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Table 2 Clinical characteristics, functional ability, and medical care of patients with SMA, by SMA type and by current motor function

From: Areas of improvement in the medical care of SMA: evidence from a nationwide patient registry in Germany

 

Total sample, by SMA subtype (n = 107)

Total sample, by current motor function (n = 107)

Total

SMA1

SMA2

SMA3a

SMA3b

SMA4

Non-sitter

Sitter

Walker

 

Child

Adult

Child

Adult

Child

Adult

Child

Adult

Adult

Child

Adult

Child

Adult

Child

Adult

 

(n = 5)

(n = 3)

(n = 11)

(n = 29)

(n = 5)

(n = 14)

(n = 3)

(n = 36)

(n = 1)

(n = 4)

(n = 7)

(n = 13)

(n = 56)

(n = 7)

(n = 20)

(n = 107)

Mean age at first symptoms, years (SD)

0 (0)

0.3 (0.6)

0.8 (0.8)

1.0 (0.6)

1.4 (0.6)

1.6 (0.5)

3.0 (0)

10.6 (8)

35 (0)

1 (0.8)

3 (5.4)

0.5 (0.8)

3.9 (6.8)

2 (1.0)

11.5 (8.7)

4.6 (7.2)

Mean age at SMA diagnosis, years (SD)

0.4 (0.5)

0.7 (0.6)

0.9 (0.7)

2.3 (3.2)

2.2 (0.5)

10.9 (13.1)

5.3 (0.6)

18.6 (12.9)

47 (0)

1 (0.8)

4.7 (6.5)

0.9 (1.0)

9 (12.6)

3.3 (2.0)

20.1 (13.0)

9.1 (12.3)

Duration of illness, years (SD)

7.4 (4.3)

31.0 (17.6)

9.8 (5.1)

31.2 (9.4)

8.2 (4.8)

49.6 (12.3)

9.1 (4.9)

37.1 (16)

13 (0)

12 (3.7)

36 (11.4)

8.9 (5.0)

37.4 (15.5)

6.9 (3.4)

34.7 (14.0)

30.4 (17.6)

SMA type

SMA1, n (%)

 

–

1 (14)

5 (39)

2 (4)

–

–

8 (8)

SMA2, n (%)

4 (100)

4

(57)

6

(46)

25 (45)

1

(14)

–

40 (37)

SMA3, n (%)

–

2

(29)

2

(15)

29 (52)

6

(86)

19 (95)

58 (54)

SMA4, n (%)

–

–

–

–

–

1 (5)

1 (1)

Best motor skills of lower extremities

None, n (%)

–

1 (33)

4 (36)

4 (14)

1 (20)

–

–

2 (6)

–

 

12 (11)

Sitting, n (%)

5 (100)

2

(67)

4

(36)

25 (86)

1

(20)

12 (86)

–

12 (33)

–

61 (57)

Standing, n (%)

–

–

2 (18)

–

–

–

–

5 (14)

–

7 (7)

Walking, n (%)

–

–

1

(9)

–

3

(60)

2

(14)

3 (100)

17 (47)

1 (100)

27 (25)

Best motor skills of upper extremities

None, n (%)

1 (20)

2 (67)

–

4 (14)

–

1 (7)

–

–

–

–

1 (14)

1 (8)

6 (11)

–

–

8 (8)

Holding/picking up pen/coin with fingers, n (%)

1

(20)

–

–

10 (35)

–

2

(14)

–

5

(14)

–

–

3

(43)

1

(8)

12 (21)

–

2

(10)

18 (17)

Lifting hand to mouth, n (%)

3

(60)

1

(33)

7

(64)

15 (52)

1

(20)

5

(36)

–

8

(22)

1 (100)

4 (100)

3

(43)

7

(54)

24 (43)

–

3

(15)

41 (38)

Lifting hand above head, n (%)

–

–

4

(36)

–

4

(80)

6

(43)

3 (100)

23 (64)

–

–

–

4

(31)

14 (25)

7 (100)

15 (75)

40 (37)

Use of medical equipment for motor skills*

None, n (%)

–

–

–

–

–

–

2

(67)

11 (31)

–

–

–

–

2

(4)

2

(29)

9

(45)

13 (12)

Orthoses, n (%)

5 (100)

2

(67)

6

(55)

8

(28)

2

(40)

–

–

2

(6)

–

1

(25)

1

(14)

10 (77)

9

(16)

2

(29)

2

(10)

25 (23)

Wheeled walker/ Crutches, n (%)

–

–

1 (9)

–

2 (40)

2 (14)

–

6 (17)

