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Predictors of participation restriction over a 9-year period in adults with myotonic dystrophy type 1.

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Title: Predictors of participation restriction over a 9-year period in adults with myotonic dystrophy type 1.
Authors: Raymond, Kateri, Levasseur, Mélanie, Gallais, Benjamin, Richer, Louis, Laberge, Luc, Petitclerc, Émilie, Mathieu, Jean, Gagnon, Cynthia
Source: Disability & Rehabilitation. Jun2022, Vol. 44 Issue 12, p2615-2631. 17p.
Subjects: Social participation, Disease progression, Occupational roles, Patient aftercare, Mathematical models, Multiple regression analysis, Community health services, Risk assessment, Myotonia atrophica, Theory, Descriptive statistics, Body mass index, Patient care, Secondary analysis, Longitudinal method, Phenotypes, Disease complications, Adults
Abstract: For slowly progressive neuromuscular disease, prognostic approach and long-term monitoring of participation is a crucial part of rehabilitation services. To improve the prognostic approach, professionals must identify individuals at risk of having higher participation restriction. This study aimed to identify personal and environmental predictors of participation restriction over nine years in adults with myotonic dystrophy type 1 (DM1). A secondary analysis of a longitudinal design comparing baseline with a follow-up nine years later was used with a multidimensional assessment of participation and personal and environmental factors. Based on theoretical models, multiple linear regressions were used. One hundred and fourteen adults with DM1 were included in the study (63.2% women; 78.9% adult onset; mean (SD) age of 43.5 (10.4) years). When age, sex, phenotype, and education were controlled for, participation restriction was predicted by a longer time to stand and walk, lower grip strength, higher body mass index, absence of perceived impact of myotonia in daily living, use of adapted transportation from community services, and perception of obstacle in physical environment (p < 0.001, adjusted R2 = 0.50). The majority of predictors of participation restriction can be advantageously modified by rehabilitation and environmental changes, such as politics targeting community services provision or physical environment and services accessibility. Predictors could better inform rehabilitation professional to recognize individuals at risk of higher participation restriction over time and to target specific interventions based on a prognostic approach. Rehabilitation professionals could inform the people living with myotonic dystrophy type 1 and their relatives of the multifactorial nature of occurrence of participation restriction to diminish the "fatality" associated with a genetic progressive disorder. Predictors allow professionals to assess and intervene in the management of specific factors depending on the rehabilitation goal. Identifying individual with myotonic dystrophy with higher risk of participation restriction could help implement a long-term community based rehabilitation intervention plan targeting both personal and environmental factors. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Predictors of participation restriction over a 9-year period in adults with myotonic dystrophy type 1.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Disability+%26+Rehabilitation%22&quot;&gt;Disability &amp; Rehabilitation&lt;/searchLink&gt;. Jun2022, Vol. 44 Issue 12, p2615-2631. 17p.
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  Data: For slowly progressive neuromuscular disease, prognostic approach and long-term monitoring of participation is a crucial part of rehabilitation services. To improve the prognostic approach, professionals must identify individuals at risk of having higher participation restriction. This study aimed to identify personal and environmental predictors of participation restriction over nine years in adults with myotonic dystrophy type 1 (DM1). A secondary analysis of a longitudinal design comparing baseline with a follow-up nine years later was used with a multidimensional assessment of participation and personal and environmental factors. Based on theoretical models, multiple linear regressions were used. One hundred and fourteen adults with DM1 were included in the study (63.2% women; 78.9% adult onset; mean (SD) age of 43.5 (10.4) years). When age, sex, phenotype, and education were controlled for, participation restriction was predicted by a longer time to stand and walk, lower grip strength, higher body mass index, absence of perceived impact of myotonia in daily living, use of adapted transportation from community services, and perception of obstacle in physical environment (p &lt; 0.001, adjusted R2 = 0.50). The majority of predictors of participation restriction can be advantageously modified by rehabilitation and environmental changes, such as politics targeting community services provision or physical environment and services accessibility. Predictors could better inform rehabilitation professional to recognize individuals at risk of higher participation restriction over time and to target specific interventions based on a prognostic approach. Rehabilitation professionals could inform the people living with myotonic dystrophy type 1 and their relatives of the multifactorial nature of occurrence of participation restriction to diminish the &quot;fatality&quot; associated with a genetic progressive disorder. Predictors allow professionals to assess and intervene in the management of specific factors depending on the rehabilitation goal. Identifying individual with myotonic dystrophy with higher risk of participation restriction could help implement a long-term community based rehabilitation intervention plan targeting both personal and environmental factors. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Disability &amp; Rehabilitation is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=157610977
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2020.1837264
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 2615
    Subjects:
      – SubjectFull: Social participation
        Type: general
      – SubjectFull: Disease progression
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Mathematical models
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Myotonia atrophica
        Type: general
      – SubjectFull: Theory
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Patient care
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      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Longitudinal method
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      – SubjectFull: Phenotypes
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: Predictors of participation restriction over a 9-year period in adults with myotonic dystrophy type 1.
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            – D: 15
              M: 06
              Text: Jun2022
              Type: published
              Y: 2022
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