andoni Urtizberea J, Fournier-Mehouas M, Mahé J, Tiffreau V, Lagrue E, Hamroun D, Poirot I, Ragot-Mandry S, Sacconi S, Puy Haubert B, Fafin C, Vuillerot C. Promoting the use of Motor Function Measure (MFM) as outcome measure in patients with Duchenne Muscular Dystrophy (DMD) treated by corticosteroids. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Olivari C, Roumenoff-Turcant F, Chantran C, Picot M, Berlier P, Mottolese C, Schneider M, Bernard J, Vuillerot C. Childhood craniopharyngioma: What about participation? Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Hamo S, Freychet C, Bertholet-Thomas A, Poulat AL, Cochat P, Vuillerot C, Bacchetta J. [Vitamin D supplementation: not too much, not too little!]. Arch Pediatr 2015; 22:868-71. [PMID: 26141804 DOI: 10.1016/j.arcped.2015.04.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Revised: 02/23/2015] [Accepted: 04/28/2015] [Indexed: 10/23/2022]
Abstract
Vitamin D deficiency is common in the general population and even more frequent in patients with chronic diseases. The prevention of rickets with native vitamin D supplementation is one of the oldest and most effective prophylactic measures ever reported in medicine, leading to an almost complete eradication of vitamin D-deficient rickets in developed countries. We report on two children with vitamin D abnormalities: the first, 10-year-old child developed rickets without any vitamin D supplementation despite different risk factors (autism, ethnicity, nutritional problems, chronic antiepileptic therapies). In contrast, the second, 8-month-old child received double doses of native vitamin D from birth for several months and was referred for acute and symptomatic hypercalcemia. As such, vitamin D supplementation must follow specific rules: neither too much nor too little! We also discuss the emergence of "new" genetic diseases such as mutations in the 24-hydroxylase (CYP24A1) gene inducing neonatal hypercalcemia and nephrocalcinosis: we believe that before prescribing conventional vitamin D supplementation as recommended by the national guidelines, pediatricians should quickly rule out a potential genetic abnormality in phosphate/calcium metabolism (namely a history of lithiasis or hypercalcemia) that would lead to further biological investigations.
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Affiliation(s)
- S Hamo
- Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
| | - C Freychet
- Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France; Faculté de médecine Lyon-Est, université de Lyon, 69008 Lyon, France
| | - A Bertholet-Thomas
- Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
| | - A-L Poulat
- Service de neurologie pédiatrique, hôpital Femme-Mère-Enfant, 69677 Bron cedex, France
| | - P Cochat
- Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France; Faculté de médecine Lyon-Est, université de Lyon, 69008 Lyon, France
| | - C Vuillerot
- Faculté de médecine Lyon-Est, université de Lyon, 69008 Lyon, France; Service de neurologie pédiatrique, hôpital Femme-Mère-Enfant, 69677 Bron cedex, France; Service de rééducation fonctionnelle pédiatrique, hôpital Femme-Mère-Enfant, 69677 Bron cedex, France
| | - J Bacchetta
- Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France; Faculté de médecine Lyon-Est, université de Lyon, 69008 Lyon, France.
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Vuillerot C, Braillon P, Fontaine-Carbonnel S, Rippert P, Andre E, Iwaz J, Poirot I, Berard C. T.P.44. Neuromuscul Disord 2014. [DOI: 10.1016/j.nmd.2014.06.375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Chabrier S, Vuillerot C, Égo A, Debillon T. Infarctus cérébral artériel à révélation néonatale (grande prématurité exclue) : pourquoi des recommandations ? Arch Pediatr 2014; 21:934-7. [DOI: 10.1016/j.arcped.2014.06.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 06/19/2014] [Indexed: 10/25/2022]
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Vuillerot C, Rippert P, Kinet V, Renders A, Jain M, Waite M, Glanzman A, Girardot F, Hamroun D, Iwaz J, Quijano-Roy S, Berard C, Poirot I, Bonnemann C. Une Rasch analyse de la mesure de fonction motrice chez les patients atteints de dystrophie musculaire congénitale et myopathie congénitale. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vuillerot C, Braillon P, Fontaine-Carbonnel S, Rippert P, Andre E, Iwaz J, Poirot I, Berard C. Influence of a 2-year steroid treatment on body composition as measured by dual X-ray absorptiometry in boys with Duchenne muscular dystrophy. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Darteyre S, Renaud C, Vuillerot C, Presles E, Kossorotoff M, Dinomais M, Lazaro L, Gautheron V, Chabrier S. Quality of life and functional outcome in early school-aged children after neonatal stroke: a prospective cohort study. Eur J Paediatr Neurol 2014; 18:347-53. [PMID: 24503061 DOI: 10.1016/j.ejpn.2014.01.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2013] [Revised: 01/09/2014] [Accepted: 01/19/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND Quality of life (QoL) is recognized internationally as an efficient tool for evaluating health interventions. To our knowledge, QoL has not been specifically assessed in children after neonatal arterial ischemic stroke (AIS). AIM To study the QoL of early school-aged children who suffered from neonatal AIS, and QoL correlation to functional outcome. METHOD We conducted a multicenter prospective cohort study as part of a larger study in full-term newborns with symptomatic AIS. Participating families were sent anonymous QoL questionnaires (QUALIN). Functional outcome was measured using the Wee-FIM scale. Healthy controls in the same age range were recruited in public schools. Their primary caregivers filled in the QUALIN questionnaires anonymously. We used Student's t-test and a rank test to compare patients and controls' QoL and functional outcomes. RESULTS 84 children with neonatal AIS were included. The control group was composed of 74 children, of which ten were later excluded due to chronic conditions. Mean ages and QUALIN median scores did not differ between patients and controls. Median Wee-FIM scores were lower in hemiplegic children than in non-hemiplegic ones (p < 0.001). QoL scores did not seem correlated to functional outcome. INTERPRETATION Those results could support the presence of a "disability paradox" in young children following neonatal AIS.
