Kia Noho Tata // Winter 2012 // Volume 75
Transcription
Kia Noho Tata // Winter 2012 // Volume 75
For people living with neuromuscular conditions Mō te hunga whai oranga i te mānuka-uaua InTouch Kia Noho Tata // Winter 2012 // Volume 75 MDA partners with mobility dogs Things to THink ABout in Building an Accessible home Meet the 2012 - 2013 National Council Limb Girdle MD in brief IN Touch // WINTER 2012 // PAGE 1 And Much more ..... Conference Pre-conference workshops Bond University Gold Coast 5 - 6 October 2012 MontroseAccess Corinda 4 October 2012 Come and join us on Australia’s beautiful Gold Coast this Spring for Riding the Wave 2012 - advances in the treatment and research of inherited neuromuscular conditions. This conference will present early intervention approaches to treatment and care, showcasing the latest life enhancing techniques, with a focus on both quantity and quality of life for those who are now living longer with neuromuscular conditions. attend? Who should • Individuals and families affected by neuromuscular conditions • Medical professionals, researchers and scientists • Allied health professionals, carers and educators re Find out mo • Scan profiles of over a dozen international speakers • Submit a poster to present your research or practice • Certification for continuing medical accreditation www.ridingthewave.org.au Early bird registrations close 1 August 2012 Proudly presented by InTouch Contents The Official Journal of Muscular Dystrophy Association of NZ Inc. // Kia Noho Tata // Winter 2012 // Volume 75 Out and about 06 MDA partners with Mobility Dogs 09 Sean’s Sailability achievement PO Box 16-238, Sandringham, Auckland 1351, New Zealand. 10 Tips on building an accessible home 12-13 Thanks to ‘bow tie’ week contributors Freephone 0800 800 337 NZ Phone: (09) 815 0247 International prefix (00649) Fax: (09) 815 7260 MDA news Editor: Kimberley Cameron Email: kimberley@mda.org.nz Contributions: We welcome contributions, comments and letters to the editor. We thank all contributors to this edition. 14-17 National Council member bios 18 From the Chief Executive 20 From the Chairperson 21 New staff at National Office 23 Introducing MDA’s new field workers Your condition in review Deadline for next issue: Wednesday 8 August 24-25 Limb girdle muscular dystrophy in brief 26-30 Subscriptions: In Touch is available free to people with neuromuscular conditions, their families, health and education professionals and other interested people. Members share their stories of life with limb girdle MD Advertising: In Touch welcomes advertisements concerning products and services of relevance to people with disabilities. For a rate card, please contact the Muscular Dystrophy Association national office. Printer: Print Consultants Ltd Mb: 021 276 6412 Ph: 09 262 1077 www.printconsultants.co.nz Research and relevance 31 Biglycan – a promising therapy 33 Clinical trial tool for CMT In your words 35 Legally mindful - Dr Huhana Hickey 36 At ease - Ben Robertson 37 GenYine issue - Stacey Christie The opinions and views expressed in this magazine are not necessarily those of Muscular Dystrophy Association. All material in this magazine is copyright. You must therefore contact the editor for permission before copying or reproducing any of it. Charities Commission Registration: CC31123 ISSN 1179-2116 COVER IMAGE: Michelle Smith, with Mobility Dog Amber, on graduation day at The University of Auckland. See inside for the full story. The production of this magazine is generously supported by The Lion Foundation. Muscular Dystrophy Association Our Mission To provide New Zealanders living with neuromuscular conditions personal support and information, and to advocate, influence and promote equality of opportunity. Our services include: • Membership of our branches and national organisation. • Specialised information about neuromuscular conditions. • Information about disability equipment, resources and services. • In Touch magazine delivered to members four times a year. • Informative website and free 0800 phone number. • Workshops for people with neuromuscular conditions, their families, carers, medical professionals and others. • Advocacy on behalf of members and their families. • Opportunities to meet and network with other people and families affected by the same and other neuromuscular conditions. • Referrals to genetic services for genetic testing. • Support for research projects throughout New Zealand. • Disability and medical support equipment on loan when available. • Public promotion and education about neuromuscular conditions and how they affect people’s lives. To view a list of neuromuscular conditions covered by MDA, go to page 38. Should you have a query regarding a condition not listed please contact Barbara on (09) 815 0247, 0800 800 337 or email Barbara@mda.org.nz CHIEF EXECUTIVE Chris Higgins NATIONAL SERVICE LEADER Claudine Young MEMBERSHIP SERVICES MANAGER Barbara Woods ACCOUNTANT/ BUSINESS MANAGER Tammy