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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |84 Answers  |Ask -

Physiotherapist - Answered on Jun 20, 2024

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Dear sir, I have a daughter who is diagnosed with Congenital Muscular Dyatrophy( Merosin deficient Lama 2). Is there any cure available anywhere in the world. If not what are the researches going on till now. I Have seen vaccinations / General therapy / stem cell therapy for DMD and not for CMD. Kindly help me out here.. ???????? My daughter is 7 years old.
Ans: I’m sorry to hear about your daughter's diagnosis. Congenital Muscular Dystrophy (CMD), particularly the Merosin-deficient type (LAMA2), is indeed a challenging condition, and I understand your concerns about finding effective treatments. Unfortunately, there is currently no cure for CMD. However, several supportive treatments can help manage symptoms and enhance the quality of life for those with CMD. Management includes include physical therapy, which is essential for maintaining muscle function and preventing contractures, and occupational therapy, which aims to assist with daily activities and improve overall quality of life. Additionally, breathing exercise prescribed by Physiotherapy is crucial, as respiratory muscles can be affected; thus, regular monitoring and non-invasive ventilation may be necessary. Proper positioning and ergonomics are vital for managing skeletal deformities such as scoliosis. Ongoing research into stem cell therapy holds promise for the future, with hopes of repairing or replacing damaged muscle tissue, though it remains in the experimental stages and is not yet available as a treatment. It is also important for parents to seek counseling to build mental resilience and cope with the emotional and psychological challenges of caring for a child with CMD. My best wishes for your family.
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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |84 Answers  |Ask -

Physiotherapist - Answered on Jun 18, 2024

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My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..
Ans: My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.
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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |84 Answers  |Ask -

Physiotherapist - Answered on Jun 17, 2024

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Health
My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..
Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.
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Aruna

Aruna Agarwal  |67 Answers  |Ask -

Child and Parenting Counsellor - Answered on Jun 17, 2024

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