Effects of inspiratory muscular training on inspiratory muscle performance in a patient with congenital muscular dystrophy with mersosine deficiency: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.14663

Keywords:

Physichal therapy specialty; Muscular dystrophies; Respiratory muscles; Respiratory muscle training.

Abstract

Congenital muscular dystrophy with merosin deficiency (MDC1A) is characterized by an impairment of muscle fiber by partial or complete deficiency of α2 laminin, (merosin) an extracellular protein responsible for maintaining cellular structure. Biomechanical changes in the structures involved with the respiratory act can trigger respiratory muscle weakness and low resistance to fatigue, showing respiratory distress and other worsening lung function. In response to this, the effects of respiratory muscle training (RMT) have been explained over the years in the literature. Although the benefits of RMT are known, there is no defined consensus regarding protocols and type of RMT to be used in patientes with neuromuscular disorders, especially in children, due to the scarcity of studies conducted with this specific group of patients. Therefore, the presente study aims to determine the effects of a RMT protocol on respiratory muscle strength and peak expiratory flow of a patient with congenital muscular dystrophy with merosine deficiency.

References

Accorsi, A., Cramer, M. L., & Girgenrath, M (2020). Fibrogenesis in LAMA2-Related muscular dystrophy is a central tenet of disease etiology. Front Mol Neurosc. 13, 1-3.

American Thoracic Society/European Respiratory Society (2002). ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med. 166, 518–624.

Bertini, et. al (2011). Congenital Muscular Dystrophies: A Brief Review. Seminars in Pediatric Neurology. 277-288.

Cahalin, L.P., & Arena, R. (2015). Novel methods of inspiratory muscle training via the test of incremental respiratory endurance (TIRE). Exerc. Sport Sci. Rev. 43 (2), 84-92.

Chatam, K., Ionescu, A. A., Nixon, L. S., & Shale, D. J (2004). A short-term comparsion of two methods of sputum expectoration in cystic fibrosis. Eur Respir J. 23, 435–9.

Cohn, R. D (2005). Dystroglycan: important player in skeletal muscle and beyond. Neuromuscul Disord. 15, 207-17.

Formiga, M. F., Roach, K. E., Vital, I., Urdaneta, G., Balestrini, K., Calderon-Candelario, R. A., Campos, M. A., & Cahalin, L. P (2018). Reliability and validity of the test of incremental respiratory endurance measures of inspiratory muscle performance in COPD. International journal of chronic obstructive pulmonary disease. 213, 1569–1576.

Mallozi, M. C (1995). Valores de Referência para espirometria em crianças e adolescentes, calculados a partir de uma amostra da Cidade de São Paulo. São Paulo. (Tese Doutor.) - Universidade Federal de São Paulo - Escola Paulista de Medicina.

Nascimento et. al (2015). Treinamento muscular respiratório em Distrofia Muscular de Duchenne: série de casos. Rev Neurocienc. 23 (1), 9-15.

Oliveira et. al (2012). LAMA2 Muscular Dystrophy. GeneReviews®.

Paula, P. B (2010). Correlação entre o pico do fluxo da tosse e os parâmetros clínicos e funcionais nas doenças neuromusculares. Universidade Federal de Minas Gerais.

Reed, U. C (2009). Congenital muscular dystrophy – Part I: a review of phenotypical and diagnostic aspects. Arq Neuropsiquiatr. 67 (1),144-68.

Reed, U. C., et. al (1996). Deficiency of merosin in congenital muscular dystrophy associated with cerebral whte matter alterations. Neuropediatrics. 26, 293-97.

Rodríguez, I., Zenteno, D., & Manterola, C (2014). Efeitos do treinamento muscular respiratório em crianças e adolescentes com doença pulmonar crônica. J Bras Pneumol. 40 (6), 626-33.

Santos, C. P. A., et. Al (2016). Fisioterapia aquática no tratamento de criança com distrofia muscular congênita merosina negativa: relato de caso. Acta Fisiatr. 23 (2), 102-6.

Silva, I. S. et. al (2019). Respiratory muscle training in children and adults with neuromuscular disease (review). Cochrane Database of Systematic Reviews. 9, 1-69.

Tome, F. M., Evangelista, T., Leclerc, A., et al (1994). Congenital muscular dystrophy with merosin deficiency. CR Acad Sci. 317, 351-57.

Woszezenki, C. T. et. al (2017). Inspiratory muscle training in pediatrics: main indications and technical characteristics of the protocols. Fisioter. Mov. 30 (1), 317-24.

Yurchenco, P. D., & McKee, K. K (2019). Linker protein repair of LAMA2 Dystrophic neuromuscular basament membranes. Front Mol Neurosci. 12 (305), 1-62.

Published

30/04/2021

How to Cite

SOUZA, I. T. C. de .; FORMIGA, M. F.; VANIA, M. de L.; COSTA, R. A. de M.; FERNANDES, A. T. do N. S. F. . Effects of inspiratory muscular training on inspiratory muscle performance in a patient with congenital muscular dystrophy with mersosine deficiency: a case report. Research, Society and Development, [S. l.], v. 10, n. 5, p. e12310514663, 2021. DOI: 10.33448/rsd-v10i5.14663. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14663. Acesso em: 5 nov. 2024.

Issue

Section

Health Sciences