title: Long-term management of children with neuromuscular disorders.
abstract: OBJECTIVE
  Duchenne muscular dystrophy is the commonest genetic myopathy but there exist a large number of inherited neuromuscular diseases which individually are very rare and where clinical information is not widely available. This review is based on the author's experience in a pediatric muscle clinic and provides practical guidance and treatment plans for frequently encountered problems.
  
  
  METHODS
  A MEDLINE search was conducted to retrieve recent articles relevant to the management of children with inherited myopathies and neuropathies. A patient cohort (n = 200) was evaluated using descriptive statistics.
  
  
  RESULTS
  Duchenne muscular dystrophy accounted for almost half of the diagnoses, followed by spinal muscular atrophy (12%), Becker muscular dystrophy and myotonic dystrophy (7% each). Sixteen patients (9%) had an unknown myopathy.
  
  
  CONCLUSIONS
  As with other chronic illnesses, these patients should be regularly reviewed by health professionals from an early age to increase life expectancy and improve quality of life. It is useful for physicians to take a structured approach when looking after children with neuromuscular disorders and to monitor all affected organ systems.
authors.affiliation: Department of Pediatrics, North Tyneside General Hospital, Rake Lane, North Shields, United Kingdom. strehle@doctors.org.uk
authors.forename: Eugen-Matthias
authors.initials: EM
authors.lastname: Strehle
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009468:Neuromuscular Diseases / Q000145:classification / Q000628:therapy*; D006113:United Kingdom; D055815:Young Adult