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Living with Distal myopathy with vocal cord weakness

A genetic muscle condition that begins in adulthood and weakens the lower legs, forearms, vocal cords, and throat.

Understanding Distal myopathy with vocal cord weakness

Distal myopathy with vocal cord weakness, also called distal myopathy 2, is a genetic muscle condition linked to the MATR3 gene.

This form of muscular dystrophy starts in adulthood. Weakness often begins in the ankles and can spread to the hands, wrists, and shoulders. It may start on one side and later affect both. A key feature is weakness of the vocal cords and throat. The voice may sound weak, then hoarse and nasal, and swallowing can become difficult. Over time, walking and lifting the fingers can get harder.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Weakness in the ankles
  • Trouble walking
  • Weak, hoarse, or nasal voice
  • Trouble swallowing (dysphagia)
  • Slurred or hard-to-form speech (dysarthria)
  • Weak breathing muscles

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MATR3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Muscular Dystrophy Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing for the MATR3 gene help our family?
Who can check my swallowing and voice, and what can help?
How should my breathing be monitored?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesMATR3

GARD says changes in the MATR3 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurological

Also known as: distal myopathy 2; matr3-related distal myopathy; matrin 3 distal myopathy; myopathia distalis type 2; vcpdm; vcpdm - vocal cord and pharyngeal distal myopathy

Patient organizations

Source: NIH GARD · Distal myopathy with vocal cord weaknessGARD ID 1887 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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