This study is a 9-year natural history study for patients with Angelman syndrome in Belgium (a genetic neurodevelopmental disorder, affecting 500,000 individuals in the world). It includes a 3-year recruitment phase, a 5 year follow-up and a year to analyze the collected data. The investigators plan to include 30 patients with a semi-annual follow-up for 4 years. The investigators will collect relevant retrospective and prospective data using age-standardized scales and questionnaires for functional motor assessments and global developmental assessment.
Patients are seen every six months for five years. In these visits, patient have medical review (general medical examination, neurological examination), vital signs (height, weight, respiratory rate, heart rate, blood pressure), cognitive assessment (Bayley-IV), language assessment and questionaire (Bayley-IV, ORCA), motor assessments (Bayley-IV, FMS, Developmental milestones and HINE), quality of life questionnaire (PedsQL, CGI-CASS) and general development questionnaire (Vineland-II).
Study Type
OBSERVATIONAL
Enrollment
30
CHR Citadelle Liège
Liège, Liège, Belgium
RECRUITINGBayley-IV gross motor functions
Scale of 58 items of Gross motor (raw score 0 to 116) development evaluation.
Time frame: 2 years
Bayley-IV fine motor functions
Scale of 46 items of fine motor scale (raw score 0 to 92) development evaluation.
Time frame: 2 years
Bayley-IV Cognitive
Scale of 81 items of cognitive scale development evaluation (raw score 0 to 162).
Time frame: 2 years
Bayley-IV Receptive Communication
Scale of 42 items of receptive communication abilities scale in development evaluation (raw score 0 to 84).
Time frame: 2 years
Bayley-IV Expressive Communication
Scale of 37 items of expressive communication abilities scale in development evaluation (raw score 0 to 74).
Time frame: 2 years
Functional Mobility Scale (FMS)
Scale o 3 items (5, 50 and 500 meters distance of ability to move alone) to classify children's functional mobility, document change over time in the same child and to document change seen following. This scale is scored 1 (moving alone with wheelchair) to 6 (running).
Time frame: 2 years
Developmental Milestones
Scale to Evaluate the general gross motor milestones of 6 items global motor ability, from ability to sit without support to walk alone (score by able or not able). .
Time frame: 2 years
Hammersmith Infant Neurological Examination (HINE - if under 2 years old)
Scale of 8 items to evaluation the mobility in young children, scored 0 (unable) to 4 (able and normal for children age) per items (total raw score from 0 to 32).
Time frame: 2 years
Vineland-II
11 subscales of items evaluated with Caregivers interview tool for assessing the level of autonomy and adaptation for all ages. Subscales are composed as following (higher scores with better the abilites): 1. Listening and understanding, raw score 0 to 40; 2. Speaking, raw score 0 to 108, 3. Reading and writing, raw score 0 to 54, 4. Self caring, raw score 0 to 82, 5. Home caring, raw score 0 to 48, 6. Community living, raw score 0 to 88, 7. Contact with others, raw score 0 to 76, 8. Play and use your free time, raw score 0 to 62, 9. Adapting, raw score 0 to 60, 10. Gros motor, raw score 0 to 80, 11. Fine motor, raw score 0 to 72,
Time frame: 2 years
Observed Reported Communication Assessment (ORCA)
Caregivers interview of 23 items with subscales to assessing the general communication. This is a qualitative questionnaire.
Time frame: 2 years
Continuous movement monitoring using ActiMyo®
To improve the design of future clinical trials by validating tools of assessment based on their suitability to be used as prognostic measures.
Time frame: 2 years
Clinical Global Impression - Improvement - Angelman Syndrome (CGI-I-AS)
Caregivers interview of quality of life severity and change in patient with Angelman Syndrome since last 7 days and since the last month. Part regarding the severity in last 7 days is composed of 9 items scored 0 ("not at all difficult") to 4 ("very difficult"), raw score is between 0 to 36. Part regarding change in last month is composed of 9 items scored 1 ("very much improved") to 7 ("very much worse"), raw score is between 0 to 63,
Time frame: 2 years
Pediatric Quality of Life (PedsQL)
Caregivers interview of quality of life and family impact in daily life separated in two parts, one regarding the last 7 days and one regarding the last month. Total raw score for each part is on 100 (100 related to no impact to 0 related to a huge impact).
Time frame: 2 years
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