Miles MARKETING MANAGER Reena Mehta ACCOUNTS AND ADMINISTRATION ASSISTANT Paul Nicholson MEMBERSHIP AND MARKETING ASSISTANT Kerry Hills VOLUNTEER Alan Hall in touch // WINTER 2012 // PAGE 4 from the editor Hello everyone and welcome to the Winter 2012 edition of your magazine. As always there is a lot going on in the MDA community – everyone is very busy and there is a certain degree of change in the air. At an individual level our members continue to outdo themselves, positively approaching their lives and personal goals with enthusiasm and vigour that one can only admire and, at an organisational level, Association volunteers and staff consistently work on initiatives that aim to improve the lives of MDA members. Our cover story this edition, “Mobility Dogs partnership to open doors” provides one tangible example of the network National Office staff seek to build with other disability support organisations that may be of value to MDA members. Also in this issue is one member’s report on building an accessible home (page 10), a brief wrap of some of the highlights of the 2012 ‘bow tie ‘ campaign and bios on the standing and newly elected MDA National Council members (page 14). Chris Higgins’ ‘From the CEO’ piece on page 18 provides interesting insight into his duties as leader of the Association and Helen’s report (From the Chairperson on page 20) outlines the highlights of the Association’s April AGM in Wellington. There are new staff at the National Office (soon to be new) premises and two new field workers in the regions (page 23). I’m nearly out of room but must mention and thank the three individuals living with limb girdle MD who so willingly share their stories in this edition. Each of your stories reflect a forthrightness and strength so often demonstrated by our members who choose to approach life with positivity and commitment. Kimberley Cameron kimberley@mda.org.nz P.S The above image is of my baby girl Harriet Rose and I - so, yes, on a personal note also, key words of the month are busyness and change! Muscular Dystrophy Association would like to thank the following sponsors and supporters: FACTORY OF IDEAS AND EXPERIMENTS ...... and the ANZ Staff Foundation, the Rehabilitation Welfare Trust, CR Stead Trust, The Richdale Charitable Trust and the Douglas Charitable Trust for their continuing support. IN Touch // WINTER 2012 // PAGE 5 Mobility Dogs partnership to open doors MDA and Mobility Dogs are pleased to announce they have formed a partnership that wil benefit MDA members who are successfull in their application for a mobility dog. MDA is undertaking a fundraising programme that will assist MDA members by making a contribution toward the placement cost of gaining a mobility dog. A number of MDA members enjoy the benefits that a mobility dog brings and neither MDA nor Mobility Dogs want the placement cost to be a barrier that turns people away from being able to have a dog. The below outlines some information on the service a Mobility Dog can provide and the organisation’s Client Services Co-ordinator, Michelle Smith, details how having her Mobility Dog, Amber, has changed her life. Unleashing life: A canine partnership • Taking shoes and socks off ways. Today many canine partnerships have been formed to help • Switching lights on and off those who are blind or visually impaired, hearing impaired, or have • Loading and unloading washing machines and driers epilepsy. Service dogs are also being used to help people with long- • Paying for purchases across the counter term physical disabilities maintain their independence within both • Carrying items their home and community environments. • Fetching the phone in an emergency or barking to attract Dogs have helped mankind for thousands of years in a variety of attention. The Mobility Assistance Dogs Trust (Mobility Dogs) is a New Zealand non-profit organisation established in 2003 that trains highly skilled service dogs to assist a variety of New Zealanders with a wide range of physical disabilities. All Mobility Dogs are trained Tasks are directed towards a recipient’s needs and a Mobility Dog can work with over 50 linked commands. to international standards guided by the standards of Assistance Dogs International. The work of the Trust is all about Unleashing Life! A Mobility Dog empowers you to maintain, or improve, your What kind of Mobility Dog is right for me? Mobility Dogs are partnered with people living with long-term independence at home and within your community. A Mobility Dog physical disabilities including, but not limited to, cerebral palsy, helps open the door to the world, assisting to break down social multiple sclerosis, muscular dystrophy and spinal cord injuries. You barriers; allowing you to do ordinary tasks independently; and is a may think that your needs are not high, or that you are still very constant, and faithful, companion. This in turn has the positive effect independent and therefore a canine partner would not be suitable, of