Study of Quality of Life in Freeman-Sheldon Syndrome and Related Conditions (FSS-QLS)

April 2, 2017 updated by: Freeman-Sheldon Research Group, Inc.

Freeman-Sheldon Syndrome Quality of Life Study (FSS-QLS): Cross-sectional Study of Concomitant Disorder-Specific Contributors to Quality of Life and Clinical Outcome

Freeman-Sheldon syndrome (FSS) is a rare human neuromusculoskeletal disorder present before birth, involving primarily limb and craniofacial deformities.

The hypotheses in the present study of FSS and related conditions are: (1) FSS and related conditions are associated with higher rates of posttraumatic stress symptoms (PTSS), depression, and reduced quality of life than is observed in the general population; (2) persons close to an individual with FSS or related condition suffer similarly; and (3) current measures, which are single-disease specific (i.e., PTSS, depression, craniofacial deformities, or limb deformities), do not capture the unique picture of FSS and related conditions, which involve both limb and craniofacial deformities in an intellectually capable individual.

There have been no studies looking at quality of life associated with FSS. Some authors have looked at quality of life in persons with facial differences; other authors have looked at bone and joint problems. Many other authors have looked at PTSS and depression caused by health problems and bad medical experiences. No authors have looked at these problems when they happen together, as they do in FSS. Because of the above, there may be differences in patients that have FSS versus patients in previous quality of life studies. The study will also develop and validate an outcomes-based quality of life survey for FSS and related conditions.

Study Overview

Detailed Description

This study is a research project initiated by the graduate research student (Mikaela I. Poling) and assisted by the clinical genetics fellow and graduate student (Andrés Morales) in partial fulfilment the requirements for their Masters degrees in Clinical and Applied Physiology, under approval, direction, and supervision of the study PI (Rodger J. McCormick).

Mental Health and Congenital Deformities:

Apajasalo et al. (1998) found significantly decreased health-related quality of life versus controls among adults and youth ages with chondrodysplasias. Differences in adult scores were in the areas of mobility, usual activities, and sexual activity and discomfort. Youth scores differed more in school and hobbies and friends and physical appearance. Didierjean-Pillet (2002) stressed concern for aesthetics of reconstruction in consideration of psychiatric impacts of congenital deformities in psychosocial functioning. Nagata et al. (2008) found that 20% of mothers with children operated on for congenital disease were likely to have post-traumatic stress disorder (PTSD). They found that pro-active, effective participation in the child's care may alleviate PTSS. Vitale et al. (2005) found quality of life survey scores among clubfoot patients compatible with age-matched controls, in agreement with Roye (2001), and not correlated to radiograph appearance. They advised quality of life survey scores be primary endpoint in determining therapeutic outcome. Engell et al. (2007) found significant post-operative improvement in the Short Form-12 Health Survey physical component scale in congenital clubbed-foot patients in the Danish Twin Registry. Vitale et al. (2001) observed that tailored quality of life scales were required for paediatric orthopaedic populations. Hawkins and Radcliffe (2006) concluded there was a lack of appropriate and validated PTSD measures for paediatric patients. Part of this problem of lacking validated paediatric PTSD measures was likely do to non-comprehensive Diagnostic and Statistical Manual of Mental Disorders IV Text-Revision criteria.

Relevance to Current Study:

Because FSS-related deformities were more comprehensive, treatment-resistant, and associated with poorer clinical outcome, quality of life studies not including a subset of FSS patients may not be appropriate in the more challenging clinical picture of FSS-related deformities. In many conditions, disorder-specific quality of life measures (QLM) showed increased sensitivity and specificity over general QLMs and were important therapeutic tools to assess efficacy of and prioritise interventions. Results of disorder-specific QLMs were important predictors of clinical outcome.

Study Type

Observational

Enrollment (Actual)

6

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Guatemala City, Guatemala
        • San Juan de Dios General Hospital
    • West Virginia
      • Buckhannon, West Virginia, United States, 26201
        • Freeman-Sheldon Research Group, Inc. Headquarters

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • ADULT
  • OLDER_ADULT
  • CHILD

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients, family, and others affected world-wide are welcome, so long as they currently or previously have had significant and meaningful contact with a person who has a qualifying diagnosis.

