Muscular Dystrophy

Muscular Dystrophy
This is a genetic condition where slow, progressive, muscle wasting leads to increasing weakness and disability. There are over 20 types of genetic muscular disorders and 1 in 20,000 babies are born with the condition in the UK each year. The main types include:

Duchenne;

• Most common
• A faulty gene prevents the production of a protein called dystrophin 
• More boys than girls
• Most will be in wheelchairs by 11

Becker;

• Milder form of Duchenne and more common in boys
• Often not apparent before 11

Limb-girdle;

• 15 different variations of genetic muscular disorders
• Equal number of boys to girls and starts in late childhood
• Initially affects the muscles around the shoulder girdle and hip girdle

Facioscapulohumeral;

• Equal number of boys and girls
• Affects facial, shoulder and humerus muscles
• Slow developing and apparent from 10 – 40 years of age

Physiotherapy treatment for Muscular Dystrophy includes stretching and strengthening exercises and activities to help maintain muscle strength, increase flexibility and reduce muscle spasms.

Treatment Aims:

• Delay/prevent development of contractures
• Monitor respiratory function and advise on techniques to maintain strength and clear airways
• Maintain independence for as long as possible
• Advise on movement and handling techniques
• Advise on relevant positioning