Open AccessFunctional independence of Taiwanese patients with mucopolysaccharidoses
Author(s) -
Lee ChungLin,
Lin HsiangYu,
Chuang ChihKuang,
Chiu HueiChing,
Tu RuYi,
Huang YouHsin,
Hwu WuhLiang,
Tsai FuuJen,
Chiu PaoChin,
Niu DauMing,
Chen YannJang,
Chao MeiChyn,
Chang TungMing,
Lin JuLi,
Chang ChiaYing,
Kao YuChia,
Lin ShuanPei
Publication year - 2019
Publication title -
molecular genetics and genomic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.765
H-Index - 29
ISSN - 2324-9269
DOI - 10.1002/mgg3.790
Subject(s) - medicine , functional independence measure , enzyme replacement therapy , cognition , physical therapy , mucopolysaccharidosis , activities of daily living , pediatrics , disease , psychiatry
Background Information on functional strengths and weaknesses of mucopolysaccharidosis (MPS) patients is important for early intervention programs and enzyme replacement therapy (ERT). Methods We used the Functional Independence Measure for Children (WeeFIM) questionnaire to assess the functional skills of 63 Taiwanese MPS patients (median age, 13 years 3 months; range, 3–20 years) from January 2012 to December 2018. Results Mean total WeeFIM score was 75.4 of a potential score of 126. Mean total WeeFIM scores of each type (MPS I, MPS II, MPS IIIB, MPS IVA, and MPS VI) were 103.8, 76.2, 41.6, 92.2, and 113.6, respectively. Mean scores for self‐care, mobility, and cognition domains were 30 (maximum 56), 23 (maximum 35), and 22 (maximum 35), respectively. MPS type IIIB patients had the lowest scores in self‐care, mobility, cognition, and total domains compared to other types of MPS. All patients with ERT in MPS I, II, and IVA had higher scores in self‐care and mobility domains than patients without ERT. Most patients required assistance for self‐care skills, especially in grooming and bathing. Conclusion MPS patients require support and supervision in self‐care tasks. For cognition tasks, MPS IIIB patients also require help. This questionnaire is useful to identify the strengths and limitations of MPS patients.