2011 Helen Walker Research Grant Award

University of Florida | Barbara K. Smith, PhD, PT

Supporting research aimed at improving the understanding of respiratory dysfunction in Pompe disease.

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Quick Facts

Year Awarded:

2011

Funding Amount:

$40,000

Lead Investigator:

Barbara K. Smith, PhD, PT

Institution:

University of Florida

Research Focus:

Respiratory care and neuromuscular function

Status:

Completed

Project Title

Clinical and Electrophysiological Assessment of Respiratory Function in Pompe Disease

Project Snapshot

In 2011, the AMDA awarded the Helen Walker Research Grant to Barbara K. Smith, PhD, PT, at the University of Florida, to support a project focused on understanding respiratory muscle dysfunction in Pompe disease. Although enzyme replacement therapy has improved survival and quality of life for many individuals, respiratory weakness and ventilatory insufficiency remain common and serious complications.

This research aimed to investigate whether breathing difficulties in Pompe disease are caused by solely muscle weakness or whether nerve-related impairments affecting diaphragm control also contribute to respiratory failure. By combining electrophysiological testing of the phrenic nerve with clinical respiratory assessments, the study sought to better understand the mechanisms responsible for ventilatory dysfunction in adults with Pompe disease. 

Research Objectives

The project aimed to address several key questions related to treatment outcomes in Pompe disease:

1. Determine whether impaired neural input contributes to diaphragm weakness

Researchers examined whether dysfunction of the phrenic nerve — the nerve responsible for activating the diaphragm — plays a role in respiratory weakness in adults with Pompe disease. Electrophysiological testing allowed the team to measure nerve conduction and diaphragm activation to determine whether neural impairments contribute to ventilatory insufficiency.

2. Define the relationship between clinical respiratory tests and electrophysiological measurements

The study compared traditional clinical measures of breathing function, such as lung capacity and respiratory pressures, with electrophysiological indicators of diaphragm activity. Researchers sought to determine whether these measurements could together provide a clearer understanding of the causes of progression of respiratory dysfunction in Pompe disease.

3. Improve understanding of diaphragm motor dysfunction in Pompe disease

By integrating neurological and muscular assessments of breathing, the research aimed to identify the relative contributions of neural and muscular pathology in diaphragm weakness. This work was designed to help guide future clinical evaluation methods and inform strategies to improve respiratory care for individuals living with Pompe disease.

Why This Matters

This research matters because respiratory failure remains a major cause of illness and mortality in Pompe disease, even with modern treatments. While muscle weakness is known to affect breathing, emerging evidence suggests that neurological impairments may also contribute to diaphragm dysfunction.

By studying both the neural and muscular components of breathing, the research team aimed to better understand the mechanisms underlying respiratory weakness in Pompe disease. This knowledge could help improve clinical assessment techniques and support the development of more effective treatment strategies for individuals living with Pompe disease.

Research Team

Institution

University of Florida, United States

Lead Investigator

Barbara K. Smith, PhD, PT
Research Assistant Professor, Department of Physical Therapy

Lead Investigator

Barbara K. Smith, PhD, PT
Research Assistant Professor, Department of Physical Therapy

Grant Support

The AMDA awarded $40,000 through the Helen Walker Research Grant to support this project.

Funding supported specialized electrophysiological testing equipment, participant travel stipends and compensation, research supplies, and personnel assistance needed to conduct respiratory and neurological assessments in study participants.

Publications Resulting from This Research

This section will be updated as we collect more information about publications resulting from this research.

Related Outputs

This section will be updated as we collect more information about presentations, follow-up studies, or related outputs from this project.

Ongoing Impact

Research supported by the Helen Walker Research Grant helps build knowledge that can shape future studies, clinical care, and treatment strategies in Pompe disease. As additional publications, presentations, and follow-up work emerge, this page will continue to be updated.

About the Helen Walker Research Grant

The Helen Walker Research Grant honors Helen Walker, a dedicated patient advocate and leader in the Pompe community. Through this grant, the AMDA supports innovative research aimed at improving understanding, treatment, and care for individuals living with Pompe disease.

Explore more Helen Walker Research Grant awardees and the growing body of Pompe research supported by the AMDA.