Description

Inclusion Criteria:

  • Freeman-Sheldon syndrome,
  • Sheldon-Hall syndrome,
  • Distal arthrogryposis type 1, or
  • distal arthrogryposis type 3
  • Deceased probands with enough clinical information available to satisfy study requirements
  • Probands who participated in a prior Freeman-Sheldon Research Group (FSRG)-study are automatically accepted, since their diagnoses have been confirmed by FSRG clinical faculty.
  • Probands with a reported qualifying diagnosis, who have not participated in a prior FSRG-study, will be required to complete the complete a survey from a prior study and provide photographs and any requested medical records to confirm their diagnoses.
  • Family members and other close contacts may enrol, so long as they have either resided with or had substantial and prolonged contact with a proband, who has an FSRG-verified qualifying diagnosis. Investigators will make the final decision on a case-by-case basis, based on information provided.

Exclusion Criteria:

  • Patients with other anomalies, not having one of the above syndromes, will not be accepted.
  • Deceased probands will not be accepted for analysis, without enough clinical data available to satisfy study data collection requirements.
  • Patients or parents of minor children not willing to give consent will not be included.
  • Family members or other contacts that neither resided with nor had substantial and prolonged contact with the proband.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Proband Group
Patients identified with FSS or a related condition
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of muscles, joints, arms, thighs, and legs.
Other Names:
  • SF 527
  • Standard Form 527
  • musculoskeletal examination
  • musculoskeletal exam
  • musculoskeletal evaluation
  • musculoskeletal assessment
  • extremity examination
  • extremity evaluation
  • extremity assessment
  • extremity exam
Completed by patients before clinical examination; it is a 17-item survey listing of symptoms of posttraumatic stress disorder.
Other Names:
  • PCL-S
  • PCL-C
  • PTSD Checklist-Civilian
Completed by patients before clinical examination; it is a 16-item survey designed for use in persons with chronic illness.
Other Names:
  • Quality of Life Scale
  • QOLS
  • Flanagan Quality of Life Scale
Completed by patients before clinical examination; it is a 20-item survey that asks about depressive feelings and behaviours in the past week.
Other Names:
  • CES-D
Completed by patients before clinical examination; it is a checklist of medical problems.
Other Names:
  • health history
  • medical history
  • FSRG Form 08
  • review of systems
  • systems review
  • personal health history
Completed during the clinical examination by the researchers, it is a structured approach to a full physical examination, minus breasts, genitalia or rectum.
Other Names:
  • physical examination
  • FSRG Form 14
  • physical evaluation
  • physical assessment
  • medical examination
  • medical evaluation
  • medical assessment
  • full medical examination
  • full medical evaluation
  • full medical assessment
  • periodic medical examination
  • periodic medical evaluation
  • periodic medical assessment
  • annual medical examination
  • annual medical evaluation
  • annual medical assessment
  • yearly medical examination
  • yearly medical evaluation
  • yearly medical assessment
  • full physical examination
  • full physical evaluation
  • full physical assessment
  • complete physical examination
  • complete physical evaluation
  • complete physical assessment
  • yearly physical examination
  • yearly physical evaluation
  • yearly physical assessment
  • annual physical examination
  • annual physical evaluation
  • annual physical assessment
  • periodic physical examination
  • periodic physical evaluation
  • periodic physical assessment
  • screening physical examination
  • screening physical evaluation
  • screening physical assessment
  • screening physical
  • physical
  • periodic physical
  • annual physical
  • annual check-up
  • annual check up
  • yearly physical
  • yearly check up
  • yearly check-up
  • check up
  • check-up
  • medical check-up
  • medical check up
  • annual medical check-up
  • annual medical check up
  • yearly medical check-up
  • yearly medical check up
  • periodic medical check-up
  • periodic medical check up
  • periodic health evaluation
  • periodic health assessment
  • annual health evaluation
  • annual health assessment
  • yearly health evaluation
  • yearly health assessment
  • screening health evaluation
  • screening health assessment
  • screening medical examination
  • screening medical evaluation
  • screening medical assessment
  • med check
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of symptoms, signs, and perceptions that may be related to FSS, PTSS, or depressive problems.
Other Names:
  • psychiatric examination
  • psychiatric evaluation
  • psychiatric assessment
  • diagnostic mental health examination
  • diagnostic mental health evaluation
  • diagnostic mental health assessment
  • diagnostic psychiatric examination
  • diagnostic psychiatric evaluation
  • diagnostic psychiatric assessment
  • intake examination
  • intake evaluation
  • intake assessment
  • mental health evaluation
  • mental health examination
  • mental health assessment
  • psychological examination
  • psychological evaluation
  • psychological assessment
  • psychological intake examination
  • psychological intake evaluation
  • psychological intake assessment
  • PTSD examination
  • PTSD evaluation
  • PTSD assessment
  • posttraumatic stress disorder evaluation
  • posttraumatic stress disorder examination
  • posttraumatic stress disorder assessment
  • post-traumatic stress disorder evaluation
  • post-traumatic stress disorder examination
  • post-traumatic stress disorder assessment
  • post traumatic stress disorder evaluation
  • post traumatic stress disorder examination
  • post traumatic stress disorder assessment
  • depression diagnostic examination
  • depression diagnostic evaluation
  • depression diagnostic assessment
  • depression evaluation
  • depression assessment
Completed after data analysis from the existing surveys and clinical examination, it will be a specific quality of life survey developed and tested during the study; it will take into consideration individual's total health outcome.
