Neuromuscular diseases (NMD)

Protecting every hard-won gain.

In neuromuscular conditions, strength is precious. We use carefully dosed active therapy to protect function, maintain range and independence, and make the most of every gain — without overloading tiring muscles.

What it is

Neuromuscular disease, in plain terms.

Neuromuscular diseases are conditions where the muscles, or the nerves that drive them, progressively weaken — affecting movement, posture, breathing and stamina. Many are progressive, which makes how we train, and how much, matter enormously.

Our work is protective and precise: active but never exhausting, building and preserving range, alignment and function. We dose every session to the child's energy and stage, and re-measure to keep the plan safe.

Subtypes we work with

Conditions we work with.

We have hands-on experience with the variants named below — and with many rare types that don't fit neatly into any of them. If your child's diagnosis isn't here, please reach out: we work with complex and rare cases every day.

Spinal muscular atrophy (SMA) Duchenne muscular dystrophy Becker muscular dystrophy Myotonic dystrophy (DM) Charcot-Marie-Tooth (CMT) Congenital myopathies

How we work with it

Careful, hands-on NMD work.

We dose activity to protect, not exhaust — graded active loading, range and alignment work, practised in focused blocks and tracked closely so we stay on the right side of fatigue.

No generic templates. Every plan is built around one child's specific condition, stage and energy — and adjusted continuously.

NMD questions, answered

What NMD parents ask us.

Isn't exercise risky in a progressive muscle disease?

The dose is everything. We use carefully graded active work that protects function and avoids over-fatigue, coordinating with your neuromuscular team.

Can therapy slow loss of function?

We focus on preserving range, alignment and function and making the most of available strength — with measured goals reviewed regularly.

Do you work alongside our medical team?

Always. NMD care is multidisciplinary — we coordinate with your neurologist and clinical therapists.

Will insurance help fund it?

Often, via Krankenkasse or IV/AI pathways. See insurance & funding — our parent liaison helps with the paperwork.

Not quite a match?

Doesn't your child fit this profile?

We work with all kinds of children. If your child's condition or diagnosis isn't exactly what's described here, reach out anyway — we'll happily answer your questions, and we look forward to speaking with you.