
Loss of muscle control, also known as paralysis, occurs when the muscles do not function or move normally. This can be caused by various factors, including diseases affecting the muscles or nervous system, severe injuries, long-term drug use, medication side effects, and age-related muscle loss (sarcopenia). Diseases such as muscular dystrophy and dermatomyositis can cause progressive muscle weakness, while conditions like ataxia lead to a lack of balance and coordination. Preventative measures include maintaining a healthy lifestyle with regular exercise and a balanced diet, while treatments range from strength training to medication, depending on the underlying cause.
| Characteristics | Values |
|---|---|
| Diseases | Muscular dystrophy, dermatomyositis, Bell's palsy, multiple sclerosis |
| Injury | Spinal cord injury, stroke |
| Lifestyle | Sedentary lifestyle, malnutrition, lack of exercise, long-term drug use |
| Age | Sarcopenia, age-related atrophy |
| Genetic | Emery-Dreifuss muscular dystrophy, Becker muscular dystrophy, Duchenne muscular dystrophy, Charcot-Marie-Tooth disease |
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What You'll Learn

Inactivity and poor diet
Physical inactivity can lead to sarcopenia, a type of muscle atrophy characterised by the progressive loss of muscle mass and strength. Sarcopenia is primarily caused by the natural ageing process, with muscle loss beginning as early as one's 30s or 40s and accelerating between the ages of 65 and 80. However, inactivity can exacerbate this condition. Scientists believe that a sedentary lifestyle, coupled with an unhealthy diet, can contribute to sarcopenia.
A well-balanced diet is crucial in maintaining muscle health. Nutritional deficiencies can lead to muscle atrophy. A diet rich in high-quality proteins is essential for muscle growth and maintenance. Aiming for 20 to 35 grams of protein in each meal can help slow down the progression of muscle loss. Additionally, increasing protein intake through food or supplements can aid in reversing the effects of sarcopenia.
Regular exercise is vital to prevent and manage muscle loss. High-intensity, short-duration exercises, such as running at 70-100% of maximum speed for 10-40 seconds with adequate recovery intervals, can improve muscle strength and endurance. Progressive resistance-based strength training can also help improve strength and reverse muscle loss.
By combining a healthy diet with regular exercise, individuals can effectively reduce the risk of muscle loss and improve their overall health and quality of life.
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Neurodegenerative diseases
There are several types of neurodegenerative diseases that can cause loss of muscle control. These include:
- Dementia-type diseases, which cause confusion, memory loss, trouble thinking or concentrating, and behavioural changes. As these symptoms worsen, people often can't live independently due to health and safety risks.
- Demyelinating diseases, which commonly cause tingling or numbness, pain, muscle spasms, weakness, paralysis, coordination issues, and fatigue.
- Motor neuron diseases, which affect parts of the brain and nervous system responsible for muscle control. As the neurons in these areas die, muscle control is lost, causing weakness and eventually paralysis. These diseases can cause respiratory issues as the muscles that control breathing weaken, increasing the risk of pneumonia and other respiratory conditions.
- Parkinsonism-type diseases, which cause slowed movements, shaking and tremors, balance problems, shuffling steps, and a hunched posture.
In addition to neurodegenerative diseases, there are several other causes of muscle function loss. These include neuromuscular disorders, severe injuries (such as spinal cord injuries), long-term drug use, medication side effects, and hereditary conditions.
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Genetic disorders
There are several genetic disorders that can cause loss of muscle control. One such group of disorders is muscular dystrophy (MD), which refers to a group of genetic diseases that cause progressive weakness and degeneration of skeletal muscles. There are over 30 types of MD, and symptoms vary depending on the type, but all forms of MD worsen over time as muscles degenerate and weaken. Some forms of MD affect the heart, lungs, gastrointestinal system, endocrine glands, spine, eyes, brain, or other organs. For example, when the muscles around the eyes are affected, it can cause trouble fully closing the eyelids, leading to eye dryness. MD can also cause swallowing problems, which increase the risk of lung infection. Some children with MD experience learning, intelligence, or social skill challenges. Many people with MD eventually lose the ability to walk, and some may never learn to walk in the first place.
Another genetic disorder that can cause loss of muscle control is hereditary ataxia, which is caused by a defective gene that produces abnormal proteins. These abnormal proteins cause nerve cell damage, leading to ataxia, or loss of coordination. As the disease progresses, muscles react less and less to the commands of the brain, causing balance and coordination to worsen over time. Ataxia may affect the fingers, hands, arms, legs, body, speech, and even eye movements. In addition to hereditary forms, ataxia can also be temporary, resulting from alcohol, medicine, or drug use, or permanent, resulting from a stroke or other brain or nerve injury.