increasing confidence, self-esteem and participation in the wider or you would not meet the criteria – but this may not be the case. community. The needs and functional abilities of our recipients are very varied, and often it is the smallest things that are the hardest to do and the Have you ever wondered if a canine partnership could be right for you? If so, the following information may be of interest. easiest of problems a Mobility Dog can solve! In order to meet the varied needs long-term physical disabilities present, the Trust has recently introduced three levels of service dog. How can a Mobility Dog assist you? Mobility Dogs are trained in a variety of tasks to provide functional assistance with everyday tasks, including: Think about your lifestyle and your requirements and see if any of the following fit your needs. You may be surprised – a full public access dog may not be the best type of canine partner that meets your needs! • Retrieving dropped items • Opening and closing doors, cupboards and drawers • Pressing lift and pedestrian buttons environment and out in the community with full public access • Assisting with transfers to and from a wheelchair rights. in touch // WINTER 2012 // PAGE 6 • A Service Dog provides support both in the home • An Assist Dog provides support at home, and public access will be managed by a facilitator. • A Skilled Companion Dog provides the support of a highly skilled pet and will mitigate at least three aspects of disability. Tasks all the dogs are trained to do include fetching the phone, opening and closing doors and retrieving dropped items. These tasks sit alongside the companionship, greater sense of security and feeling of connectedness to the community that a dog offers. Are there costs involved? The Mobility Assistance Dogs Trust relies on grants and public donations, receiving no government funding for the work it does. Each highly trained dog costs approximately $45,000 which is covered by the fundraising activities of the Trust. For you, as a recipient, there is a placement cost of approximately $4,000 which includes two weeks of one-onone time with one of our dog trainers to ensure the dog begins to bond with you, make sure you have all the set-up items you require, and train you on how to correctly handle your new canine partner. There are also the usual costs of having a dog: dog food, pet insurance, worming, flea treatment and any vet bills. You have full responsibility for the dog and have to make sure it is well cared for. We encourage all recipients to look to different funding sources to help with these costs, if required. The application process: Making an application for a Mobility Dog is an involved process, and not everyone who applies is approved to receive a dog. Our application form is very comprehensive – we need to know as much about you, your disability and your perceived requirements, as possible. That way our highly trained team of canine handlers, and consultant neuro-physiotherapist, can assess if a service dog suits your lifestyle and needs. All dogs are carefully placed by the Trust to ensure a successful outcome. What is it like having a Mobility Dog? As a first-time recipient in 2006, I have now had my Mobility Dog, Amber, for nearly six years and cannot think of life without her. Initially I felt slightly guilty at applying and being accepted onto the Mobility Dogs programme – I felt I was already very independent, and therefore taking the place of someone who had greater needs than myself. I have to admit, I was very wrong! Within three weeks of arriving at my house, Amber had proved her worth as an assistance dog and therefore proved to me that there was a whole new level of independence to be attained. At the time Amber came into my life I was still walking, albeit very unsteadily, around my home but used a power wheelchair for any outside activities. The first time I fell over in Amber’s presence was to be a defining moment in our partnership. I took a deep breath and asked her to go get the telephone – she looked at me in a concerned manner and then took off to the other end of the house to get the phone we had practised with which was within easy reach for her. She brought it back and I was able to ring my husband to come home and help. While we waited I commanded her to retrieve my slippers and dressing gown from the bedroom which she duly did. I was just in awe of this beautiful creature. She then lay down and curled up next to me – being able to talk to and stroke her helped calm me down immensely and instead of being a blubbering mess, my husband came home to find me cool, calm and collected and ready to get on with my day! Amber has rescued me a number of times in the subsequent years in the same way, including the time I fell and broke my ankle. While I now use a power wheelchair at all times, I can still manage to propel myself half or fully out of it if I am not paying attention or going a IN Touch // WINTER 2012 // PAGE 7 