Myopathies

arwabdulah
Mind Map by arwabdulah, updated more than 1 year ago
arwabdulah
Created by arwabdulah over 6 years ago
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Description

PT management for myopathies

Resource summary

Myopathies
  1. Symptoms
    1. General
      1. Weakness
        1. Aching
          1. Cramps
            1. Pain
              1. Stifness
                1. Tenderness
                  1. Tightness
      2. Localized
        1. Inability to: bury eyelashes, horizontal smile, whistle
          1. Diplopia, ptosis, squint
            1. nasal speech, weak cry, nasal regurgitation of liquids, poor suck, difficulty swallowing aspiration pneumonia, cough during meals
              1. Poor head control
                1. Scoliosis, lordosis, protuberant abdomen, difficulty sitting up
                  1. difficulty lifting objects overhead, scapular winging
                    1. unable to do tight fist finger/wrist drop
                      1. waddling gait, Gower’s sign Difficulty climbing stairs
                        1. inability to walk on heels\toes Foot drop
                          1. Use accessory muscles
      3. Treatment
        1. PT
          1. Assesment
            1. History, Onset, age, Distribution, Course, Myalgia, Cramp, Contracture, Dark urine Myotonia, Stiffness /warming up phenomena, Aggravating: exercise/diet/temperature/drug, Biological: CPK dosage
            2. Treatment
              1. 1. Increased ms.strength
                1. 2. Increased balance
                  1. 3. Increased flexibility
                    1. 4. Reduced risk of falls
            3. Assistive Devises
              1. Medication
                1. Surgery
                2. Types
                  1. Inherited myopathies
                    1. Duchenne and Becker muscular dystrophy
                      1. limb-girdle muscular dystrophy
                        1. FSH muscular dystrophy
                          1. Congenital muscular dystrophy
                            1. Oculopharyngeal muscular dystrophy
                              1. Distal muscular dystrophy
                                1. Emery DREIFUS dystrophy
                                  1. Myotonic dystrophy
                    2. Endocrine myopathies
                      1. Steroid myopathy
                        1. Adrenal gland disorder
                          1. Hyperthyroid myopathy:
                            1. overproduction of thyroxine
                              1. Hypothyroid myopathy
                                1. underproduction of thyroxine
                                  1. Cushing's disease
                                    1. overproduction of pituitary and adrenal glands
                                      1. Excess parathyroid
                                        1. Hormone-secreting tumors
                              2. Inflammatory myopathies
                                1. Autoimmune disorders
                                  1. Caused By
                                  2. Polymyositis (PM)
                                    1. Dermatomyositis (DM)
                                    2. Toxic myopathies
                                      1. Exposure to certain medications and chemicals
                                        1. Caused By:
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