–

–

–

2 (15)

1 (2)

1 (14)

7 (35)

11 (10)

Wheelchair, n (%)

4

(80)

3 (100)

10 (91)

29 (100)

4

(80)

13 (93)

1

(33)

23 (64)

1 (100)

4 (100)

7 (100)

12 (92)

54 (96)

3

(43)

8

(40)

88 (82)

Scoliosis, n (%)

5 (100)

3 (100)

11 (100)

28 (97)

3

(60)

8

(57)

1

(33)

14 (39)

–

4 (100)

6

(86)

13 (100)

41 (73)

3

(43)

6

(30)

73 (68)

Operation of scoliosis, n (%)

1

(20)

–

7

(64)

20 (69)

2

(40)

1

(7)

–

3

(8)

–

4 (100)

2

(29)

6

(46)

22 (39)

–

–

34 (32)

Food intake support

None, n (%)

1

(20)

–

8

(73)

10 (35)

5 (100)

12 (86)

3 (100)

34 (94)

1 (100)

2

(50)

3

(43)

8

(62)

34 (61)

7 (100)

20 (100)

74 (69)

None, but can eat only soft/puréed food, n (%)

–

2 (67)

–

5 (17)

–

–

–

–

–

–

1 (14)

–

6 (11)

–

–

7 (7)

G-tube, n (%)

3 (60)

–

1 (9)

5 (17)

–

–

–

–

–

–

2 (29)

4 (31)

3 (5)

–

–

9 (8)

Other, n (%)

1

(20)

1

(33)

2

(18)

9

(31)

–

2

(14)

–

2

(6)

–

2

(50)

1

(14)

1

(8)

13 (23)

–

–

17 (16)

Ventilatory support

None, n (%)

–

1

(33)

5

(46)

11 (38)

5 (100)

11 (79)

3 (100)

33 (92)

1 (100)

–

2

(29)

6

(46)

36 (64)

7 (100)

19 (95)

70 (65)

Cough assist, n (%)

–

–

2 (18)

6 (21)

–

2 (14)

–

–

–

2 (50)

–

–

7 (13)

–

1 (5)

10 (9)

Non-invasive breathing support, n (%)

3

(60)

2

(67)

4

(36)

11 (38)

–

–

–

2

(6)

–

2

(50)

4

(57)

5

(39)

11 (20)

–

–

22 (21)

Invasive breathing support, n (%)

1 (20)

–

–

 

–

–

–

–

–

–

–

1 (8)

–

–

–

1 (1)

Other, n (%)

1 (20)

–

–

1 (3)

–

1 (7)

–

1 (3)

–

–

1 (14)

1 (8)

2 (4)

–

–

4 (4)

Supportive therapy*

None, n (%)

–

1 (33)

–

4 (14)

–

–

–

9 (25)

–

–

1 (14)

–

9 (16)

–

4 (20)

14 (13)

Physiotherapy, n (%)

5 (100)

2

(67)

11 (100)

25 (86)

5 (100)

14 (100)

3 (100)

26 (72)

1 (100)

4 (100)

6

(86)

13 (100)

47 (84)

7 (100)

15 (75)

92 (86)

Occupational therapy, n (%)

2

(40)

–

3

(27)

4

(14)

1

(20)

2

(14)

–

3

(8)

1 (100)

1

(25)

–

3

(23)

8

(14)

2

(29)

2

(10)

16 (15)

Speech therapy, n (%)

4 (80)

1 (33)

1 (9)

9 (31)

1 (20)

–

1 (33)

1 (3)

–

–

1 (14)

5 (39)

9 (16)

2 (29)

1 (5)

18 (17)

Other, n (%)

2 (40)

–

1 (9)

1 (4)

1 (20)

2 (14)

–

7 (19)

–

–

–

3 (23)

6 (11)

2 (29)

4 (20)

15 (14)

SMA-specific medication

None, n (%)

1 (20)

–

–

7

(24)

–

3

(21)

1

(33)

12 (33)

–

–

1

(14)

1

(8)

19 (34)

1

(14)

2

(10)

24 (22)

Nursinersen, n (%)

4

(80)

1

(33)

8

(73)

8

(28)

3

(60)

10 (71)

2

(67)

22 (61)

1 (100)

1

(25)

–

12 (92)

24 (43)

4

(57)

18 (90)

59 (55)

Risdiplam, n (%)

–

2

(67)

3

(27)

14 (48)

2

(40)

1

(7)

–

2

(6)

–

3

(75)

6

(86)

–

13 (23)

2

(29)

–

24 (22)

  1. *Multiple answers possible