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Neuromuscular Disorders - Nerve and Muscle Disorders (Children)

2026/03/09
What Are Neuromuscular Disorders

Neuromuscular disorders comprise a broad range of diseases affecting nerves and muscles, characterised by progressive muscle weakness. 

Common neuromuscular disorders include Duchenne and Becker Muscular Dystrophy, Spinal Muscular Atrophy, Charcot-Marie-Tooth and Myasthenia Gravis. While many neuromuscular disorders are hereditary, some, like Myasthenia Gravis, are not. 

Causes Of Neuromuscular Disorders
Many of these disorders often have hereditary origins, although some are sporadic, occurring randomly without a hereditary basis. 
Signs And Symptoms Of Neuromuscular Disorders
Key symptoms include progressive muscle weakness, delayed motor skills, and challenges with running, climbing, or jumping. Some disorders may also cause numbness or pain. Some children have breathing or swallowing problems when the breathing or swallowing muscles are weakened.  
Diagnosis And Treatment Options For Neuromuscular Disorders

New genetic treatments that have emerged in the past few years, making certain conditions treatable. For example, if gene-modifying treatment is introduced to babies with Spinal Muscular Atrophy before they develop muscle weakness, they can have normal or near-normal motor development. For other conditions where treatments are still under research, the focus of treatment is on symptom management, enhancing mobility and prolonging life.  

With the emergence of new therapies, it is important to get an early and accurate diagnosis for neuromuscular disorders. Diagnosis is based on detailed history, physical examination and subsequent tests such as blood tests for muscle enzymes and genetic testing. Additionally, organ system assessments, such as like heart or lung tests, are part of our approach to maintaining good health throughout the child’s lifespan. 

We care for patients with neuromuscular disorders using a multidisciplinary team approach, encompassing doctors from various paediatric specialities, such as pulmonary, orthopaedics, endocrinology and cardiology, as well as allied health professionals, including dietitians, physiotherapists, occupational therapists, speech therapists, geneticists and medical social workers.

NUH runs a monthly neuromuscular clinic that provides comprehensive care for children with progressive neuromuscular conditions, addressing the needs of both independent walkers and wheelchair-dependent patients. 

NUH was the first hospital in Singapore to administer gene therapy for Spinal Muscular Atrophy in 2019 and continues to treat patients with this condition using various gene-modifying treatments. Carrier testing and newborn testing for this condition is available.  
Tips For Taking Care Of Children With Neuromuscular Disorders

​Useful Links

  • Muscular Dystrophy Association (Singapore)
    Muscular Dystrophy Association (Singapore) is a self-help voluntary welfare organisation, managed by healthcare professionals, volunteers, individuals with muscular dystrophy and their families, offering support and resources.
About Us
The Department of Paediatrics, Khoo Teck Puat – National University Children’s Medical Institute (KTP-NUCMI) is part of the National University Centre for Women and Children (NUWoC)

Our paediatricians provide comprehensive and specialised medical and surgical services for newborns, children and adolescents. 

Click here for information on how to make an appointment with our paediatricians. 
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