Myotonic_Muscular_Dystrophy_Flashcards
What is the main approach to managing muscle involvement in Myotonic Muscular Dystrophy?
Physiotherapy (strength and flexibility training), occupational therapy (specially designed utensils for hand weakness, wrist braces), orthopaedic (ankle–foot arthroses for foot-drop), and monitoring for deformities.
How is muscle pain managed in Myotonic Muscular Dystrophy?
Muscle pain is managed with NSAIDs and Gabapentin.
What medication is used for treating myotonia in Myotonic Muscular Dystrophy?
Mexiletine with careful supervision, previously treated with quinine or procainamide.
How are difficulties swallowing and dysarthria due to muscle weakness managed in Myotonic Muscular Dystrophy?
These are managed with Speech and Language Therapy (SALT).
What is the recommended management for cardiac disturbances in Myotonic Muscular Dystrophy?
Referral to cardiologists.
What interventions are recommended for respiratory function and sleep issues in Myotonic Muscular Dystrophy?
Noninvasive positive airway pressure ventilation (NIPPV) may be useful in correcting apnea, and infants with congenital muscular dystrophy may require continuous ventilatory support.
How are cataracts managed in Myotonic Muscular Dystrophy?
Cataracts are managed with surgery.
What additional support is recommended for families affected by Myotonic Muscular Dystrophy?
Genetic counselling for antenatal diagnosis and psychological support for parents and children.