Neuromuscular disorders are another category of genetic disorders that can cause loss of muscle control. These disorders can be inherited or caused by a spontaneous gene mutation, and they affect the muscles, nerves, and neuromuscular junction. While there is currently no cure for neuromuscular disorders, research is being done on genetic therapies and new medications to find a cure. In the meantime, treatments such as medications, physical therapy, occupational therapy, and surgery can help manage symptoms, delay disease progression, and enhance patients' quality of life.
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Injury or illness
Loss of muscle control, also known as muscle function loss or paralysis, can be caused by various injuries and illnesses. Severe injuries, such as spinal cord injuries from falling off a ladder, can lead to a loss of muscle function. Additionally, conditions like ataxia can cause a loss of muscle control in the arms and legs, affecting balance, coordination, and walking. Ataxia is a progressive disease that worsens over time, and it can be caused by alcohol, medicine, drugs, stroke, brain or nerve injury, or a degenerative disorder. Hereditary ataxia is caused by a defective gene that leads to nerve cell damage and muscle control loss.
Muscle atrophy, or muscle wasting, can also result from disuse or neurogenic conditions. Disuse atrophy occurs when muscles are not used enough, such as in sedentary lifestyles or after an injury that immobilizes the limbs. Neurogenic atrophy is caused by nerve problems or diseases that damage the nerves needed for muscle function. Spinal cord injuries, multiple sclerosis, and hereditary conditions like muscular dystrophy can lead to neurogenic atrophy. Muscular dystrophy is a group of diseases that cause progressive muscle weakness and loss of mass, often starting in childhood and primarily affecting boys.
Age-related sarcopenia is another common cause of muscle loss, primarily affecting the elderly. It is characterized by a decrease in muscle fibers, leading to muscle thinning and weakness. Sarcopenia results from biological changes associated with aging, including reduced nerve cell signalling, lower hormone levels, and decreased protein conversion to energy. Inactivity and a poor diet are additional risk factors for sarcopenia.
Illnesses affecting the muscles or nervous system can also lead to muscle function loss. Diseases directly impacting muscle function, such as muscular dystrophy and dermatomyositis, are responsible for most cases of muscle function loss. Nervous system conditions like Bell's palsy can cause paralysis and muscle control issues. Long-term drug use and medication side effects may also contribute to muscle function loss.
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Ageing
There are two types of sarcopenia: primary and secondary. Primary sarcopenia is the cumulative result of various factors leading to muscle loss with ageing, while secondary sarcopenia is caused by specific events such as surgery, hospitalisation, or injury. The rate of muscle loss varies between individuals, but it generally worsens with each decade. The loss of muscle strength is more dramatic and can be 2-5 times greater than the loss of muscle mass.
The exact biological mechanism behind sarcopenia is still being studied, but researchers have discovered that it occurs when calcium leaks from a group of proteins in muscle cells called the ryanodine receptor channel complex. This triggers a chain of events that limit the ability of muscle fibres to contract, leading to muscle weakness. Additionally, changes in certain hormones, such as testosterone and insulin-like growth factor (IGF-1), can affect muscle fibres and contribute to sarcopenia.
While ageing is the primary cause of sarcopenia, other factors can contribute to muscle loss. These include inactivity, a poor diet, and chronic diseases. Inactive people lose muscle mass at a faster rate, and a diet low in protein can make it harder for the body to convert protein into energy as we age. Certain chronic diseases, such as diabetes and obesity, have also been linked to muscle loss.
Although there is currently no cure for sarcopenia, there are ways to manage and slow down the condition. Regular physical activity and resistance exercises, such as walking, push-ups, and sit-ups, can help improve muscle strength and reverse muscle loss. Additionally, a healthy diet with sufficient calories, protein, and supplements like omega-3 fatty acids and creatine may also help fight sarcopenia. Researchers are also investigating novel therapies, such as hormone supplements and drugs targeting calcium leakage, to prevent and treat age-related muscle loss.
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Frequently asked questions
Muscle function loss, or paralysis, occurs when your muscles don't work or move normally.
Muscle function loss can be caused by a few things, including diseases affecting your muscles or nervous system, severe injuries, long-term drug use, medication side effects, and old age.
Two of the more common muscle diseases that cause muscle function loss are muscular dystrophy and dermatomyositis. Diseases that affect the way nerves transmit signals to your muscles can also cause muscle function loss. Some nervous system conditions that cause paralysis include Bell's palsy, which causes partial facial paralysis.
Ataxia is a disease that affects the nervous system and causes muscle function loss. People with ataxia lose muscle control in their arms and legs, which may lead to a lack of balance, coordination, and trouble walking.











