Other Names:
  • psychometric test development
  • psychometric testing
  • psychometric test validation
  • quality of life scale development
  • quality of life scale validation
  • quality of life survey development
  • quality of life survey validation
  • quality of life measure development
  • quality of life measure validation
Completed during the clinical examination by the researchers, lactate, glucose, and free and total adenosine triphosphate blood levels are determined at rest.
Other Names:
  • ATP levels
  • ATP blood levels
  • adenosine triphosphate test
  • blood test for ATP
  • blood test for adenosine triphosphate
  • ATP blood test
  • adenosine triphosphate blood test
  • ATP test
  • glucose test
  • glucose blood test
  • sugar test
  • lactic acid levels
  • lactic acid blood test
  • lactate blood test
  • lactate levels
Family Group
Persons who are genetically or legally related to a person with FSS or related condition
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of muscles, joints, arms, thighs, and legs.
Other Names:
  • SF 527
  • Standard Form 527
  • musculoskeletal examination
  • musculoskeletal exam
  • musculoskeletal evaluation
  • musculoskeletal assessment
  • extremity examination
  • extremity evaluation
  • extremity assessment
  • extremity exam
Completed by patients before clinical examination; it is a 17-item survey listing of symptoms of posttraumatic stress disorder.
Other Names:
  • PCL-S
  • PCL-C
  • PTSD Checklist-Civilian
Completed by patients before clinical examination; it is a 16-item survey designed for use in persons with chronic illness.
Other Names:
  • Quality of Life Scale
  • QOLS
  • Flanagan Quality of Life Scale
Completed by patients before clinical examination; it is a 20-item survey that asks about depressive feelings and behaviours in the past week.
Other Names:
  • CES-D
Completed by patients before clinical examination; it is a checklist of medical problems.
Other Names:
  • health history
  • medical history
  • FSRG Form 08
  • review of systems
  • systems review
  • personal health history
Completed during the clinical examination by the researchers, it is a structured approach to a full physical examination, minus breasts, genitalia or rectum.
Other Names:
  • physical examination
  • FSRG Form 14
  • physical evaluation
  • physical assessment
  • medical examination
  • medical evaluation
  • medical assessment
  • full medical examination
  • full medical evaluation
  • full medical assessment
  • periodic medical examination
  • periodic medical evaluation
  • periodic medical assessment
  • annual medical examination
  • annual medical evaluation
  • annual medical assessment
  • yearly medical examination
  • yearly medical evaluation
  • yearly medical assessment
  • full physical examination
  • full physical evaluation
  • full physical assessment
  • complete physical examination
  • complete physical evaluation
  • complete physical assessment
  • yearly physical examination
  • yearly physical evaluation
  • yearly physical assessment
  • annual physical examination
  • annual physical evaluation
  • annual physical assessment
  • periodic physical examination
  • periodic physical evaluation
  • periodic physical assessment
  • screening physical examination
  • screening physical evaluation
  • screening physical assessment
  • screening physical
  • physical
  • periodic physical
  • annual physical
  • annual check-up
  • annual check up
  • yearly physical
  • yearly check up
  • yearly check-up
  • check up
  • check-up
  • medical check-up
  • medical check up
  • annual medical check-up
  • annual medical check up
  • yearly medical check-up
  • yearly medical check up
  • periodic medical check-up
  • periodic medical check up
  • periodic health evaluation
  • periodic health assessment
  • annual health evaluation
  • annual health assessment
  • yearly health evaluation
  • yearly health assessment
  • screening health evaluation
  • screening health assessment
  • screening medical examination
  • screening medical evaluation
  • screening medical assessment
  • med check
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of symptoms, signs, and perceptions that may be related to FSS, PTSS, or depressive problems.
Other Names:
  • psychiatric examination
  • psychiatric evaluation
  • psychiatric assessment
  • diagnostic mental health examination
  • diagnostic mental health evaluation
  • diagnostic mental health assessment
  • diagnostic psychiatric examination
  • diagnostic psychiatric evaluation
  • diagnostic psychiatric assessment
  • intake examination
  • intake evaluation
  • intake assessment
  • mental health evaluation
  • mental health examination
  • mental health assessment
  • psychological examination
  • psychological evaluation
  • psychological assessment
  • psychological intake examination
  • psychological intake evaluation
  • psychological intake assessment
  • PTSD examination
  • PTSD evaluation
  • PTSD assessment
  • posttraumatic stress disorder evaluation
  • posttraumatic stress disorder examination
  • posttraumatic stress disorder assessment
  • post-traumatic stress disorder evaluation
  • post-traumatic stress disorder examination
  • post-traumatic stress disorder assessment
  • post traumatic stress disorder evaluation
  • post traumatic stress disorder examination
  • post traumatic stress disorder assessment
  • depression diagnostic examination
  • depression diagnostic evaluation
  • depression diagnostic assessment
  • depression evaluation
  • depression assessment
Completed after data analysis from the existing surveys and clinical examination, it will be a specific quality of life survey developed and tested during the study; it will take into consideration individual's total health outcome.
Other Names:
  • psychometric test development
  • psychometric testing
  • psychometric test validation
  • quality of life scale development
  • quality of life scale validation
  • quality of life survey development
  • quality of life survey validation
  • quality of life measure development
  • quality of life measure validation
Completed during the clinical examination by the researchers, lactate, glucose, and free and total adenosine triphosphate blood levels are determined at rest.
