Physical function and muscle strength in sporadic inclusion body myositis

Muscle Nerve. 2017 Dec;56(6):E50-E58. doi: 10.1002/mus.25603. Epub 2017 Apr 10.

Abstract

Introduction: In this study, self-reported physical function, functional capacity, and isolated muscle function were investigated in sporadic inclusion body myositis (sIBM) patients.

Methods: The 36-item Short Form (SF-36) Health Survey and 2-min walk test (2MWT), timed up & go test (TUG), and 30-s chair stand performance were evaluated. In addition, patients were tested for knee extensor muscle strength (isokinetic dynamometer) and leg extension power (Nottingham power rig).

Results: TUG performance was the strongest predictor of self-reported physical function (r2 = 0.56, P < 0.05). Knee extension strength and between-limb strength asymmetry were the strongest multi-regression indicators of TUG performance (r2 = 0.51, P < 0.05). Strength asymmetry showed the strongest single-factor (negative) association with 2MWT performance (r2 = 0.49, P < 0.05).

Discussion: TUG assessment appears to sensitively predict self-perceived physical function in sIBM patients. Notably, between-limb asymmetry in lower limb muscle strength had a substantial negative impact on motor tasks involving gait function. Muscle Nerve 56: E50-E58, 2017.

Keywords: functional capacity; inclusion body myositis; inflammatory myopathy; muscle strength; physical function.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Female
  • Health Surveys* / methods
  • Humans
  • Male
  • Middle Aged
  • Muscle Strength / physiology*
  • Myositis, Inclusion Body / diagnosis*
  • Myositis, Inclusion Body / physiopathology*
  • Myositis, Inclusion Body / psychology
  • Quality of Life / psychology
  • Recovery of Function / physiology*