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.
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