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Affiliation(s)
- S Darteyre
- CHU Saint-Etienne, Médecine physique et réadaptation pédiatrique, F-42055 Saint-Etienne, France; Université de Saint-Etienne, Groupe de recherche sur la thrombose EA3065, Saint-Etienne F-42023, France.
| | - C Renaud
- Inserm, CIC1408, F-42055 Saint-Etienne, France
| | - C Vuillerot
- CHU Lyon, l'Escale, Médecine physique et réadaptation pédiatrique, F-69677 Bron, France
| | - E Presles
- Université de Saint-Etienne, Groupe de recherche sur la thrombose EA3065, Saint-Etienne F-42023, France; Inserm, CIC1408, F-42055 Saint-Etienne, France
| | - M Kossorotoff
- APHP, Hôpital Necker-Enfants malades, Service de neuropédiatrie et maladies métaboliques, F-75015 Paris, France
| | - M Dinomais
- LUNAM, Université d'Angers, CHU Angers, Département de médecine physique et réadaptation, F-49933, France
| | - L Lazaro
- CH Côte-Basque, Service de pédiatrie, Bayonne F-64109, France
| | - V Gautheron
- CHU Saint-Etienne, Médecine physique et réadaptation pédiatrique, F-42055 Saint-Etienne, France
| | - S Chabrier
- CHU Saint-Etienne, Médecine physique et réadaptation pédiatrique, F-42055 Saint-Etienne, France; Université de Saint-Etienne, Groupe de recherche sur la thrombose EA3065, Saint-Etienne F-42023, France; Inserm, CIC1408, F-42055 Saint-Etienne, France
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Vuillerot C, Chevignard M, Debillon T, Kossorotoff M, Zerat M, Husson B, Renaud C, Chabrier S. Quelles recommandations autour de la prise en charge MPR des nouveau-nés ayant un pronostic d’hémiplégie après infarctus cérébral néonatal ? Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Allard L, Rode G, Luaute J, Jacquin-Courtois S, Rippert P, Hamroun D, Poirot I, Berard C, Vuillerot C. Utilisation de la mesure de fonction motrice pour étudier des limitations d’activités de patients adultes et enfants atteints de la maladie de Charcot-Marie-Tooth. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vuillerot C, Meilleur K, Jain M, Waite M, Wu T, Dastgir J, Donkervoort S, Leach M, Rippert P, Payan C, Iwaz J, Hamroun D, Berard C, Poirot I, Bonnemann C. English cross-cultural translation and validation of the NM-Score: A system for motor function classification in patients with neuromuscular diseases. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vuillerot C, Chevignard M, Debillon T, Kossorotoff M, Zerat M, Husson B, Renaud C, Chabrier S. Perinatal arterial ischemic stroke: Guidelines for diagnosis, management and rehabilitation of newborn with a high risk of hemiplegia. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Barnérias C, Quijano S, Mayer M, Estournet B, Cuisset JM, Sukno S, Peudenier S, Laroche C, Chabrier S, Sabouraud P, Vuillerot C, Chabrol B, Halbert C, Cancès C, Beze-Beyrie P, Ledivenah A, Viallard ML, Desguerre I. [Multicentric study of medical care and practices in spinal muscular atrophy type 1 over two 10-year periods]. Arch Pediatr 2014; 21:347-54. [PMID: 24630620 DOI: 10.1016/j.arcped.2014.01.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2011] [Revised: 12/25/2013] [Accepted: 01/28/2014] [Indexed: 10/25/2022]
Abstract
AIM Questions about care practices and the role of palliative care in pediatric neurodegenerative diseases have led the Neuromuscular Committee of the French Society of Neurology to conduct a retrospective study in spinal muscular atrophy type 1, a genetic disease most often leading to death before the age of 1 year. MATERIAL AND METHODS A retrospective multicenter study from pediatricians included in the reference centers of pediatric neuromuscular diseases was carried out on two 10-year periods (1989-1998 and 1999-2009). RESULTS The 1989-1998 period included 12 centers with 106 patients, the 1999-2009 period 13 centers with 116 children. The mean age of onset of clinical signs was 2.1 months (range, 0-5.5 months), the median age at diagnosis was 4 months (range, 0-9 months) vs 3 months. The median age of death was 7.5 months (range, 0-24 months) vs 6 months. The care modalities included physiotherapy (90 %), motor support (61 % vs 26 % for the previous period), enteral nutrition by nasogastric tube (52 % vs 24 %), and 3.4 % of children had a gastrostomy (vs 1.8 %). At home, pharyngeal aspiration was used in 64 % (vs 41 %), oxygen therapy in 8 %, noninvasive ventilatory support in 7 %. The mean age at death was 8.1 months (range, 0-24 months) vs 