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Improved functional capacity in Huntington disease after Nordic walking training: A case report
Mejoría de la capacidad funcional en la enfermedad de Huntington tras un programa de marcha nórdica. A propósito de un caso
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"apellidos" => "Ayán-Pérez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173580820302558?idApp=UINPBA00004N" "url" => "/21735808/0000003500000009/v2_202205160514/S2173580820302558/v2_202205160514/en/main.assets" ] ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Improved functional capacity in Huntington disease after Nordic walking training: A case report" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "585" "paginaFinal" => "588" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "R.I. Martínez-Lemos, C. Domínguez-Pérez, M. Seijo-Martínez, C. Ayán-Pérez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "R.I." "apellidos" => "Martínez-Lemos" "email" => array:1 [ 0 => "ivanmartinez@uvigo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Domínguez-Pérez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Seijo-Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Ayán-Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Didáctica Especial, Universidad de Vigo, Vigo, Pontevedra, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Neurología, Complejo Hospitalario de Pontevedra-Salnés, Casas Novas, Pontevedra, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mejoría de la capacidad funcional en la enfermedad de Huntington tras un programa de marcha nórdica. A propósito de un caso" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3976 "Ancho" => 2190 "Tamanyo" => 338622 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Visual analysis of 2 standard deviations to assess changes in functional mobility, balance, functional capacity, and impact of the disease before and after the intervention.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0015" class="elsevierStylePara elsevierViewall">Huntington disease (HD), the most frequent genetically determined type of chorea, is an autosomal dominant, progressive neurodegenerative disorder that causes physical, cognitive, and psychological impairment.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Physical exercise is considered a useful rehabilitation therapy in HD, although it is yet to be determined what type provides the greatest potential benefits in slowing progression of the disease.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> Nordic walking may be an interesting physical therapy in HD due to the low level of fitness required, the simplicity of the exercise, and the reported effects on independence and motor symptoms in patients presenting neurodegenerative symptoms.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> We describe the case of a patient with early-intermediate stage HD who presented changes in functional status after participating in a Nordic walking programme.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our patient was a 59-year-old woman who consulted due to gait and balance alterations associated with rapid, involuntary dyskinetic movements. Diagnosis of early-intermediate stage HD was confirmed after a genetic study revealed an abnormal CAG trinucleotide repeat expansion in <span class="elsevierStyleItalic">IT15</span>. Symptomatic treatment was started, and improved motor control. Two months after the diagnosis, and after visiting the Faculty of Education and Sports Sciences at the University of Vigo for information on the types of physical therapy she could receive, the patient agreed to participate in a 12-week Nordic walking programme (3 sessions per week). We conducted a repeated measures single-case study following an A-B design.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> During the A phase, the patient was assessed once per week for 4 weeks. During the B phase, the patient completed the Nordic walking programme, with assessments performed weekly. The School's Ethics Committee approved the study, and the patient gave informed consent to participate. In the first sessions the patient was taught the Nordic walking technique and took 12-minute walks, which were gradually increased to 25<span class="elsevierStyleHsp" style=""></span>minutes’ duration. The Timed Up and Go Test (TUG), Berg Balance Scale (BBS), and Physical Performance Test (PPT) were used to assess the effects of the programme on functional mobility, balance, and physical functioning, respectively.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> To identify possible changes in disease progression, we used the Total Functional Capacity Scale.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> The patient completed all the scheduled sessions (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>36) and presented no adverse effects. The distance covered per session increased from 700 to 1830<span class="elsevierStyleHsp" style=""></span>m, and mean speed increased from 3.9 to 4.5<span class="elsevierStyleHsp" style=""></span>km/h. Assessment results suggested an overall improvement in all variables, with the exception of disease progression (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The total time needed to complete the TUG decreased to 4.6<span class="elsevierStyleHsp" style=""></span>seconds (an improvement of 27.6%). BBS and PPT scores increased by 4 and 3 points, respectively, which represented an improvement of 4% and 3% (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). Our results are consistent with those of other authors reporting the effects of physical exercise on HD. For instance, Mirek et al.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> applied a programme based on balance and gait, and Piira et al.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> developed a multidisciplinary rehabilitation programme; both groups detected significant changes in participants’ TUG and BBS scores. Similarly, Ciancarelli et al.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> report improvements in patients’ functional capacity (PPT scores) after participating in a neurorehabilitation programme. Despite the potential benefits observed after the intervention, we should underscore 2 points. Firstly, the programme had no effect on disease progression. Secondly, only the reduction in the time needed to complete the TUG can be considered a clinically significant change derived from the Nordic walking programme.