科研之友
微信
新浪微博
Facebook
分享链接
摘要
Background: Marfan syndrome (MS) is an autosomic dominant condition of the connective tissue that involves the ocular, cardiovascular and musculoskeletal systems. MS is caused by mutations in the fibrillin-1 gene, leading to joint ligaments flaccidity, joint hypermobility and an overgrowth of the long bones. Objectives: The aim of the present study was to assess anthropometry, musculoskeletal alterations and the prevalence of physical therapy treatments among patients with MS. Methods: Twenty-six patients were included in this study [17 females (age: 13.23 +/- 2.77 years; body mass 51.5 +/- 24-68 Kg; height 1.70 +/- 1.40-1.81 m; arm span: 1.73 +/- 0.12 m) and 9 males (age: 14.44 +/- 2.18; body mass: 61.0 +/- 42-72 Kg; height: 1.83 +/- 1.66-1.97 m; arm span: 1.93 +/- 0.13 m)]. Anthropometric measurements and musculoskeletal abnormalities were determined in a standardized fashion: pectus and scoliosis were assessed through radiography and angulation (5) of the scoliosis curve using the Cobb method; arachnodactyly was assessed through the thumb sign and Walker-Murdoch test and dolichostenomelia was assessed by arm span in relation to height. Patients also responded to a questionnaire addressing participation in physical therapy. Results: In comparison to values estimated for the Brazilian population, mass and height were greater among the patients with MS (females: p=0.001 e p<0.0005 e males p=0.019 e p=0.0001, respectively). The following musculoskeletal abnormalities were found: pectus in 3 patients (11%), pectus and scoliosis in 19(73%), dolichostenomelia in 11(42%) and arachnodactyly in 21(80%). Eleven patients (42%) with MS had previously undergone physical therapy. Conclusions: Patients with MS exhibit altered musculoskeleto and anthropometry and have infrequent physical therapy treatment.
- 出版日期2011-8
