The main objective is prospectively study the upper airways function in an adult population of neuromuscular patients. The main measurement will be the evolution of tongue strength recorded each year during annual clinical evaluation on a 5 years period.
The main objective is to study the function of the superior airways (tongue and pharynx) in an non invasive way in neuromuscular patients followed in the home ventilation unit of the Raymond POINCARE hospital (myopathy, neuropathy, disease of the neuromuscular junction or anterior horn) or of Necker Hospital and to detect prematurely the bulbar dysfunction. The secondary objectives of this prospective monocentric observational physiopathological study are: 1. to study the correlation between the possible swallowing dysfunction and the anomalies of the respiratory parameters 2. to establish correlations between infraclinical or clinical and presence of morphological tongue anomalies detected by magnetic resonance imaging like in acid maltase deficiency. The maximal tongue strength protrusion will be measured according to a method already used in the laboratory to explore sleep apnea syndromes. Swallowing will be estimated by a non invasive method already used to highlight swallowing disorders in neurological and muscular pathologies This method will be associated with a method of recording of thoracic and abdominal movements. Data wil be compared to a control database obtained for a previous study
Study Type
OBSERVATIONAL
Enrollment
100
tongue strength measurement
respiratory function measurement
swallowing tests
Home Ventilation Unit, Raymond Poincare Hospital
Garches, France
RECRUITINGNon invasive ventilation Unit - Necker Hospital
Paris, France
NOT_YET_RECRUITINGChange of tongue strength measurement
Measurement using mechanical force transducer
Time frame: 5 years
swallowing tests
Non invasive measurement of swallowing function using surface electromyography, accelerometry and inductance plethysmography
Time frame: 5 years
Respiratory parameters
Vital capacity and respiratory muscle strength measurement using spirometry and manometry
Time frame: 5 years
Vital capacity
Spirometry
Time frame: 5 years
Respiratory muscle strength
manometry (maximal inspiratory pressure and expiratory pressure)
Time frame: 5 years
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Magnetic resonance imaging