MUSCULAR DYSTROPHY ASSOCIATION OF NEW ZEALAND INC. Contact details for the Muscular Dystrophy Association’s branches NORTHERN BRANCH SOUTHERN BRANCH Field workers: Kristine Newsome and Darian Smith Office Manager: Denise Ganley Physical Address: Postal Address: Lion Foundation House PO Box 300429 3 William Laurie Place Albany Albany North Shore City 7052 North Shore City Phone: 09 415 5682 or 0800 636 787 Email: support@mdn.org.nz Mary Burn Postal Address: 151 Stobo Street Grasmere Invercargill 9810 Phone: 03 215 7781 or 03 218 3975 Raewyn Hodgson Postal Address: 7 Lynas Street Outram 9019 Phone: 03 486 2066 Email: raewyn.hodgson@xtra. co.nz WELLINGTON BRANCH Field worker: Dympna Mulroy Office Manager: Margaret Stoddart Physical Address: Postal Address: 49 Fitzherbert Street PO Box 33037 Petone Petone Lower Hutt 5012 Lower Hutt 5046 Phone: 04 5896626 or 0800 886626 Email: office.mdawgtn@xtra.co.nz If you want issues brought to National Council meetings, talk to your branch representative. They have the responsibility to raise your issues at National Council meetings and to make sure you are heard. Your branch representatives and their contact details are as follows: Northern branch Claire Siddens Ph 09 630 3420 Email claire@rpm.net.nz Wellington branch Liz Mills CANTERBURY BRANCH Field worker: Paul Graham Office Manager: Eris Le Compte Physical Address: Postal Address: 36 Kingsley Street PO Box 80025 Sydenham Riccarton Christchurch Christchurch 8440 Phone: 03 377 8010 or 0800 463 222 or 0800 800 337 Email: mdacanty@xtra.co.nz in touch // WINTER 2012 // PAGE 8 Ph 04 566 9557 Email stuartcmills@xtra.co.nz Southern branch Raewyn Hodgson Ph 03 486 2066 Email raewyn.hodgson@xtra.co.nz Canterbury branch Branch representative to be appointed ... continued from page 7. little too fast for the environment I am in. Amber is always there to retrieve the phone so I can call for help. Ok, so she gets the phone I hear you say, but what else does she do? One of the major tasks Amber does for me is pick up virtually everything I drop, both inside the house and when we are out and about. I am always dropping keys, credit cards and other tricky items (both big and small) and Amber always faithfully picks them up again for me – often with a look of exasperation when I drop the same thing repeatedly in about ten minutes! Routine tasks, such as picking up the bath mat after my shower, are now done without command. She can open and shut doors, pick up her food bowl, take washing out of the tumble dryer, turn light switches on and off, and press pedestrian buttons. These are the tasks that meet my needs and save me a lot of time and energy every day – other Mobility Dog recipients have different needs and so their dog will do things that suit them. A number of dogs have a larger repertoire of tasks they do on a daily basis to meet the needs of their partner. It is the little things that Amber does for me that have the biggest impact on my life – the little things are often the hardest to do. And there is the companionship and added security that the dog brings to your life as well as the breaking down of social barriers. Despite being independent and outgoing, being in a wheelchair or walking differently often makes you invisible or unapproachable by others in the community. Having a dog by your side in a mall, restaurant or out walking destroys those barriers – it gives those who may not have spoken to you before a chance to approach you with good reason. Eye contact is readily made and I have to say, I have never been smiled at so much in my life as I have over the past six years! It is a nice feeling, and if it takes a dog to make this happen, so be it. Having a Mobility Dog is an amazing experience and one that I hope you will consider sharing with me. For Further Information: Please visit the Mobility Dogs website: www.mobilitydogs.co.nz Or contact Michelle at Mobility Dogs: M: 027 700 7018 E: michelle.smith@mobilitydogs.co.nz (Michelle has facioscapulohumeral muscular dystrophy (FSHMD), has been a long-time member of the MDA’s Northern Branch and has worked for the MDA in the past. She currently works for the Mobility Assistance Dogs Trust and the Papakura Museum.) With wind in his sails It took one year for 29-year-old Sean Stamp to work up the courage to try sailing after he attended a community information session about Sailability Auckland. Like many of the sailors in Sailability Auckland’s High Needs training group, Sean started his yachting career in the Sailing Simulator at Auckland’s spinal unit. After six months in the simulator, with instructor Brendan Tourelle, Sean has been sailing solo on the water for a year and he is hooked. “It gives me a challenge, both mental and physical”. Sean looks forward to the weekly sailing on Monday afternoons from Westhaven’s Z pier for the high needs group. This group is specifically targeted toward sailors with significantly limited motor control; all of them use the electronic servo assist for