Table 1.
Basic information | Date |
Hospital | |
ID of hospital | |
Name | |
Date of birth | |
Sex | |
Address | |
Phone | |
Nationality | |
Signed up for other registries? | |
Attending any clinical trials? | |
Family history | Family history |
Consanguinity | |
Diagnosis | Muscle biopsy |
Genetic analysis* facility ( ) | |
Complications | |
Patient status | Body weight and height |
Age and symptoms at onset | |
Walking capability and wheelchair use | |
Grip power | |
Respiratory function (VC,%VC, FVC,%FVC, mechanical support) | |
Cardiac functions (EF, ES) | |
Creatine kinase level |
Gray cells are for patients to fill out, and white cells are to be filled out by physicians.
VC: vital capacity, FVC: forced vital capacity, EF: ejection fraction, FS: fraction shortening.