Muscular Dystrophy
is actually classified as being a group of many diseases of the muscles. The fibers of the muscles are highly likely for being damaged. This is mostly in muscles that are voluntary. Muscles also will become progressive weaker over time. Children born with this unfortunate affliction will have many medical problems as a result.
When a child has the later phases of muscular dystrophy, what happens is that fat and tissue which is called connective tissues, will affect may body areas. These areas include the heart muscles.
Genetics play a big role in the development of this childhood affliction. Research done has determined that scientists believe it is a lack of dystrophin, which defined is muscle protein.
MD has no cure. There are medications and types of physical therapy that can help up to a degree with the various problems connected to this disease.
Signs and Symptoms
The general overall signs include:
Muscles that are weak.
Problems with coordination
Being crippled up. This is because there is a lack of mobility in joints.
There are categorized types of MD, a general overview is:
Dystrophinopathies
This type is of a genetic nature and from lack of muscle protein.
Duchenne's Muscular Dystrophy
This is the worst form of Muscular Dystrophy. It seems to be more common in children that are boys moreso than girls. When a child has Duchenne's MD, there would be these symptoms:
Falling all the time
Large muscles in the calf
A hard time getting up when lying down or sitting up.
A weakness that is in the lower leg muscles. This creates an inability to move around really well.
An unsteady gait
In some cases, children have retardation.
If a child has Duchenne's Muscular dystrophy, it would be noticeable between ages 2 and 6. Gradually, children are not able to walk as this disease progresses. Children also have a shortened life span from medical conditions associated with this disease. Scoliosis is also a commonality.
Another type of MD is Becker's This form of MD is not as severe usually coming up in boys that are older and also younger men. The progression of it is slower. As far as signs and symptoms, it is like that of Duchenne's.
Steinert's disease is a form of MD where muscles have a great deal of stiffness and are not able to be flexible and relax as they should. This form of MD can affect kids as well, but is much more commonplace in adults. This type of MD also brings on:
Muscles that are just plain weak all over, meaning the neck, head, and face as well.
Breathing troubles along with having a hard time swallowing. This is due to the fact that these muscles controlling the reflexes of swallowing are affected a great deal.
The digestive tract muscles become weak very often. Because this so often happens, there may be constipation and diarrhea.
Mild diabetes, and cataracts are usually a common symptom.
Diagnosis of MD
Besides a total history, doctors will do the following tests that will determine MD:
Blood testing Muscles that do not perform correctly will put out enzymes like CK, which is creatnine kinase in the blood. Levels that are high are a big indicator.
Ultrasounds
Biopsy of the muscles Doctors will remove a small piece of the muscle and review it in the lab. The lab will be able to tell dystrophies and which type. Special tests can also tell about dystrophin and the levels. This is a big key factor in diagnosis of MD.
Genetic testing might be performed possibly. This testing tells about markers for MD.
One physical therapy goal is to try and help the person's range of motions. This can help to make joints have greater flexibility, though the disease is progressive.
Medications are used for:
Muscle spasms and stiffness that often will happen. Dilantin is one such drug that can help this difficult problem.
Anti-inflammatory drugs can help the person improve their strength and therefore have less muscle weaknesses.
Other aids
Wearing braces help tremendously and are a support for muscles that don't function well on their own.
Surgery sometimes will do some good in helping contractures, which creates pains with the person with MD. Hip and knee tendons are repaired as much as they can be in surgery, as well as scoliosis surgeries which help bad curvatures.
The video below explains more about MD and the special needs of these persons.
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