The Neuromuscular Program strives to provide a diagnosis, improve care, outcome, and quality of life for patients suffering from disorders of nerve and muscle. Our program includes the Neuromuscular Clinic, the Muscular Dystrophy Association Clinic, the Motor Neuron Disease Clinic, and the EMG Laboratory.

As a team, we work together to diagnose your condition by evaluating numbness and weakness and determining if these symptoms are caused by diseases of nerve, neuromuscular junction, or muscle. We also conduct significant research to guide treatment decisions to the latest treatment options.

Clinical Specialties

Infographic of facts about the ALS 2014 Ice Bucket ChallengeThe Neuromuscular Clinic focuses on peripheral neuropathies, disorders of the nerve-muscle junction, and disorders of muscle. The Muscular Dystrophy Association Clinic is sponsored by the MDA and addresses 40 disorders, including dystrophies and hereditary neuropathies. 

The Motor Neuron Disease Clinic is a MDA sponsored regional multidisciplinary care clinic that sees patients with amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease). The EMG laboratory has state of the art equipment and is used to help diagnose disorders of nerve and muscle. We also work with pathologists to interpret muscle biopsies.

We understand that being diagnosed with nerve and muscle disorders, particularly ALS or muscular dystrophies, can be very difficult for both the patient and family, and we are here to help.

Types of Muscular Dystrophy and Neuromuscular Diseases

What are the different types of muscular dystrophy?

Muscular dystrophy is a group of inherited diseases that are characterized by weakness and wasting away of muscle tissue, with or without the breakdown of nerve tissue. There are nine types of muscular dystrophy, with each type involving an eventual loss of strength, increasing disability, and possible deformity.

The most well known of the muscular dystrophies is Duchenne muscular dystrophy (DMD), followed by Becker muscular dystrophy (BMD).

Listed below are the nine different types of muscular dystrophy. Each type differs in the muscles affected, the age of onset, and its rate of progression. Some types are named for the affected muscles, including the following:

Type

Age at onset

Symptoms, rate of progression, and life expectancy

Becker

Congenital

Duchenne

Distal

Emery-Dreifuss

Facioscapulohumeral

Limb-Girdle

Myotonic

Oculopharyngeal

adolescence to early adulthood

Symptoms are almost identical to Duchenne, but less severe; progresses more slowly than Duchenne; survival into middle age.

birth

Symptoms include general muscle weakness and possible joint deformities; disease progresses slowly; shortened life span.

2 to 6 years

Symptoms include general muscle weakness and wasting; affects pelvis, upper arms, and upper legs; eventually involves all voluntary muscles; survival beyond 20s is rare.

40 to 60 years

Symptoms include weakness and wasting of muscles of the hands, forearms, and lower legs; progression is slow; rarely leads to total incapacity.

childhood to early teens

Symptoms include weakness and wasting of shoulder, upper arm, and shin muscles; joint deformities are common; progression is slow; sudden death may occur from cardiac problems.

childhood to early adults

Symptoms include facial muscle weakness and weakness with some wasting of shoulders and upper arms; progression is slow with periods of rapid deterioration; life span may be many decades after onset.

late childhood to middle age

Symptoms include weakness and wasting, affecting shoulder girdle and pelvic girdle first; progression is slow; death is usually due to cardiopulmonary complications.

20 to 40 years

Symptoms include weakness of all muscle groups accompanied by delayed relaxation of muscles after contraction; affects face, feet, hands, and neck first; progression is slow, sometimes spanning 50 to 60 years.

40 to 70 years

Symptoms affect muscles of eyelids and throat causing weakening of throat muscles, which, in time, causes inability to swallow and emaciation from lack of food; progression is slow.

What are other neuromuscular diseases?

Spinal muscular atrophies:

  • Amyotrophic lateral sclerosis (ALS), or motor neuron disease

  • Infantile progressive spinal muscular atrophy

  • Intermediate spinal muscular atrophy

  • Juvenile spinal muscular atrophy

  • Adult spinal muscular atrophy

Inflammatory myopathies:

  • Dermatomyositis

  • Polymyositis

Diseases of peripheral nerve:

  • Charcot-Marie tooth disease

  • Dejerine-Sottas disease

  • Friedreich's ataxia

Diseases of the neuromuscular junction:

  • Myasthenia gravis

  • Lambert-Eaton syndrome

Metabolic diseases of the muscle:

