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Dr. Shamanthakamani Narendran M U S C U L A R D Y S T R O P H Y M.D. (Pead), Ph.D. (Yoga Science) Gradual, Progressive  Muscle Loss
 
[object Object],[object Object],DEFINITION
[object Object],[object Object],[object Object],[object Object],INTRODUCTION
[object Object],[object Object]
Early common sign of muscular dystrophy
[object Object],[object Object],[object Object],SIGNS AND SYMPTOMS   Signs and symptoms vary according to the type of muscular dystrophy. In general, they may include: Many specific signs and symptoms vary from among the different forms of MD. Each type is different in the age of onset, what parts of the body the symptoms primarily affect and how rapidly the disease progresses.
[object Object],[object Object]
Duchenne's Muscular Dystrophy
[object Object]
[object Object]
Fascioscapulohumeral Muscular Dystrophy   Myotonic Dystrophy
[object Object]
Although this form of MD can affect children, it often doesn't affect people until adulthood. It can vary greatly in its severity. Muscles may feel stiff after using them. Progression of this form of MD is slow. Besides myotonia, signs and symptoms of adult-onset myotonic dystrophy may include:
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
The infant form is more severe, although infants with myotonic dystrophy don't experience myotonia. Signs in infants may include:   ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Also known as Landouzy-Dejerine disease, this form involves progressive muscle weakness, usually in this order:   When someone with facioscapulohumeral MD raises his or her arms, the shoulder blades may stick out like wings. Progression of this form is slow, with some spurts of rapidly increasing weakness. Onset usually occurs during the teen to early adult years.
The other major types of muscular dystrophy are rare. They include:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Muscles usually affected first by this form of muscular dystrophy include:   ,[object Object],[object Object],This form then progresses to the arms and legs, though progression is slow. Limb-girdle MD may begin from early childhood to adulthood.
Congenital muscular dystrophy   may include:   ,[object Object],[object Object],This form is apparent at birth and progresses slowly. More severe forms of congenital MDs may involve severe mental and speech problems as well as seizures.
[object Object]
[object Object]
Emery-Dreifuss muscular dystrophy  usually begins in the muscles of the: ,[object Object],[object Object],[object Object],Cardiac arrhythmias, stiffness of the spine and muscle contractures are other features of Emery-Dreifuss MD. Emery-Dreifuss MD usually begins in the childhood to early teen years and progresses slowly.
[object Object],CAUSES
X-linked recessive inheritance pattern with carrier mother
[object Object]
Autosomal dominant inheritance pattern
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
 
 
 
[object Object],[object Object],Patterns differ for other types of MD
[object Object],[object Object],[object Object]
Other Types of Muscular Dystrophy Reflex Sympathetic Dystrophy
[object Object],[object Object],[object Object],[object Object],WHEN TO SEEK MEDICAL ADVICE
[object Object],[object Object],[object Object],[object Object]
Posture changes during progression of Duchenne muscular dystrophy
[object Object],SCREENING & DIAGNOSIS   A careful review of the family's history of muscle disease can help doctors reach a diagnosis. In addition to a medical history review and physical examination, doctor may rely on the following in diagnosing muscular dystrophy:
[object Object]
[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],TREATMENT
 
[object Object],[object Object],[object Object],PHYSICAL THERAPY
[object Object],[object Object]
[object Object],[object Object],MEDICATIONS   Doctors prescribe medications to treat some forms of muscular dystrophy:
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],COPING SKILLS
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SPECIFIC YOGA PRACTICE
THANK YOU

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