FSHD : It’s not all just about muscles.June 27, 2016
Start the New Year with a splash with our new CEO Kate:
Join us in the Cole Classic 1km Swim this February!Cole Classic, Fundraise, FSHD, Muscles for Muscles
A blog by Tracey Jackson:
International Day of People with a Disability 3 December 2017International Day of People with a Disability, FSHD, Community,
FACIOSCAPULOHUMERAL DYSTROPHY LIFESTYLE EDUCATION & EXERCISE PROGRAM (FSHD-LEEP)FSHD, Exercise, Canberra
Show your support for FSHD Global Research Foundation:
2017 Charity of the Year in the Australian Charity awardsCharity of the year, Workplace giving, Supporters
Bill Moss AO on the Alan Jones Breakfast Show:
Chairman Bill Moss AO talks with Alan Jones as the Foundation is announced as the Charity of the Year in the Australian Charity Awards 2017FSHD Media, Bill Moss AO, Alan Jones
2017 Charity of the Year!:
CHARITY OF THE YEAR ANNOUNCED AT THE AUSTRALIAN CHARITY AWARDS 2017FSHD Global, Awards, Charity of the Year
I’m 10 years old and I want to tell you what living with FSHD is like for me.FSHD, Community Story, Inspiring
Join our team and start fundraising!Fundraising, How you can help, how to register
The power of workplace giving:
Start making a difference todayFundraising, Workplace Giving, How you can help!
World FSHD Day:
Get planning for this June 20World FSHD day, Fundraise
Bone Health in FSHD:
FSHD Global Research Grant 23 UpdateBone health, FSHD, Grant 23
Our Newest Partnership: Australian Opal Cutters & Pearl Divers:
We are a proud charity partner of Australian Opal Cutters & Peal Divers.Corporate partner, pearls
Get Positive - A piece by FSHD Patron Justin ReidLiving with FSHD
Open Gardens – Mount Wilson:
FSHD Global is proud to be hosting an open garden this April 29 & 30.open gardens, Mount Wilson, FSHD Global
FSHD Global proud to be involved in unique ethical partnership:
Cape York Native Title Holders Partner with Corporate Australia to Establish Economic Empowermentcharity, donations, business, ethical, indigenous
FSHD Educational Toolkits:
Getting the support you and your health professionals needFSHD, consensus, medical guide
Rare Disease Day:
Awareness is key.FSHD, RareDiseaseDay, fundraising, awareness
A major issue for FSHDfatigue, fshd, exercise, physiotherapy
Reading the science:
How to tell the good from the not so good.FSHD, facioscapulohumeral muscular dystrophy, publications, science
Facio-therapies announce breakthrough:
Facio-therapies recently announced a breakthrough development in FSHD drug discovery.research, science, fshd, facioscapulohumeral dystrophy, biotech
Exercise & FSHD:
The Latest Studyconsensus, FSHD, exercise
We are proud to be recognised by The Australian Charity Awards:
FSHD Global has been recognised as a Winner for Outstanding Achievement in the Australian Charity Awards 2016.charity, awards, FSHD
Short Story from Daniel Howe – Life with FSHD:
Lavender BluesFSHD, lavender,
Folo – Shopping for Love:
A new way of givingfolo, philanthropy, giving, charity, shopping
A new mechanism for FSHD:
New drug targetsFSHD, D4Z4, Dux 4, science
Seeking a Volunteer Graphic Designer:
Build your portfolio and make a difference at the same time!volunteer, graphic designer
FSHD Global publishes clinical practice considerations for FSHD:
FSHD Global publishes clinical practice considerations for FSHDscience
FSHD : It’s not all just about muscles.:
FSHD: It's not just about muscles.science, muscles, FSHD
FSHD stem cells: revolutionising research:
FSHD stem cells: revolutionising researchFSHD Global Research Foundation
CRISPR & FSHD:
Harnessing a New TechnologyScience, DNA
Altering Gene Expression:
New tools with big potentialScience DNA
Treatments for FSHD:
Small Molecules: Offering hope for people with FSHDNature chemical biology
FSHD: It's not just about muscles.
For people with FSHD it will come as no surprise that this condition effects more than just muscles. Progressive muscle weakness leads to massive changes in the way people live their lives impacting how they get around, how they complete daily activities, whether they can work or care for children.
While this may seem logical there is actually very little known about the burden of FSHD. The variability in presentation and lack of research means we don’t really know how people with FSHD experience the disease and what affect this has on their lives. This information is important. When someone gets a diagnosis of FSHD they need to be able to plan for their future. Will they need to move into an accessible house, will they be able to work and for how long? Information on burden can also help tailor management programs that includes all services people with FSHD require.
A study from Amsterdam in The Netherlands has provided some of the first evidence of personal burden of FSHD.(1) This study is what is called a ‘qualitiative’ assessment, essentially, instead of measuring how much something is experienced they looked at the ‘what’ is experienced and the ‘why’.
In the study most people said their diagnosis was a relief, particularly for those who had experienced a long search for answers. In addition, a diagnosis provided a level of legitimacy for their condition in their own eyes, and also those of family and colleagues. However, in spite of feeling relief and legitimacy associated with receiving a diagnosis, acceptance of FSHD was still difficult. The lack of control over deterioration, having to deal with constant adjustments required to cope with progressive weakness were particularly challenging for people. People in the study also reported that the loss of control over facial expressions was very negative due to a reduction in non-verbal communication and the fact that it is such a visible sign of FSHD.
All of the people in the study singled out fatigue as a significant issue that limited their ability to get through the day.
Many commented on changes in relationships with their partner especially as increased disability placed increased burden on their relationship. Although, most of the participants commented that they were able to handle this quite well. The slow progression of FSHD for the people involved allowed them time to adjust to a new way of life that included disability.
Participants in the study reported postponing the use of mobility aids. The decision to use an aid is essentially a decision to accept the new physical limitations imposed by FSHD. Many participants struggled with acknowledging their new situation. Socially, participants reported that using mobility aids made people treat them differently adding to the reluctance to use them.
The final aspect explored in the study was work. Most of the people in the study reported that they had to make adjustments to how they structured their work day. Some had to make radical changes to work such as changing their job or hours or giving up work entirely. Most of the people in the study were not working and these people reported that the decision to stop work was very difficult and initially associated with a feeling of loss. However, they also reported that stopping work was a relief and once they had left paid employment they were able to engage in other activities. So overall the decision was positive.
What is the significance of these results?
Having empirical evidence of the burden of FSHD is important for a number of reasons. This study shows there are a number of experiences that are common to all people with FSHD. Being able to communicate these shared experiences to people soon after diagnosis removes some of the uncertainty from FSHD allowing them to make plans.
This evidence provides some direction for support services enabling the care team to plan management.
If you think about the big picture, evidence that FSHD is a significant burden to people with the condition and their families provides legitimacy for people lobbying for more support from government and non-government sources.
What is your experience?
Do the points raised in this study resonate with your experience of FSHD? Have they missed anything out? Do you have a different take of FSHD and how it affects the way you live your life?
Email your stories to firstname.lastname@example.org. We will collate them to paint a picture of FSHD in Australia.
1. Bakker M, Schipper K, Geurts AC, Abma TA. It's not just physical: a qualitative study regarding the illness experiences of people with facioscapulohumeral muscular dystrophy. Disability and rehabilitation. 2016:1-9.