Source:http://linkedlifedata.com/resource/pubmed/id/19145658
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2009-1-20
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pubmed:abstractText |
We studied the timing and progression of foot and ankle changes in 81 children with genetically confirmed Charcot-Marie-Tooth disease type 1A (CMT1A) and determined their impact on motor function and walking ability. Foot deformity, weakness, pain, cramps, and instability were a common feature of CMT1A. Foot structure evolved toward pes cavus from early childhood to adolescence, although a subgroup with normal and planus feet remained. Foot strength increased with age, although compared to age-equivalent norms it declined from 4 years. Factors associated with evolving foot deformity included muscle weakness/imbalance, restricted ankle flexibility, and joint hypermobility. Regression modeling identified dorsiflexion weakness, global foot weakness, and difficulty toe-walking as independent predictors of motor dysfunction, while pes cavus and difficulty heel-walking were predictors of poor walking ability. Foot problems are present from the earliest stages of the disease and can have a negative impact on function. Early foot and ankle intervention may prevent long-term disability and morbidity in CMT1A.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0148-639X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
158-66
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pubmed:meshHeading |
pubmed-meshheading:19145658-Adolescent,
pubmed-meshheading:19145658-Age Factors,
pubmed-meshheading:19145658-Ankle Joint,
pubmed-meshheading:19145658-Charcot-Marie-Tooth Disease,
pubmed-meshheading:19145658-Child,
pubmed-meshheading:19145658-Child, Preschool,
pubmed-meshheading:19145658-Disease Progression,
pubmed-meshheading:19145658-Female,
pubmed-meshheading:19145658-Foot,
pubmed-meshheading:19145658-Foot Deformities,
pubmed-meshheading:19145658-Humans,
pubmed-meshheading:19145658-Male,
pubmed-meshheading:19145658-Motor Activity,
pubmed-meshheading:19145658-Multivariate Analysis,
pubmed-meshheading:19145658-Muscle Weakness,
pubmed-meshheading:19145658-Regression Analysis,
pubmed-meshheading:19145658-Walking
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pubmed:year |
2009
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pubmed:articleTitle |
Evolution of foot and ankle manifestations in children with CMT1A.
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pubmed:affiliation |
Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney/Institute for Neuromuscular Research, Children's Hospital at Westmead, Locked Bag 4001, Westmead, Sydney, NSW 2145 Australia. joshuab2@chw.edu.au
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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