trimming the sails and steering. Sean is one of the sailors in the group with the least physical ability, but all he needs is a couple of fingers to adjust the joystick. Last year, through Sailability Auckland, Sean completed his YNZ Level 1 Learn to Sail Certificate. He usually sails within the confines of Westhaven marina, but has recently been progressing to longer destination sails - like under Auckland’s Harbour Bridge. Like many sailors with a disability, Sean acknowledges the freedom that the sport continues to provide in his life. “It’s nice to get out of my chair and to have full control of the boat. That’s not something I usually get to do”. Sean is also involved in playing Boccia, hockey and remote control cars. Maybe we will see remote control yacht racing in his future too. Soon, Sean will have all the skills needed to move up to the Learn to Sean Stamp gets set to test his abilities out on the water. Article reprinted with permission from Yachting New Zealand Race group and take part in his first regatta. “Racing is next, definitely,” Sean says. “That’s what I’ve always wanted to do, I’m competitive by nature.” For more information on Sailability Auckland, visit www. sailabilityauckland.org.nz or contact Sailabilityauckland@xtra.co.nz ‘Home, sweet home’ Waikato MDA member, Roger Loveless arranged the building of a fully accessible home for himself and his family in 2009 and has lived happily in it for the past few years. In the following article, he outlines his experience and the features of an accessible home he considers important. In August 2009 we decided that our family home of 32 years was becoming increasingly difficult for me to get around, especially when work with us to make it happen. Our “bible” was the BRANZ book, Homes Without Barriers... A Guide to Accessible Houses. using my manual wheelchair. I also wouldn’t dare using the electric one for fear of damaging things. We looked around for another existing house that would suit, but rapidly reached the conclusion we needed to build from scratch. The first problem was where to build, so it was off to find a section. We chose a flat corner section to allow the house to be north facing, which is important for passive solar heating. Make sure any development levies have been paid, as they can add over $20,000 to the price, and make sure you can work with any covenants, which can be a problem for the unwary. Next problem was to select a builder and sort the plans out. We traipsed around all the show homes with a host of questions about their experiences with accessible homes. At this stage the “Lifemark” brand had not been launched and many builders were reluctant to make too many changes to their standard designs. We then found a small Hamilton builder, RPS Quality Homes, and things just seemed to click. They took on all the challenges without any complaints. No, they hadn’t done an accessible home before, but were prepared to in touch // WINTER 2012 // PAGE 10 Major features we required included: • Wider corridors and doorways. (Cavity sliders are brilliant.) • Level access to all entrances. • Laminate floor for main living areas for easy wheelchair use. • Wet area main bathroom. No bath or separate toilet. • Fourth bedroom made into garage extension for disability equipment. (Electric scooter, electric wheelchair, stroller etc.) • Extra insulation in the walls and roof and argon filled double glazing. • Underfloor insulation including edge of slab - one of the first in Hamilton. • Underfloor heating using a large heat pump and water pipes. • Cleanaire heat recovery ventilation system. • Central vacuum system. • Greater space around kitchen island unit, with an extra wheelchair height extension with its own sink. • Bench spaces at wheelchair height and with room for knees underneath. • Walk in pantry. • Walk in wardrobe space with no door. • Heat pump electric water system. • Photovoltaic electricity generation system. • Concrete paths all around the house. Some of the things people need to watch out for. • Make sure there are extra nogs in the walls for handrails, and take photos for future reference. • Specify lever type door handles. • Specify standard drawer closers and handles that allow fingers to get behind them. Soft close ones can be hard to pull out the first inch or so. • Accessible height toilet with soft drop seat. • Make sure you can pay for the fencing and all the little things that make a house into a home, particularly if you cannot do the DIY things. (That’s another deficiency in disabled folks DNA It would seem!!) We have been here nearly two years and have been able to employ a landscape gardener who really earned his keep as drainage was a major problem until he installed extra nova pipe, broke up a clay pan with a bobcat and brought in truck loads of good soil mix. Our two raised vegetable gardens have been great, and we have many varieties of fruit trees. We have also doubled the capacity of our PV electricity generation