Other Names:
  • ATP levels
  • ATP blood levels
  • adenosine triphosphate test
  • blood test for ATP
  • blood test for adenosine triphosphate
  • ATP blood test
  • adenosine triphosphate blood test
  • ATP test
  • glucose test
  • glucose blood test
  • sugar test
  • lactic acid levels
  • lactic acid blood test
  • lactate blood test
  • lactate levels
Other Affected Individuals Group
Persons who have had significant and meaningful contact with a person with FSS or related condition but do not qualify for family group enrolment
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of muscles, joints, arms, thighs, and legs.
Other Names:
  • SF 527
  • Standard Form 527
  • musculoskeletal examination
  • musculoskeletal exam
  • musculoskeletal evaluation
  • musculoskeletal assessment
  • extremity examination
  • extremity evaluation
  • extremity assessment
  • extremity exam
Completed by patients before clinical examination; it is a 17-item survey listing of symptoms of posttraumatic stress disorder.
Other Names:
  • PCL-S
  • PCL-C
  • PTSD Checklist-Civilian
Completed by patients before clinical examination; it is a 16-item survey designed for use in persons with chronic illness.
Other Names:
  • Quality of Life Scale
  • QOLS
  • Flanagan Quality of Life Scale
Completed by patients before clinical examination; it is a 20-item survey that asks about depressive feelings and behaviours in the past week.
Other Names:
  • CES-D
Completed by patients before clinical examination; it is a checklist of medical problems.
Other Names:
  • health history
  • medical history
  • FSRG Form 08
  • review of systems
  • systems review
  • personal health history
Completed during the clinical examination by the researchers, it is a structured approach to a full physical examination, minus breasts, genitalia or rectum.
Other Names:
  • physical examination
  • FSRG Form 14
  • physical evaluation
  • physical assessment
  • medical examination
  • medical evaluation
  • medical assessment
  • full medical examination
  • full medical evaluation
  • full medical assessment
  • periodic medical examination
  • periodic medical evaluation
  • periodic medical assessment
  • annual medical examination
  • annual medical evaluation
  • annual medical assessment
  • yearly medical examination
  • yearly medical evaluation
  • yearly medical assessment
  • full physical examination
  • full physical evaluation
  • full physical assessment
  • complete physical examination
  • complete physical evaluation
  • complete physical assessment
  • yearly physical examination
  • yearly physical evaluation
  • yearly physical assessment
  • annual physical examination
  • annual physical evaluation
  • annual physical assessment
  • periodic physical examination
  • periodic physical evaluation
  • periodic physical assessment
  • screening physical examination
  • screening physical evaluation
  • screening physical assessment
  • screening physical
  • physical
  • periodic physical
  • annual physical
  • annual check-up
  • annual check up
  • yearly physical
  • yearly check up
  • yearly check-up
  • check up
  • check-up
  • medical check-up
  • medical check up
  • annual medical check-up
  • annual medical check up
  • yearly medical check-up
  • yearly medical check up
  • periodic medical check-up
  • periodic medical check up
  • periodic health evaluation
  • periodic health assessment
  • annual health evaluation
  • annual health assessment
  • yearly health evaluation
  • yearly health assessment
  • screening health evaluation
  • screening health assessment
  • screening medical examination
  • screening medical evaluation
  • screening medical assessment
  • med check
Completed during the clinical examination by the researchers, it is a structured approach to evaluation of symptoms, signs, and perceptions that may be related to FSS, PTSS, or depressive problems.
Other Names:
  • psychiatric examination
  • psychiatric evaluation
  • psychiatric assessment
  • diagnostic mental health examination
  • diagnostic mental health evaluation
  • diagnostic mental health assessment
  • diagnostic psychiatric examination
  • diagnostic psychiatric evaluation
  • diagnostic psychiatric assessment
  • intake examination
  • intake evaluation
  • intake assessment
  • mental health evaluation
  • mental health examination
  • mental health assessment
  • psychological examination
  • psychological evaluation
  • psychological assessment
  • psychological intake examination
  • psychological intake evaluation
  • psychological intake assessment
  • PTSD examination
  • PTSD evaluation
  • PTSD assessment
  • posttraumatic stress disorder evaluation
  • posttraumatic stress disorder examination
  • posttraumatic stress disorder assessment
  • post-traumatic stress disorder evaluation
  • post-traumatic stress disorder examination
  • post-traumatic stress disorder assessment
  • post traumatic stress disorder evaluation
  • post traumatic stress disorder examination
  • post traumatic stress disorder assessment
  • depression diagnostic examination
  • depression diagnostic evaluation
  • depression diagnostic assessment
  • depression evaluation
  • depression assessment
Completed after data analysis from the existing surveys and clinical examination, it will be a specific quality of life survey developed and tested during the study; it will take into consideration individual's total health outcome.
Other Names:
  • psychometric test development
  • psychometric testing
  • psychometric test validation
  • quality of life scale development
  • quality of life scale validation
  • quality of life survey development
  • quality of life survey validation
  • quality of life measure development
  • quality of life measure validation
Completed during the clinical examination by the researchers, lactate, glucose, and free and total adenosine triphosphate blood levels are determined at rest.
Other Names:
  • ATP levels
  • ATP blood levels
  • adenosine triphosphate test
  • blood test for ATP
  • blood test for adenosine triphosphate
  • ATP blood test
  • adenosine triphosphate blood test
  • ATP test
  • glucose test
  • glucose blood test
  • sugar test
  • lactic acid levels
  • lactic acid blood test
  • lactate blood test
  • lactate levels