7 months, the time from diagnosis to death was 4 months vs 3 months. Death occurred at home in 23 % vs 17 %, in a pediatric unit in 62 % vs 41 %. The use of analgesics and sedative drugs was reported in 60 % of cases: 40 % morphine (vs 18 %) and benzodiazepines in 48 % (vs 29 %). Respiratory support was limited mostly to oxygen by nasal tube (55 % vs 54 %), noninvasive ventilation in 9 % of the cases, and intubation and assisted mechanical ventilation (2 %). DISCUSSION AND CONCLUSION These results confirm a change in practices and the development of palliative care in children with a French consensus of practices quite different from the standard care in North-America and closer to the thinking of English medical teams. A prospective study within the 2011 national hospital clinical research program (PHRC 2011) is beginning in order to evaluate practices and the role of families and caregivers.
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Affiliation(s)
- C Barnérias
- Unité de neuropédiatrie, hôpital Necker enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - S Quijano
- Service de réanimation neuromusculaire, hôpital Raymond-Poincarré, AP-HP, 92380 Garches, France
| | - M Mayer
- Service de neuropédiatrie, hôpital Armand-Trousseau, AP-HP, 75012 Paris, France
| | - B Estournet
- Service de réanimation neuromusculaire, hôpital Raymond-Poincarré, AP-HP, 92380 Garches, France
| | - J-M Cuisset
- Service de neuropédiatrie, hôpital Jeanne-de-Flandres, 59037 Lille, France
| | - S Sukno
- Hôpital Saint-Vincent-de-Paul, 59020 Lille, France
| | | | - C Laroche
- Hôpital de la mère et l'enfant, 87000 Limoges, France
| | - S Chabrier
- Hôpital Nord, Couple mère-enfant, 42100 Saint-Étienne, France
| | - P Sabouraud
- Service de neuropédiatrie, American Memorial Hospital, 51092 Reims, France
| | - C Vuillerot
- Centre hospitalier Lyon Sud, 69310 Pierre-Bénite, France
| | - B Chabrol
- Service de neuropédiatrie, hôpital de la Timone, 13005 Marseille, France
| | - C Halbert
- Service de neuropédiatrie, hôpital de la Timone, 13005 Marseille, France
| | - C Cancès
- Unité de neuropédiatrie, hôpital des Enfants, 31059 Toulouse, France
| | - P Beze-Beyrie
- Service de pédiatrie, centre hospitalier de Pau, 64000 Pau, France
| | - A Ledivenah
- Équipe mobile de soins palliatifs pédiatriques, hôpital Necker enfants malades, AP-HP, 75015 Paris, France
| | - M-L Viallard
- Équipe mobile de soins palliatifs pédiatriques, hôpital Necker enfants malades, AP-HP, 75015 Paris, France
| | - I Desguerre
- Unité de neuropédiatrie, hôpital Necker enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
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Poirot I, Laudy V, Rabilloud M, Roche S, Ginhoux T, Joubrel I, Porsmoguer E, Grimont E, Vuillerot C, Kassaï B. Rehabilitation of 190 non-ambulatory children with cerebral palsy in structures of care or in liberal sector. Ann Phys Rehabil Med 2013; 56:551-60. [PMID: 24120244 DOI: 10.1016/j.rehab.2013.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Revised: 08/01/2013] [Accepted: 08/05/2013] [Indexed: 11/15/2022]
Abstract
AIMS To describe the rehabilitation of non-ambulatory children with cerebral palsy and to explore adjustability on their individual needs. MATERIAL AND METHOD Data described are extracted from an on-going national cohort study, following during 10years 385 children with cerebral palsy, aged from 4 to 10, Gross Motor Function Classification System IV and V. We analysed data from the first 190 patients (mean age 6years 10months (SD 2.0), 111 boys), focusing on physiotherapy, ergotherapy, psychomotility and speech therapy in medico-social and liberal sectors. RESULTS In medico-social sector, duration of paramedical care is significantly more important than in liberal sector (structure of care: median=4.25h/week, liberal sector: median=2.00h/week) (P<0.0001). More than 4 different types of care per week are given in medico-social sector, while in liberal sector children benefit from only 2 different types of care a week. In investigators opinion, rehabilitation in structures of care is 71.65% adapted as opposed to 18.75% in the liberal sector (P<0.001). Children level V have less time of rehabilitation than the others (P=0.0424). INTERPRETATION Rehabilitation of children with cerebral palsy who are not able to walk, with an objective to improve quality of life, is truly multidisciplinary and suitable in medico-social sector.