system and should now have virtually no power bills. We worked closely with the builders at the planning stage, which meant no financial surprises, and we have been really happy with the result. The builder put us into the Waikato Master Builders Home of the Year awards and was category winner. We also won the Pink Batts Energy Efficiency award and were a Gold Reserve finalist in the National Awards. ABOVE, LEFT AND FAR LEFT: Roger Loveless shows off some of the features he had incorporated into his fully accessible home. IN Touch // WINTER 2012 // PAGE 11 Magnificent Breakers As part of the 2012 bow tie campaign we asked Nicholas Brockelbank to be a bow tie ambassador alongside MDA Patron Judy Bailey. As a special thank you to Nic and his family for all they have done to support MDA during the campaign, we arranged for Nic and his family to attend one of the Breakers games at Northshore Stadium and to meet the team after their win against the Townsville Crocs! The following is Nic’s report on the event. When I walked into the North Shore Events Centre for the Breakers game, I was so excited I had butterflies in my stomach. But the stadium was so noisy I wanted to walk out again - I didn’t, though, because it was so spectacular. The Breakers are the New Zealand Basketball team, who have done very well playing against international teams. Drums were vibrating in my feet as the Breakers were warming up. They seemed to be three times as tall as me. They were stretching, using the same stretches as I use, except their legs stuck out as long as a table. When they did the star stretch, their knees poked up so high! They were also practising their skills of shooting, bouncing between their legs, and passing the ball. I was watching the game with MDA and the company Hot Mustard who had made my ad for the Muscular Dystrophy Association. They had given me and my family a ticket for the Corporate Box to say thank you for doing the ad. I was feeling nervous as the game started because I did not really know what was happening. ‘Are you ready for some noise?’ asked the commentator. ‘No!’ I said in my head, but the noise began. Clappers were smashing together all over the stadium as the teams came on, and their names were shouted out. Smoke was rising from the bottom of the floor, and it smelt like the stadium was burning. My ears were popping from the noise. With the drums playing, ‘We will rock you’, and cheerleaders dancing; the ref threw the ball up and the game began. The opposition Townsville Crocs got the ball then the Breakers got it off them right away and got a goal. Two nil already! The game was noisy the whole time, and the squeaky shoes of the players on the surface of the court added to the noise. It was breathtaking with all the fast movement happening right in front of me. It was a full house, with about 5000 people stacked up on grey seats around the court. The commentator said, ‘Make some noise for the Townsville Crocs!’ A tiny patch of the stadium shouted, making a tiny noise. ‘Make some noise if you are here for the Breakers!’The whole stadium made a roar! Everyone was cheering for the Breakers! The game carried on with the Crocs getting the ball, but the breakers getting it off straight away, so it was not surprising that the Breakers won 81:70. At the end of the game, time was called several times because the teams were getting frustrated. The Breakers scored their last goal and the game was over. It was about 10 o’clock. in touch // WINTER 2012 // PAGE 12 Toby and Nic Brockelbank get their photo taken with, Breakers player, Tom Abercrombie after the Townsville Croc’s game recently. Then we were invited to talk to the team. I felt astonished because I had never seen a sports team up close before. I had my photo taken with my arm across the sweaty strong shoulder of a Breaker. In the photo I look like a proud supporter, which I was. A signed ball was put into my hand. I was looking up at the hoop, and wondering if I would get the ball in, as it was higher than the school hoop. ‘Whew! What a relief! It went in!’ A final photo and thank you with MDA and Hot Mustard, a last goodbye to the winning team, a last look at the over-the-top crowd, and we walked out the door. I was so overwhelmed to have that experience, but all I wanted to do was go to sleep, as I was so tired. A special thank you Thank you to all those that helped make ‘bow tie week’ 2012 a success throughout the country – we couldn’t do it without you! Any non-profit will tell you, and the MDA is Omokoroa Bow Tie Picnic in the Park no different, that volunteers are what make an appeal successful. A special thank you to Jodie Thorne and the Francis family for their continued success with the Omokoroa Picnic, to Joy and Trevor Jenkin from Auckland who not only contribute to the success of the MDA Northern fundraising but support the National Office with the distribution of the collateral. Thank you also to Penny and Olivia Shivas and Kathrine Ashman for their