Skip to content
knowrare
HealthSignal
Your condition community

Living with Myofibrillar myopathy 4

A rare inherited muscle condition with weakness that starts late in adulthood, first in the lower legs and ankles.

Understanding Myofibrillar myopathy 4

Myofibrillar myopathy 4 is a rare genetic muscle condition that starts late in adulthood with weakness in the lower legs.

People first have ankle weakness, then weakness in the finger and wrist extensors, and later in muscles near the center of the body. Walking is usually preserved. Heart muscle disease or nerve problems have been reported in a few people.

Signs & symptoms

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

  • Weakness in the muscles of the lower legs and ankles
  • Tiring easily in the limbs
  • Weakness in the hand muscles
  • Slowly worsening weakness near the center of the body

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 LDB3 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
Should we have genetic testing for the LDB3 gene?
Should my heart be checked as part of my care?
Which therapies can help me keep walking and using my hands?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesLDB3

GARD lists changes in the LDB3 (ZASP) gene. The condition is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: late-onset distal myopathy, markesbery-griggs type; ldb3 myofibrillar myopathy (disease); myofibrillar myopathy (disease) caused by mutation in ldb3; myofibrillar myopathy type 4; myopathy, myofibrillar, type 4; zasp-related myofibrillar myopathy

Patient organizations

Source: NIH GARD · Myofibrillar myopathy 4GARD ID 1886 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Myofibrillar myopathy 4.

Explore the Myofibrillar myopathy 4 blog

Explore research for Myofibrillar myopathy 4

Explore actively recruiting Myofibrillar myopathy 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Myofibrillar myopathy 4 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Myofibrillar myopathy 4 studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Myofibrillar myopathy 4

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Myofibrillar myopathy 4

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Myofibrillar myopathy 4 experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.