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> In view of these results, we conclude that Nordic walking represents an effective physical rehabilitation strategy for patients with early-intermediate stage HD. Its practice may lead to clinically relevant changes in functional mobility, as well as some improvements in balance and functional capacity. However, these changes have no impact on disease progression.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-10-21" "fechaAceptado" => "2019-01-28" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martínez-Lemos RI, Domínguez-Pérez C, Seijo-Martínez , Ayán-Pérez C. Mejoría de la capacidad funcional en la enfermedad de Huntington tras un programa de marcha nórdica. A propósito de un caso. 2020. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.nrl.2019.01.006">https://doi.org/10.1016/j.nrl.2019.01.006</span></p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3976 "Ancho" => 2190 "Tamanyo" => 338622 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Visual analysis of 2 standard deviations to assess changes in functional mobility, balance, functional capacity, and impact of the disease before and after the intervention.</p>" ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">BBS: Balance Berg Scale; MA: mean in phase A; MB: mean in phase B; PPT: Physical Performance Test; SD: standard deviation; TFCS: Total Functional Capacity Scale; TUG: Timed Up and Go Test.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To determine the effect of the intervention, we performed a visual analysis of single-case data during the 2 phases: initial assessment (A) and intervention (B); to do this, we analysed improvement, trend, overlap, and change between phases. Improvement: result of the comparison between means for the A and B phases. Trend: (+) positive differences between A and B phases; (−) no differences between A and B phases. Overlap: total number of assessments during the B phase that met 2 conditions: <span class="elsevierStyleItalic">1)</span> different from and better than A, <span class="elsevierStyleItalic">2)</span> the 3 latter measurements suggest improvements. Change: differences between the mean for the A phase and the last assessment (week 12).</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">MA<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>SD (min-max) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">MB<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>SD (min-max) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Improvement (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Trend \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Overlap (n) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Change \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Functional mobility (TUG) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">17.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.3 (16.7-17.3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12.3<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.4 (10.9-13.7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">27.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">+ \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4.7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Balance (BBS) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">42.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.0 (42.0-42.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">46.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>3.5 (42.0-49.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">+ \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Functional capacity (PPT) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">22.2<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.5 (22.0-23.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">25.2<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>2.1 (23.0-27.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">+ \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Impact of the disease (TFCS) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.0 (8.0-8.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.0 (8.0-8.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">− \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2392392.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Comparison of functional status and independence before and after the intervention.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Huntington's disease and Huntington's disease-like syndromes: An overview" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 2 | 9 |
| 2024 October | 14 | 7 | 21 |
| 2024 September | 27 | 5 | 32 |
| 2024 August | 19 | 6 | 25 |
| 2024 July | 35 | 8 | 43 |
| 2024 June | 20 | 5 | 25 |
| 2024 May | 19 | 5 | 24 |
| 2024 April | 23 | 36 | 59 |
| 2024 March | 37 | 5 | 42 |
| 2024 February | 31 | 3 | 34 |
| 2024 January | 18 | 4 | 22 |
| 2023 December | 16 | 16 | 32 |
| 2023 November | 17 | 8 | 25 |
| 2023 October | 28 | 20 | 48 |
| 2023 September | 10 | 5 | 15 |
| 2023 August | 20 | 5 | 25 |
| 2023 July | 10 | 2 | 12 |
| 2023 June | 26 | 3 | 29 |
| 2023 May | 44 | 3 | 47 |
| 2023 April | 44 | 2 | 46 |
| 2023 March | 30 | 5 | 35 |
| 2023 February | 24 | 4 | 28 |
| 2023 January | 13 | 2 | 15 |
| 2022 December | 16 | 4 | 20 |
| 2022 November | 21 | 4 | 25 |
| 2022 October | 17 | 8 | 25 |
| 2022 September | 19 | 9 | 28 |
| 2022 August | 24 | 8 | 32 |
| 2022 July | 16 | 10 | 26 |
| 2022 June | 15 | 7 | 22 |
| 2022 May | 8 | 8 | 16 |
| 2022 April | 26 | 11 | 37 |
| 2022 March | 23 | 10 | 33 |
| 2022 February | 36 | 3 | 39 |
| 2022 January | 35 | 4 | 39 |
| 2021 December | 36 | 12 | 48 |
| 2021 November | 27 | 10 | 37 |
| 2021 October | 18 | 10 | 28 |
| 2021 September | 19 | 12 | 31 |
| 2021 August | 46 | 3 | 49 |
| 2021 July | 25 | 6 | 31 |
| 2021 June | 15 | 8 | 23 |
| 2021 May | 16 | 13 | 29 |
| 2021 April | 39 | 10 | 49 |
| 2021 March | 32 | 19 | 51 |
| 2021 February | 24 | 10 | 34 |
| 2021 January | 17 | 8 | 25 |
| 2020 December | 14 | 13 | 27 |
| 2020 November | 11 | 6 | 17 |
| 2020 October | 7 | 9 | 16 |
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