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Living with Scapuloperoneal spinal muscular atrophy

A rare genetic nerve and muscle condition causing slowly worsening weakness in the shoulder and lower leg muscles, starting from birth or childhood.

Understanding Scapuloperoneal spinal muscular atrophy

Scapuloperoneal spinal muscular atrophy is a rare genetic condition of the motor nerves that causes weakness and wasting of certain muscles.

It affects muscles of the shoulder blades and lower legs, and it can cause weakness of the voice box (laryngeal palsy). Some people are born without certain muscles, and some have bone differences. It begins from birth to childhood.

Signs & symptoms

GARD doesn't list common symptoms for this condition. It reports these less common features:

  • Weakness and wasting of shoulder and lower leg muscles
  • Voice box weakness (laryngeal palsy)
  • Muscles missing from birth
  • Decreased feeling in hands and feet
  • Absent tendon reflexes
  • Eye movement weakness (abducens palsy)

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 TRPV4 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 TRPV4 gene?
How should voice and breathing be monitored?
What physical therapy or devices may help?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant
GenesTRPV4

It is caused by changes in the TRPV4 gene. It is autosomal dominant, so one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: amyotrophy, neurogenic scapuloperoneal, new england type; neurogenic scapuloperoneal amyotrophy, new england type; scapuloperoneal form of spinal muscular atrophy; scapuloperoneal neuronopathy; scapuloperoneal spinal muscular atrophy, autosomal dominant; spsma

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Scapuloperoneal spinal muscular atrophyGARD ID 10314 · 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 Scapuloperoneal spinal muscular atrophy.

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

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