  • Acid maltase deficiency

  • Carnitine deficiency

  • Carnitine palmityl transferase deficiency

  • Debrancher enzyme deficiency

  • Lactate dehydrogenase deficiency

  • Mitochondrial myopathy

  • Myoadenylate deaminase deficiency

  • Phosphorylase deficiency

  • Phosphofructokinase deficiency

  • Phosphoglycerate kinase deficiency

Less common myopathies:

  • Central core disease

  • Hyperthyroid myopathy

  • Myotonia congenita

  • Myotubular myopathy

  • Nemaline myopathy

  • Paramyotonia congenita

  • Periodic paralysis-hypokalemic-hyperkalemic

Mark B. Bromberg, M.D., Ph.D.

Dr Mark Bromberg is a Professor of Neurology at the University of Utah. He received a doctoral degree in Neurophysiology from the University of Vermont and his medical degree and his neurology residency training from the University of Michigan. He also completing a fellowship in clinical neurophysiology and ne... Read More

Specialties:

ALS, EMG, General Neurology, Muscular Dystrophy, Neurology, Neuromuscular Diseases

Locations:

Clinical Neurosciences Center (801) 585-7575

Russell J. Butterfield, M.D., Ph.D.

Russell Butterfield, MD, PhD received his PhD in mammalian genetics, and medical degree from the University of Illinois. He completed his residency training in pediatric neurology at the University of Utah in June 2009. He is currently an Assistant Professor in the Departments of Neurology and Pediatrics, afte... Read More

Specialties:

Muscular Dystrophy, Neurology, Neuromuscular Diseases, Pediatric Neurology

Locations:

Clinical Neurosciences Center (801) 213-3599
Eccles Primary Children’s Outpatient Services Building (801) 213-3599
Pediatric Neurology (801) 536-3500

Specialties:

ALS, Neurology, Neuromuscular Diseases

Locations:

Clinical Neurosciences Center (801) 585-7575

Specialties:

Neuromuscular Diseases, Pediatric Neurology

Locations:

Eccles Primary Children’s Outpatient Services Building (801) 213-3599

Noah Kolb, M.D., B.A.

Clinical

Noah Kolb, M.D. is an Assistant Professor in the Neuromuscular Division of Neurology at the University of Utah. He cares for patients with neuromuscular disorders, (disease that affect the nerve, muscle ... Read More

Specialties:

Neurology, Neuromuscular Diseases

Locations:

Clinical Neurosciences Center (801) 587-7575
Redstone Health Center (435) 658-9262

David R. Renner, M.D.

In 2002, Dr. Renner joined the Department of Neurology faculty, where he currently holds a position as an Associate Professor of Neurology. Dr. Renner is the Director of the Adult Neurology Residency Program, the course director for medical school neurosciences (NEUROSCIENCE), and the course master for medical ... Read More

Specialties:

EMG, General Neurology, HIV/AIDS, Movement Disorders, Neurology, Neuromuscular Diseases, Stroke

Locations:

Clinical Neurosciences Center (801) 585-7575

J. Robinson Singleton, M.D.

J. Robinson Singleton, MD is Director of the Neurophysiology Laboratory at the Salt Lake City Veterans Administration Hospital. He teaches neuromuscular disease diagnosis and electrodiagnostic techniques to neurology, physical medicine, and rehabilitation residents, and has helped train 15 neuromuscular fellows.... Read More

Specialties:

EMG, General Neurology, Neurology, Neuromuscular Diseases

Locations:

Clinical Neurosciences Center (801) 585-7575

A. Gordon Smith, M.D.

A. Gordon Smith, MD is Director of the University of Utah’s Peripheral Neuropathy Clinic and Cutaneous Innervation Laboratory. Dr. Smith’s research focuses on peripheral neuropathy associated with early diabetes and metabolic syndrome. He also serves on the board of the Peripheral Nerve Society, the primary inte... Read More

Specialties:

ALS, Botulinum Toxins, Botulism, EMG, Hemifacial Spasm, Neurology, Neuromuscular Diseases, Neuromuscular Pathology, Neuropathy, Spinal Muscular Atrophy

Locations:

Clinical Neurosciences Center (801) 585-7575

University Campus/Research Park

Clinical Neurosciences Center 175 N. Medical Drive
Salt Lake City, UT 84132
Map
(801) 585-7575
Primary Children's Hospital 100 N Mario Capecchi Drive
Salt Lake City, UT 84113
(801) 585-7575