Spinal Muscular Atrophy
Conditions
Keywords
Spinal Muscular Atrophy, Motor Function Measure, Outcome Assessment, Nusinersen
Brief summary
The Motor Function Measure (MFM), a reliable tool assessing motor function and its progression in most neuromuscular diseases, is widely used in France in many teams. It can be used regardless of the severity of the motor impairment or the ambulatory status of the patient, allowing its use throughout the whole follow-up period of the patient, even in case of the loss of walking. Two versions of the MFM exist, one composed of 32 items validated for patients from 6 years old (MFM-32) and a shorter version composed of 20 items validated for patients between 2 and 6 years old (MFM-20). In order to show the possible use of MFM-20 as early as the age of 2 years to validly and reliably monitor the evolution of the motor function of children treated with Nusinersen, we propose in this project to study the sensitivity to treatment-induced change of MFM-20 and the validity of the scale in this population.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Boys and girls with Type 1 or 2 Spinal Muscular Atrophy, genetically confirmed * Aged 2 to 6 years old * Treated by Nusinersen for at least two months * With at least 3 MFM-20 repeated measures, and with adelay minimum between the first and the last MFM-20 of 6 months * With parental assent
Exclusion criteria
* \- Patients with associated cognitive impairment making impossible evaluation of motor function * Patients participating to a clinical study with a potential effect on their motor function.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MFM-20 responsiveness | At least 6 Months after the first MFM-20 assessment, and at maximum 24 months | The MFM-20 sensitivity to change indexes considered will be the effect amplitude and the Standardized Response Mean (SRM). |
Countries
France