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Living with Spinal muscular atrophy, type II

A genetic nerve and muscle condition in which babies can sit but not stand or walk on their own.

Understanding Spinal muscular atrophy, type II

Spinal muscular atrophy type 2 (SMA2) is a genetic neuromuscular disorder that affects the nerve cells that control voluntary muscles.

Babies with SMA2 can sit without support, but they can't stand or walk on their own. Feeding and breathing problems may also develop. It starts in infancy. Diagnosis is suspected from symptoms and confirmed by genetic testing.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Based on its summary, features include:

  • Can sit without support
  • Can't stand or walk independently
  • Muscle weakness
  • Feeding problems
  • Breathing problems

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 SMN1 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 Cure SMA and other patient organizations
  • 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
Can genetic testing confirm SMA2 in my child?
What treatments are available for SMA?
How should breathing and feeding be supported?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesSMN1

GARD says it is caused by changes in the SMN1 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: chronic infantile spinal muscular atrophy; chronic spinal muscular atrophy; intermediate spinal muscular atrophy; late infantile spinal muscular atrophy; muscular atrophy, spinal, infantile chronic form; muscular atrophy, spinal, intermediate type

Patient organizations

Source: NIH GARD · Spinal muscular atrophy, type IIGARD ID 4945 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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