Evidence map›Paper›PMID 27126453›Full record

ArticleJournal of neurology2016

A novel clinical tool to classify facioscapulohumeral muscular dystrophy phenotypes.

Giulia Ricci, Lucia Ruggiero, Liliana Vercelli, Francesco Sera, Ana Nikolic, Monica Govi, Fabiano Mele, Jessica Daolio, Corrado Angelini, Giovanni Antonini and 18 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03127241 nacompletednot on this mapstarted 2017, after this paper: background citation

USEFUL: User-centred Assistive SystEm for Arm Functions in neUromuscuLar Subjects

TypeinterventionalSponsorPolitecnico di MilanoRan2017 to 2019Enrolled38ConditionsMuscular Dystrophies, Muscular Dystrophy, Duchenne, Muscular Dystrophy, Becker, Muscular Dystrophy, Limb-Girdle Type 2ArmsAssistive device (Armon Ayura) test, Assistive device (Jaeco Wrex) test
NCT07543016 narecruitingnot on this mapstarted 2026, after this paper: background citation

Amino Acid Supplementation and Physical Exercise in Facioscapulohumeral Muscular Dystrophy: Effects on Body Composition and Physical Efficiency in a Model of Muscular Disease

TypeinterventionalSponsorUniversity of PaviaRan2026 to 2029Enrolled48ConditionsFSH Muscular Dystrophy, Muscular DystrophyArmsEssential Amino Acids Supplementation intervention, Exercise, Diet, Placebo Control
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Describing phenotypes in FSHD: an update of the comprehensive clinical evaluation form.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  16. Deciphering Facioscapulohumeral Dystrophy in the clinical trials era: where are we now?Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Giulia RicciDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Lucia RuggieroDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy.
Liliana VercelliDepartment of Neuroscience, Center for Neuromuscular Diseases, University of Turin, Turin, Italy.
Francesco SeraMRC Centre of Epidemiology for Child Health, UCL Institute of Child Health, London, UK.
Ana NikolicDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Monica GoviDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Fabiano MeleDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Jessica DaolioDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Corrado AngeliniIRCCS San Camillo, Venice, Italy.
Giovanni AntoniniDepartment of Neuroscience, Mental Health and Sensory Organs, S. Andrea Hospital, University of Rome "Sapienza", Rome, Italy.
Angela BerardinelliUnit of Child Neurology and Psychiatry, IRCCS "C. Mondino" Foundation, Pavia, Italy.
Elisabetta BucciDepartment of Neuroscience, Mental Health and Sensory Organs, S. Andrea Hospital, University of Rome "Sapienza", Rome, Italy.
Michelangelo CaoDepartment of Neurosciences, University of Padua, Padua, Italy.
Maria Chiara D'AmicoCenter for Neuromuscular Disease, CeSI, University "G. D'Annunzio", Chieti, Italy.
Grazia D'AngeloDepartment of Neurorehabilitation, IRCCS Institute Eugenio Medea, Bosisio Parini, Italy.
Antonio Di MuzioCenter for Neuromuscular Disease, CeSI, University "G. D'Annunzio", Chieti, Italy.
Massimiliano FilostoNeurology Clinic, ''Spedali Civili'' Hospital, Brescia, Italy.
Lorenzo MaggiIRCCS Foundation, C. Besta Neurological Institute, Milan, Italy.
Maurizio MoggioNeuromuscular Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Dino Ferrari Center, University of Milan, Milan, Italy.
Tiziana MonginiDepartment of Neuroscience, Center for Neuromuscular Diseases, University of Turin, Turin, Italy.
Lucia MorandiIRCCS Foundation, C. Besta Neurological Institute, Milan, Italy.
Elena PegoraroDepartment of Neurosciences, University of Padua, Padua, Italy.
Carmelo RodolicoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Lucio SantoroDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy.
Gabriele SicilianoDepartment of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.
Giuliano TomelleriDepartment of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy.
Luisa VillaNeuromuscular Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Dino Ferrari Center, University of Milan, Milan, Italy.
Rossella TuplerDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy. rossella.tupler@unimore.it.

Funding

Telethon GUP13012
6 · The paper itself

Abstract

Based on the 7-year experience of the Italian Clinical Network for FSHD, we revised the FSHD clinical form to describe, in a harmonized manner, the phenotypic spectrum observed in FSHD. The new Comprehensive Clinical Evaluation Form (CCEF) defines various clinical categories by the combination of different features. The inter-rater reproducibility of the CCEF was assessed between two examiners using kappa statistics by evaluating 56 subjects carrying the molecular marker used for FSHD diagnosis. The CCEF classifies: (1) subjects presenting facial and scapular girdle muscle weakness typical of FSHD (category A, subcategories A1-A3), (2) subjects with muscle weakness limited to scapular girdle or facial muscles (category B subcategories B1, B2), (3) asymptomatic/healthy subjects (category C, subcategories C1, C2), (4) subjects with myopathic phenotype presenting clinical features not consistent with FSHD canonical phenotype (D, subcategories D1, D2). The inter-rater reliability study showed an excellent concordance of the final four CCEF categories with a κ equal to 0.90; 95 % CI (0.71; 0.97). Absolute agreement was observed for categories C and D, an excellent agreement for categories A [κ = 0.88; 95 % CI (0.75; 1.00)], and a good agreement for categories B [κ = 0.79; 95 % CI (0.57; 1.00)]. The CCEF supports the harmonized phenotypic classification of patients and families. The categories outlined by the CCEF may assist diagnosis, genetic counseling and natural history studies. Furthermore, the CCEF categories could support selection of patients in randomized clinical trials. This precise categorization might also promote the search of genetic factor(s) contributing to the phenotypic spectrum of disease.

Indexed as

AdultAgedAge of OnsetFamilyFemaleGenetic Predisposition to DiseaseHumansItalyMaleMiddle AgedMotor ActivityMuscle StrengthMuscular Dystrophy, FacioscapulohumeralNeurologic ExaminationObserver VariationPhenotypeClinical phenotypeDiagnostic criteriaDisease classificationDisease registryFSHD

Identifiers

PMID27126453
PMCPMC4893383

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.