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Myotonic
dystrophy
Irfan khan
Myotonic dystrophy
 Myotonic dystrophy also known as
steinerts disease
 In this type of muscular dystrophy stiffnes
in muscle occur due to this inability to
relaxe muscle at own will specifically
called myotonia(prolonged muscle
contraction)
 Volunatry muscle become weaker
 Muscle weakness is also another type of
muscular dystrophy
 Due to absence of muscle protein
dystrophine
 Progressive crippling, resulting in
contractures of the muscles around your
joints and loss of mobility
 This begins in adulthood
 Myotonic dystrophy affects at least 1 in 8000
people worldwide
 mostly male affected
 DMD- before 5 years ,BMD- between 5-12
 Upper arms , upper legs firstly show
weakness
 Other body parts also affected…..
 Hearts, diaphragm, chest muscle etc and so
on……….
Genetic correlation and
causes
 The genetic change (mutation) that
causes Myotonic Dystrophy is in the DMPK
gene which code for myotonic dystrophy
protein kinase found on long arm of
chromosome 19.
 Dmpk predominantly expressed in skeletal
muscle
 Cytosine-thymine-gyuanine(CTG) triplet
repeat in the dmpk gene.
symptoms
Treatment
 No cure for any form of muscular dystrophy
 genetic therapy
 Stretching exercises and postural changing
 Goal is to maintain or improve muscle
strength and maximize functional ability –
slight improvement is possible
Surgery for tendon release
Myotonic dystrophy

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Myotonic dystrophy

  • 2. Myotonic dystrophy  Myotonic dystrophy also known as steinerts disease  In this type of muscular dystrophy stiffnes in muscle occur due to this inability to relaxe muscle at own will specifically called myotonia(prolonged muscle contraction)  Volunatry muscle become weaker  Muscle weakness is also another type of muscular dystrophy
  • 3.  Due to absence of muscle protein dystrophine  Progressive crippling, resulting in contractures of the muscles around your joints and loss of mobility
  • 4.  This begins in adulthood  Myotonic dystrophy affects at least 1 in 8000 people worldwide  mostly male affected  DMD- before 5 years ,BMD- between 5-12  Upper arms , upper legs firstly show weakness  Other body parts also affected…..  Hearts, diaphragm, chest muscle etc and so on……….
  • 5. Genetic correlation and causes  The genetic change (mutation) that causes Myotonic Dystrophy is in the DMPK gene which code for myotonic dystrophy protein kinase found on long arm of chromosome 19.  Dmpk predominantly expressed in skeletal muscle  Cytosine-thymine-gyuanine(CTG) triplet repeat in the dmpk gene.
  • 7.
  • 8.
  • 9. Treatment  No cure for any form of muscular dystrophy  genetic therapy  Stretching exercises and postural changing  Goal is to maintain or improve muscle strength and maximize functional ability – slight improvement is possible Surgery for tendon release