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Muscular Dystrophy

Muscular Dystrophy

What Is Muscular Dystrophy?

Muscular Dystrophy (MD) refers to a group of inherited muscle disorders that cause progressive weakness and degeneration of skeletal muscles—the muscles we use for movement. Over time, individuals with MD experience increasing difficulty in walking, lifting, breathing, and performing daily activities.

There are many types of MD, and each affects different muscles and progresses at different rates. While there is no cure yet, early diagnosis and a structured neurorehabilitation plan can dramatically improve function, mobility, and quality of life.


Causes and Types of Muscular Dystrophy

MD is caused by genetic mutations that prevent the body from producing proteins necessary for healthy muscle growth and repair—most commonly dystrophin.

Major Types of Muscular Dystrophy:

  1. Duchenne Muscular Dystrophy (DMD)

    • Most common and severe form

    • Affects young boys (symptoms appear between ages 2–5)

    • Rapid progression, with wheelchair use often by early teens

  2. Becker Muscular Dystrophy (BMD)

    • Less severe than DMD

    • Symptoms appear later, typically in teens or early adulthood

  3. Limb-Girdle Muscular Dystrophy (LGMD)

    • Affects hip and shoulder muscles

    • Occurs in both sexes, can start in childhood or adulthood

  4. Facioscapulohumeral Muscular Dystrophy (FSHD)

    • Affects facial, shoulder, and upper arm muscles

    • Symptoms usually start in teenage years

  5. Myotonic Dystrophy

    • Affects both muscles and other body systems (heart, eyes, hormones)

    • Symptoms include muscle wasting and delayed relaxation after contraction

  6. Congenital Muscular Dystrophy

    • Symptoms present at birth or early infancy

    • Varies in severity


Symptoms of Muscular Dystrophy

Symptoms vary depending on the type of MD but may include:

  • Progressive muscle weakness

  • Trouble walking, frequent falls

  • Difficulty climbing stairs or lifting objects

  • Waddling gait

  • Enlarged calves (pseudohypertrophy)

  • Fatigue

  • Difficulty breathing in later stages

  • Speech or swallowing problems (in some types)

  • Cardiac or respiratory involvement (especially in DMD and Myotonic Dystrophy)

As the condition progresses, patients may need mobility aids, respiratory support, or feeding assistance. However, comprehensive care can slow deterioration and promote independence.


Diagnosis of Muscular Dystrophy

Diagnosis includes:

  • Physical exam and medical history

  • Creatine kinase (CK) blood test – elevated levels indicate muscle damage

  • Genetic testing – to identify the specific mutation

  • Electromyography (EMG) – measures muscle activity

  • Muscle biopsy – checks muscle tissue under a microscope

  • Cardiac evaluation – ECG and echocardiogram for heart health

  • Pulmonary function tests

Early diagnosis allows for earlier intervention and better outcomes.


Why Neurorehabilitation Is Essential for MD

Muscular Dystrophy is a progressive condition, but rehabilitation doesn’t stop the disease—it slows its impact and extends function. Neurorehabilitation focuses on:

  • Preserving mobility and strength

  • Preventing joint deformities and contractures

  • Supporting heart and lung function

  • Managing fatigue and pain

  • Enhancing independence in daily life

Our team of experts—neurologists, physiotherapists, occupational therapists, speech therapists, psychologists, and dietitians—work together to build a comprehensive care plan that evolves with the patient.


Our Muscular Dystrophy Rehabilitation Program

1. Customized Physiotherapy

Our MD-focused physical therapy helps with:

  • Maintaining joint range of motion

  • Improving posture and balance

  • Preventing scoliosis and contractures

  • Delaying the need for mobility aids

  • Encouraging low-impact exercise (swimming, cycling)

Therapists also teach respiratory exercises to maintain lung capacity and manage shallow breathing.


2. Occupational Therapy (OT)

Occupational therapists assist with:

  • Adapting daily tasks (bathing, dressing, eating)

  • Recommending supportive devices (e.g., hand splints, wheelchair modifications)

  • Improving upper limb function

  • Ensuring safety at home, school, or work

The goal is to maintain independence for as long as possible.


3. Speech and Swallowing Therapy

In some types of MD (like Myotonic or Congenital), patients may experience:

  • Slurred speech

  • Difficulty swallowing

  • Risk of aspiration or choking

Our speech-language pathologists provide:

  • Articulation and breathing exercises

  • Safe swallowing techniques

  • Communication tools or devices (if needed)


4. Respiratory Therapy

As respiratory muscles weaken, breathing becomes difficult. We offer:

  • Chest physiotherapy and breathing techniques

  • Non-invasive ventilation support (e.g., BiPAP machines)

  • Cough-assist devices

  • Pulmonary hygiene education for caregivers

Early intervention in lung care can delay the need for invasive support.


5. Psychological and Emotional Support

Chronic illness affects emotional well-being. Our psychologists offer:

  • Counseling for anxiety, depression, and self-esteem

  • Family therapy to manage caregiving stress

  • Social skills training for children and teens

  • Peer support group access

We believe mental health is just as important as physical health.


6. Nutritional Counseling

Nutrition impacts strength, immunity, and overall function. Our dietitians help with:

  • Balanced, protein-rich diets

  • Feeding techniques for patients with swallowing difficulty

  • Weight management (obesity can worsen symptoms)

  • Supplements like Vitamin D and calcium for bone health


7. Assistive Technology & Orthotics

We provide guidance on:

  • Walkers, scooters, or customized wheelchairs

  • Braces to support limbs and joints

  • Adaptive tools for feeding, writing, or dressing

  • Smart home modifications


8. Educational and Vocational Support

Children and young adults with MD may need academic accommodations. We assist with:

  • Coordination with schools

  • Individualized education plans (IEPs)

  • Assistive learning technologies

  • Career counseling and workplace adaptation advice


Why Choose Us for Muscular Dystrophy Care?

Multidisciplinary Rehabilitation Team
Customized Therapy Plans Based on Type and Stage
Latest Equipment & Evidence-Based Protocols
Pediatric and Adult MD Specialists
Emphasis on Long-Term Quality of Life and Independence


When Should You Start Rehabilitation?

Start as soon as the diagnosis is confirmed, even if symptoms are mild. Early therapy can delay complications like:

  • Contractures

  • Joint deformities

  • Respiratory decline

  • Loss of mobility

Even in later stages, rehab can improve comfort and independence.