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.