Demographics

Affected family members (example 1)

Do you know of any other genetically related family member (that is, related by blood) who has been diagnosed with SMA?

Affected family members (example 2)

Do you know of any other genetically related family member (that is, related by blood) who has been diagnosed with SMA?

Clinical observations

Your first symptoms
When did your first symptoms of SMA appear?
Your SMA type
Which SMA type has your doctor diagnosed?
Please see the SMA Family Guide for more information.
Body measurements
What is you current height?
centimetres
How was this height measured?
What is your current weight?
kilograms
infants age ≤ 24 months
What is the individual's head circumference?
centimetres
Contractures

Do you have contractures in the following areas?

People with SMA are often affected by joint contractures, which can be described as limitations in the full range of motion of certain joints. Contractures are caused by immobility, reduced weight bearing, and muscle imbalance.
Shoulder
Elbow
Wrist
Finger
Hip
Knee
Ankle
Jaw

Additional items for clinicians

only baseline
How would you rate this individual's current severity of illness, based on your total clinical experience with people with SMA?
only follow-up
How do you feel that the individual’s condition has changed in the last 6 months?

Scoliosis

Scoliosis

Have you ever been diagnosed with scoliosis?
As their SMA progresses, people who have SMA often experience a curving of their spine (scoliosis). This is caused by a weakening of the muscles that support the spine.

Motor function

Motor function

Example form for patient-reported registries
Hold head without support
Are or were you able to hold the head up without support?
Roll onto side
Are or were you able to roll onto the side?
Sit without support
Are or were you able to sit without support?
Crawl
Are or were you able to crawl on hands and knees?
Stand with assistance
Are or were you able to stand with assistance?
Stand without assistance
Are or were you able to stand without assistance?
Walk with assistance
Are or were you able to walk with assistance?
Walk without assistance
Are or were you able to walk without assistance?
Walk 10 metres without assistance
Are or were you able to walk 10 metres without assistance?
Climb stairs
Are or were you able to climb stairs?
Useful function of hands
Are or were you able to achieve useful function of hands?
Reach overhead in a sitting position
Are or were you able to reach overhead in a sitting position?
Raise hands to mouth in a sitting position
Are or were you able to raise hands to mouth in a sitting position?
Example form for clinician-reported registries
Hold head without support
According to your observations, is the individual currently able to hold the head up without support?
According to the individual or caregiver, has the individual ever been able to hold the head up without support?
Roll onto side
According to your observations, is the individual currently able to roll onto the side?
According to the individual or caregiver, has the individual ever been able to roll onto the side?
Sit without support
According to your observations, is the individual currently able to sit without support?
According to the individual or caregiver, has the individual ever been able to sit without support?
Crawl
According to your observations, is the individual currently able to crawl on hands and knees?
According to the individual or caregiver, has the individual ever been able to crawl on hands and knees?
Stand with assistance
According to your observations, is the individual currently able to stand with assistance?
According to the individual or caregiver, has the individual ever been able to stand with assistance?
Stand without assistance
According to your observations, is the individual currently able to stand without assistance?
According to the individual or caregiver, has the individual ever been able to stand without assistance?
Walk with assistance
According to your observations, is the individual currently able to walk with assistance?
According to the individual or caregiver, has the individual ever been able to walk with assistance?
Walk without assistance
According to your observations, is the individual currently able to walk without assistance?
According to the individual or caregiver, has the individual ever been able to walk without assistance?
Walk 10 metres without assistance
According to your observations, is the individual currently able to walk 10 metres without assistance?
According to the individual or caregiver, has the individual ever been able to walk 10 metres without assistance?
Climb stairs
According to your observations, is the individual currently able to climb stairs?
According to the individual or caregiver, has the individual ever been able to climb stairs?
Useful function of hands
According to your observations, is the individual currently able to achieve useful function of hands?
According to the individual or caregiver, has the individual ever been able to achieve useful function of hands?
Reach overhead in a sitting position
According to your observations, is the individual currently able to reach overhead in a sitting position?
According to the individual or caregiver, has the individual ever been able to reach overhead in a sitting position?
Raise hands to mouth in a sitting position
According to your observations, is the individual currently able to raise hands to mouth in a sitting position?
According to the individual or caregiver, has the individual ever been able to raise hands to mouth in a sitting position?

Wheelchair usage

Wheelchair use

Have you ever used a wheelchair due to your SMA?
Please also include the usage of similar devices such as a mobility scooter or a stroller. However, please do not consider devices that assist you in walking (such as a walker or a cane), or do not support mobility (such as a static standing frame).

Nutrition

Nutrition (example 1)

People with SMA sometimes have difficulty eating and swallowing food by mouth (orally) and therefore have to be fed through a feeding tube. A gastric feeding tube (also called a G-tube or a PEG) is one that goes directly into the stomach via a surgical procedure. A nasal feeding tube (also called nasogastric tube) is one that goes through the nose and down into the stomach.

Have you ever used a gastric or nasal tube for feeding due to your SMA?

Nutrition (example 2)

Is the individual currently using a gastric or nasal feeding tube for feeding?

Pulmonary function

Pulmonary function

Ventilation means breathing support from a mechanical ventilation device in the form of either non-invasive ventilation via a face or nose mask, or invasive ventilation via a tracheostomy (an operation to make an incision in the wind-pipe) or endotracheal tube (a breathing tube is inserted into the wind-pipe). Ventilatory support can be used all day or for just a few hours.

Invasive ventilation
Have you ever used invasive ventilation due to your SMA?
Non-invasive ventilation
Have you ever used non-invasive ventilation due to your SMA?
Airway clearance
Do you currently receive help with clearing out the secretions (e.g. mucus) that build up in your airways and lungs?
This could be a manual technique, like chest physiotherapy, or a mechanical support such as a Cough Assist device.
Pulmonary function test
Have you ever had a pulmonary function test?

Disease-modifying therapies (DMT)

Disease-modifying therapies

Live mapping
Have you ever received a disease-modifying therapy for SMA? Currently, there are three such therapies available or becoming available: Spinraza (nusinersen), Zolgensma (AVXS-101), and Evrysdi (risdiplam).
Was an anti-AAV9 antibody test performed?

Medication and rehabilitation

Prescribed drugs

Have you taken any drugs (apart from disease-modifying therapies) that have been prescribed by a doctor in the last 12 months?

Rehabilitative interventions

Have you received any of the following or any other rehabilitative interventions in the last 12 months? Please select all that apply.

Hospitalisations and comorbidities

Hospitalisations

Have you had an overnight stay in hospital in the last 12 months?

Further medical conditions

Have you been diagnosed with any other illnesses or conditions alongside your SMA that held in the last 12 months?

Motor measures

Motor measures

Was a validated motor measure taken at this visit?