Spinal Muscular Atrophy: Contractures

Spinal Muscular Atrophy: Contractures

Patients with progressive neuromuscular diseases like Spinal Muscular Atrophy (SMA) have extremity weakness that can predispose to contractures, defined as “a lack of full passive range of motion due to joint, muscle, or soft tissue limitations.”1 The etiology of...
Spinal Muscular Atrophy: Pancreatic Dysfunction

Spinal Muscular Atrophy: Pancreatic Dysfunction

Traditionally, the pathology of Spinal Muscular Atrophy (SMA) was thought to be entirely confined to the anterior horn cells of the spinal cord.1 As more is known about the natural history of SMA, other cell types inside and outside the central nervous system appear...
Feeding, Swallowing, and GI Issues – Non-Sitters

Feeding, Swallowing, and GI Issues – Non-Sitters

Feeding and swallowing are among the chief concerns for families and healthcare providers on non-sitters with spinal muscular atrophy (SMA).1 Bulbar muscle dysfunction affects the laryngeal and pharyngeal muscles, which can interfere with the ability to swallow and...

Orthopedic Surgery – Chest Deformity, Hip Instability, Contractures, and Fractures

Children with spinal muscular atrophy (SMA) suffer from a number of orthopedic conditions. Scoliosis of the spine is quite common and is usually treated with bracing and/or instrumentation. However patients with SMA also experienced chest deformities that can lead to...
Chest Physiotherapy in the Well Child

Chest Physiotherapy in the Well Child

Respiratory problems are the leading cause of acute illness and chronic disability in infants and children with spinal muscular atrophy (SMA). Among children with SMA type I and type II, respiratory issues are the most common cause of death. On the other hand, when...