Becker Muscular Dystrophy Clinical Trial
Official title:
Muscle MRI Study of Patients With Becker Muscular Dystrophy and Limb-girdle Muscular Dystrophy Type 2I
The purpose of this study is to investigate the paradoxical muscle enlargement in the calves
and tongue seen in patients affected by Becker muscular dystrophy and Limb-girdle muscular
dystrophy type 2I.
The enlarged calves' muscle quality will be assessed primarily on the basis of the muscle
structure on MRI and based on a calculation of muscle strength per cross-sectional area.The
findings will be compared with results from non-affected controls.
Additionally we want to describe the tongue muscle appearance on T1-weighted MRI.
The purpose of this study is to investigate the paradoxical muscle enlargement seen in
patients affected by Becker muscular dystrophy and Limb-girdle muscular dystrophy type 2I.
Becker and limb-girdle muscular dystrophies are both hereditary muscular disorders. Both
diseases appear clinically with shrinkage and muscle weakness of the muscles around the
shoulder girdle and pelvis, while muscle hypertrophy of the calves and tongue is seen.
The quality of the enlarged calves has to the investigators knowledge not previously been
described, and their hypothesis is that the normal correlation between muscle strength and
muscle cross-section is absent in the calf muscles. Thus the investigators hypothesis
suggests that there is no actual hypertrophy of the calf muscles, but rather a
pseudohypertrofy with reduced force per cross-sectional area. With a picture of increased
fat infiltration and disorganized muscle fibers.
The enlarged calves' muscle quality will be assessed primarily on the basis of the muscle
structure on MRI (assessed on both T1 imaging, 3-point Dixon scans, and diffusion tension
imaging), and based on a calculation of muscle strength per cross-sectional area. Isokinetic
muscle dynamometry (Biodex-4) will be used to measure muscle strength. The findings will be
compared with results from non-affected controls.
Additionally the investigators want to describe the tongue muscle appearance on T1-weighted
MRI.
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Observational Model: Case Control, Time Perspective: Cross-Sectional
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