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Affiliation(s)
- I Poirot
- Service de médecine physique et réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, 69677 Bron, France.
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Chevignard M, Vuillerot C, Kossorotoff M, Zerah M, Husson B, Saliou G, Debillon T, Renaud C, Chabrier S. Presentation of the French National Reference Centre for Pediatric Stroke. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Chevignard M, Vuillerot C, Kossorotoff M, Zerah M, Husson B, Saliou G, Debillon T, Renaud C, Chabrier S. Présentation du Centre national de référence AVC de l’enfant. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Poirot I, Laudy V, Rabilloud M, Roche S, Ginhoux T, Mietton C, De Lattre C, Vuillerot C, Kassaï B. Rehabilitation of 190 non-ambulatory children with cerebral palsy in structures of care or in liberal sector. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Vuillerot C, Rippert P, Berard C, Bonnemann C, Meilleur K, Jain M, Waite M, Payan C, Hamroun D, Poirot I, Ecochard R. P.10.9 A cross sectional validation study of the English version of the NM-Score in patients with neuromuscular diseases. Neuromuscul Disord 2013. [DOI: 10.1016/j.nmd.2013.06.539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Vuillerot C, Rippert P, Jain M, Waite M, Glanzman A, Kinet V, Auh S, Berard C, Payan C, Hamroun D, Poirot I, Ecochard R, Bonnemann C. P.10.10 The Rasch-scaled motor function measure for patients with congenital disorders of muscle. Neuromuscul Disord 2013. [DOI: 10.1016/j.nmd.2013.06.540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wagner S, Poirot I, Vuillerot C, Berard C. Tolerance and effectiveness on pain control of Pamidronate® intravenous infusions in children with neuromuscular disorders. Ann Phys Rehabil Med 2011; 54:348-58. [PMID: 21840280 DOI: 10.1016/j.rehab.2011.07.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2011] [Revised: 07/01/2011] [Accepted: 07/02/2011] [Indexed: 11/30/2022]
Abstract
UNLABELLED Osteoporosis is a common complication in children with motor impairments. They have a higher risk of fractures (20% during their lifetime) mostly at femoral level. Furthermore, these children have pain yet no clear relation has been established between osteoporosis and pain. The efficacy of bisphosphonates has been validated in adults and for children with osteogenesis imperfecta (OI). However, its use in children with motor impairments has not yet been validated. PATIENTS AND METHODS Retrospective study on the medical charts of children presenting neurological diseases and motor impairments associated to secondary symptomatic osteoporosis. These children underwent treatment with Pamidronate(®) intravenous infusions (I.V.) in Lyon and Valence between 2002 and 2008. Data were collected on pain control, incidence and frequency of fractures and bone mass density (BMD). Data on adverse events were also collected to evaluate treatment's tolerance. RESULTS Twelve children's charts were studied for a total of 50 Pamidronate(®) I.V. infusions. Regarding treatment's efficacy, we observed a clear decrease and even total relief of the pain with improvement reported after 98% of perfusions. Regarding BMD, there was a real improvement after the treatment (e.g., lumbar BMD measures, -46.5% before treatment and -27% after treatment). The adverse events, flu-like syndrome, muscle pain and asymptomatic hypocalcemia, were minor and quickly reversible. CONCLUSION It seems quite essential to screen for osteoporosis-related pain in these children and treat them quickly to avoid a negative impact on their quality of life. Treatment with I.V. bisphosphonates has shown its relevance, yet practical modalities still need to be defined. It would be interesting but quite difficult to implement, in light of the positive effect of this study, a prospective, randomized, controlled, double-blind vs. placebo study on a large enough sample of patients.
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Affiliation(s)
- S Wagner
- L'Escale service de MPR pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, Bron, France.
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