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Situational Mental Health in Persons with FSS or Related Condition
Time Frame: Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment
Increased frequency of mental health symptoms and diagnoses (PTSS, Depression, and reduced quality of life) over expected for general population
Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Situational Mental Health in Family and Others with a Close Relationship to a Person with FSS or Related Condition
Time Frame: Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment
Increased frequency of mental health symptoms and diagnoses (PTSS, Depression, and reduced quality of life) over expected for general population
Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment
Current Survey Correlation with Disorder-Specific Survey for FSS and Related Conditions
Time Frame: Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment
Ability of current surveys to capture full picture of quality of life for persons, families, and others affected by FSS and related conditions will be assessed to determine need for a disorder-specific survey and usefulness of existing surveys.
Evaluated during 1-2 study visits (lasting an average of 1-3 hours each) and in self-completed surveys, over an average of 2-4 years from enrolment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Robert L Chamberlain, MD, Freeman-Sheldon Research Group, Inc.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2011

Primary Completion (ACTUAL)

April 1, 2017

Study Completion (ACTUAL)

April 1, 2017

Study Registration Dates

First Submitted

February 27, 2011

First Submitted That Met QC Criteria

March 1, 2011

First Posted (ESTIMATE)

March 3, 2011

Study Record Updates

Last Update Posted (ACTUAL)

April 4, 2017

Last Update Submitted That Met QC Criteria

April 2, 2017

Last Verified

April 1, 2017

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual patient data will not be shared, due to concerns involved in masking identities of individuals with such a rare condition.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Depressive Disorder

Clinical Trials on Strength, Joint ROM, Girth and Length Measurements

3
Subscribe