What is Muscular Dystrophy?

Muscular dystrophy (MD) encompasses a group of more than 30 genetic diseases characterized by progressive weakness and degeneration of the skeletal muscles that control movement. The particular form of muscular dystrophy dictates which muscles are primarily affected, the degree of weakness, how fast they worsen, and when symptoms begin. Some forms of muscular dystrophy are seen in infancy or childhood, while others may not appear until middle age or later. The disorders differ in terms of the distribution and extent of muscle weakness (some forms of muscular dystrophy also affect cardiac muscle), age of onset, rate of progression, and pattern of inheritance.

Primary Types of Muscular Dystrophy

• Duchenne muscular dystrophy (DMD), the most common type of the disease, is caused by a problem with the gene that makes a protein called dystrophin. Muscles break down and a person gradually becomes weaker. DMD affects boys. Symptoms usually start between ages 2 and 6. By age 10 or 12, kids with DMD often need to use a wheelchair. Eventually, even the muscles that control breathing get weaker, and a person might need a ventilator to breathe.
• Becker muscular dystrophy (BMD), like DMD, affects boys. The disease is very similar to DMD, but its symptoms may start later and can be less severe. With BMD, symptoms like muscle breakdown and weakness sometimes don't begin until age 10 or even until adulthood. People with BMD can also have breathing, heart, bone, muscle, and joint problems. Many people with BMD can live long, active lives without using a wheelchair
• Emery-Dreifuss muscular dystrophy (EDMD) usually starts causing symptoms in late childhood to early teens and sometimes as late as age 25. EDMD is another form of muscular dystrophy that affects mostly boys. It involves muscles in the shoulders, upper arms, and shins, and it often causes joint problems. The heart muscle may also be affected.
• Limb-girdle muscular dystrophy (LGMD) affects boys and girls equally, weakening muscles in the shoulders and upper arms and around the hips and thighs. LGMD can begin as early as childhood or as late as mid-adulthood, and it often progresses slowly. Over time, a wheelchair might be necessary to get around.
• Facioscapulohumeral muscular dystrophy (FSHD) can affect both guys and girls, and it usually begins during the teens or early adulthood. People with this type of muscular dystrophy might have trouble raising their arms, whistling, or tightly closing their eyes. This form of muscular dystrophy may be mild in some people and more severe in others.
• Myotonic muscular dystrophy (MMD) is a form of the disease in which the muscles have difficulty relaxing. In teens, it can cause a number of problems, including muscle weakness and wasting (where the muscles shrink over time), cataracts, and heart problems.
• Congenital muscular dystrophy (CMD) is the term for all types of muscular dystrophy that show signs in babies and young children, although muscular dystrophy isn't always diagnosed right away.
• Distal muscular dystrophy (DYSF) has its onset between 20 to 60 years of age. Symptoms include weakness and wasting of muscles of the hands, forearms, and lower legs. Progression is slow and not life-threatening.
• Oculopharyngeal muscular dystrophy (PABPN1) has an age at onset of 40 to 70 years. Symptoms affect muscles of eyelids, face, and throat followed by pelvic and shoulder muscle weakness.

How is Muscular Dystrophy Diagnosed?

Muscular dystrophy is diagnosed based on the results of muscle biopsy, increased creatine phosphokinase, electromyography, and genetic testing. Other tests that can be done are chest X-ray, echocardiogram, CT scan, and magnetic resonance image scan, which via a magnetic field can produce images whose detail helps diagnose muscular dystrophy.

How is Muscular Dystrophy Treated?

There is currently no cure for muscular dystrophy, but much research is ongoing. Physical therapies and medications are used to address muscle and respiratory issues.

Prognosis for Muscular Dystrophy

The prognosis for muscular dystrophy depends on the form one has. In some cases, a person with muscular dystrophy will get progressively weaker to the extent that it shortens lifespan due to heart and breathing complications. However, some of the forms do not affect life expectancy at all, and ongoing research is attempting to find cures and treatments to slow muscle weakness.

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Power Wheelchair and Seating Solutions for Muscular Dystrophy

For individuals living with muscular dystrophy, preserving independence, comfort, and everyday function often becomes increasingly important as muscle weakness and fatigue progress over time. Quantum Rehab power wheelchairs can be configured to meet changing strength, access, and seating needs for children, teens, and adults living with muscular dystrophy. They can provide energy conservation, posture support, and help preserve independence for as long as possible.

TRU-Balance® 4 Power Positioning Systems can support muscular dystrophy-related needs for posture, pressure redistribution, circulation, comfort, and fatigue management as well as strength conservation. Power tilt, anterior tilt, recline, elevating leg rests, adjustable seat elevation, and programmable seating functions may help users reposition with less effort, improve functional reach, support safer transfers, and maintain seating tolerance throughout the day.

Quantum Q-Logic 3 electronics allow drive access to be tailored as hand strength or dexterity changes. Minimal-force joysticks, switches, head arrays, and other alternative inputs can reduce the effort needed to operate the chair, while Bluetooth® and environmental controls can provide access to communication tools, compatible smart devices, and home technology.

With clinically advanced seating technology and highly individualized customization Quantum power wheelchairs can help strength conservation and daily participation. Quantum power wheelchairs are thoughtfully designed to help individuals living with muscular dystrophy experience greater comfort, confidence, mobility, and independence every day.

Please click here for more information on Quantum Power Chair solutions for those living with muscular dystrophy.