Muscular Dystrophy

Muscular Dystrophy (MD) is a term used to cover several conditions. Each can present with different severity and symptoms depending on an individual’s diagnosis. Probably the most well known and most common is Duchenne Muscular Dystrohpy (DMD).

DMD is a neuromuscular condition that causes progressive muscle weakness. This is due to a lack of protein called Dystrophin. DMD is a genetic condition linked to the X chromosome, and therefore affects males. Females can, however, be carriers of DMD. Approximately 100 boys are born in the UK with DMD every year.

Boys with DMD often first present with mobility problems at a very young age (around 2-4 years). They may seem clumsy, struggle to keep up with their friends and be unable to complete more difficult physical tasks such as climbing stairs and jumping. It is also very common for them to resort to walking on their toes (although there are many other reasons for toe-walking). They may have frequent falls and tire very easily. Diagnosis can be via a DNA test and/or muscle biopsies, but your first port of call if you have any concerns should be your own child’s GP.

There are several specialist centres for DMD, including 3 in the North-West (Alder Hey, Oswestry and Manchester). They all have their own teams which include Consultants and physiotherapists who review and assess the boys regularly and liaise with their local doctors and therapists.

There is currently no cure for DMD. Treatment consists of managing the symptoms of the condition, which can include maintaining mobility, medication and regular monitoring. There are several research projects and trials being held all over the world to try to find a cure or the best treatment for DMD.

Physiotherapy is key to maintaining muscle length and mobility for a child with DMD. Regular stretching, use of standing frames, hydrotherapy, orthotics and specialised seating all help to promote postural management and maintenance of function. Physiotherapists may also be involved in respiratory management-that is setting up and use of equipment to help the boys maintain their oxygen levels and clear their airways if required.

For specific information regarding Muscular Dystrophy, please look at the Muscular Dystrophy Campaign website at The Muscular Dystrophy Campaign is the leading UK charity focusing on Muscular Dystrophy and related conditions. They have the most up to date information regarding treatment and research for MD. They have a fantastic network of families and fundraising across the country.

If you have any questions or concerns regarding your own child, please contact us at to see if we can help.



What is Paediatric Physiotherapy?

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Therapy Stars offers Paediatric Physiotherapy…but what is it?

Paediatric physiotherapists are physiotherapists who have experience and training to specifically treat children and teenagers. All physiotherapists have general training during their degree, and can then specialise in different areas, dependent on their interests, experience and developing skills.

Physiotherapists who work with children can be found in hospitals, in the community and in private practice. They can help children with a variety of symptoms, injuries, conditions and illnesses.

Paediatric physiotherapists will have a solid understanding of child development and growth, as this is a major difference between treating adults and children. They will also have knowledge of treatment methods that aim to maximise a child’s function and potential, whilst appreciating that childhood is a time for fun and enjoyment.

So what can we help with? A variety of concerns or problems including:

  • Baby development and milestone checks-if you feel your child has some developmental delay or shows unusual postures/movements
  • Gait abnormalities-if you feel your child does not walk properly
  • Long term treatment for children with developmental delay, diagnosed conditions and/or additional needs
  • Strengthening for pre and post SDR Rehabilitation 
  • Rehabilitation following an illness, injury or post-surgery
  • Advice and education for parents, families, education staff and carers

We can offer assessment and ongoing treatment from our clinic in Penley, Wrexham or at your child’s home, school or nursery (travel fees do apply). Please see our fees section for more information

If you are unsure if your child may benefit from paediatric physiotherapy, please contact us at or Sian on 01948 830583. Please also see some of the conditions that we can assess and treat (although this list is by no means exhaustive!) at