Muhammad Aslam-Muscular Dystrophy-(Pakistan)
Name: Muhammad Aslam
Sex: Male
Nationality: Pakistani
Age: 48Y
Diagnosis: Muscular Dystrophy (MD)
Before treatment:
The patient felt weakness in his legs 15 years ago and he also had muscle atrophy. He went to a local hospital and was diagnosed with muscular dystrophy in 2006. Seven years ago his arms became weak too and they also had muscle atrophy. For now, his walking position is abnormal, he is able to sit but it is difficult for him to sit up from a lying position and it is difficult for him to stand up from sitting position but he is able to do it slowly. He is able to eat and wash himself. He wants a better treatment so he came to our hospital.
His spirit, diet and sleep are normal. His urination and defecation functions are normal.
Admission PE:
Bp: 145/95mmHg, Hr: 68/min, body temperature: 36.7 degrees. Height:175cm, weight: 80kg. There is no injury or bleeding spots of his skin and mucosa, the respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was soft and flat, with no masses or tenderness. His liver and spleen were normal and there is no edema in his legs.
Nervous System Examination:
Patient was alert and his mental condition is fine, the memory, calculation and orientation ability are normal by examination. Both pupils were equal in size and round, diameter of 2.0mm, react well to light and the eyeballs can move freely. Bilateral forehead wrinkle is symmetrical, he can close his eyes powerfully and can show his teeth as normal. The tongue is in middle, he can bulge the cheek as normal, soft palate can lift as normal. He cannot shrug or turn his head strongly. Muscle power of the arms: right upper arm adductor muscle power is 3 degrees, abductor muscle power is 3- degrees, the wrist flexor and extensor muscle power were 4 degrees. The left arm adductor muscle power was 3+degrees, abductor muscle power was 3 degrees, the wrist flexor and extensor muscle power were 4 degrees. Grip force of both hands were 5 degrees. The legs proximal side muscle power was 2 degrees, of distal side was 3 degrees. Muscle tone of all 4 limbs was lower than normal. There was obvious muscle atrophy of the shoulder girdle, pelvic girdle muscles and 4 limbs. Patient could walk without support but with wide step base and a waddling gait. He could turn back very slowly. He could maintain a sitting position but he had big difficulty to stand up or sit up from a lying position but he could try to perform this himself. Tendon reflex of all 4 limbs could not be induced by examination, abdomen reflex was reduced, bilateral palm-jaw reflex were positive, Hoffmann sign, Rossilimo sign and Babinski sign of both sides were negative. Bilateral sensory system were normal by gross measure. He could not perform the finger to nose test on the either side because of weakness. Finger opposite movement and fast alternate movement were normal. He could not perform the Heel-knee-tibia test of both sides because of weakness. The meningeal irritation sign was negative.
Treatment:
After the admission he received related examinations and was diagnosed with Muscular Dystrophy. He received 3 times cells regeneration treatment to protect liver function, nourish muscle cells and improve blood circulation, improve the cells function and restore muscle tissue. This was combined with rehabilitation training.
Post-treatment:
After 14 days’ treatment his condition is better than before. Liver function had improved, his endurance enhanced, the pelvic girdle muscle power improved and his walking gait was better. The muscle strength of the left arm was increased.
