Phenotype details |
congenital; MRC muscle strength neck neck flexors 4-, neck extensors 4+; MRC muscle strength upper limbs deltoids 3+, biceps 4-, supinators 4+, triceps 4-, wrist flexors, wrist extensors, digit, flexors and digit extensors 4+, opponens pollicis 5, abductor digiti minimi and flexor digitorum profundus 4; MRC muscle strength lower limbs iliopsoas 3, thigh adductors 4, thigh abductors 4, gluteus maximus 3, quadriceps 4, hamstrings 4+, tibialis anterior 4+, gastrocnemius-soleus 4+, extensor hallucis longus 4+, tibialis posterior and peronei 5; no facial weakness; calf pseudohypertrophy; no scoliosis; no contractures; forced vital capacity normal; sleep apnoea; no cognitive impairment; psychiatric symptoms; no cardiac involvement; EMG myopathic; normal CK level |