help making up bow tie boxes to send out for the branches. Earle Mason was the Canterbury branch’s top collector, with an Individual total of $1460.90 for this year’s bow tie week. Earle’s first collection for the 2012 campaign was alongside Lynn Hillier and his other collections outside the Warehouse at Belfast and Blenheim were also hugely successful – Great job Earle! Revellers at the Omokoroa Bow Tie Picnic in the Park at the Francis’ place, enjoyed the occasion, the weather and the entertainment. One particular event that proved a real success again this year was the Picnic in the Park in Omokoroa which was held in the lead up to the bow tie appeal week. The event was for the third year held on residents Rina and Warwick Francis’ property and was a fun-filled afternoon of music and entertainment. “It’s a really fun afternoon for all the ABOVE: Earle Mason was the Canterbury Branch’s top collector during the bow tie campaign this year. family” says Jodie Thorne, a member of the Muscular Dystrophy Association who also has FSHMD. “They played a real mixture of songs for all ages so there really was BELOW: Joy, Bradley and Trevor Jenkin with Jodie Thorne - all significant contributors to the 2012 bow tie campaign.. something for everyone!” “The picnic is open to anyone who entertainment - which usually culminates Rina and Warwick Francis (above) provided the venue and most of the entertainment on the day of the picnic. in some dancing for the more energetic and Warwick Francis who organised the amongst the crowd,” Jodie says. event and were the main singers. Thank you wishes to come sit under the walnut trees and enjoy an afternoon of musical Each year the event has raised $1000 for also to their friends who made guest-singing the association, and this year the organisers appearances throughout the afternoon, and were hoping to top that, and they did, the Omokoroa community in general for raising more than $1200 for the MDA’s their huge support. Northern branch! Thank you to Jodie Thorne and to Rina IN Touch // WINTER 2012 // PAGE 13 Elected National Council At the Muscular Dystrophy Association Annual General Meeting held in Wellington in April, several of the standing National Council members retained their positions and, also, several new members were elected to positions. The below provides an introduction to each of the 2012-2013 MDA National Ccouncil members and a brief outline of their experience and goals. I am now well into my second two year term as Chairperson of National Council having been first elected in 2009. Over this period, MDA has made great My background as a lawyer and a partner in, firstly, a large national firm and over the past 16 years as a partner in a boutique law strides in its goal to be a professional firm, has given me a substantial breadth and cohesive Association, effectively of experience to draw on in my role as representing its members, and increasingly Chairperson. becoming a credible voice in the disability not-for-profit sector. It is my goal to ensure that this continues National Council Chairperson, Helen Melrose provider to members and other stakeholders. I first became involved with MDA after my son was diagnosed at age nine with Becker muscular dystrophy. He is now 32 and has lived so that we are well placed for the future. independently with the support of caregivers We need to continue to strive to have a solid for many years now. Two years ago he married structure with sound policies, but most of all, a and he and his wife are looking forward to strong focus on our vision, “People living with moving into his purpose-built home. a neuromuscular condition having unrestricted opportunities to achieve their full potential.” This requires us to have a sound financial I am passionate about the work that MDA does and am sustained in my role by the courage and commitment of our members, base, and building on our present income our staff, the branch committees and the stream and reserves is a high priority for me. members of National Council. And last but not I believe there are many exciting opportunities ahead, with our very capable staff, our new offices about to be completed least, by the wonderful support provided by my husband, family and close friends. - Helen Melrose and a long history as a service and information I have been on Council for fifteen years, is an important aspect to assist with the Chairperson, so I believe I have a very good governance of our organisation. understanding of our organisation and how it can meet the needs of our members. I am a qualified accountant (CA) and have worked in finance roles in various companies National Council Vice-Chairperson, Lindsay McGregor I have Becker Muscular Dystrophy and have needed to use a wheelchair full-time for the last two years. My main leisure interest is sailing with since 1972. I have been in my current Sailability Auckland. I really enjoy being able company, Weston Milling, for fourteen years, to compete in this sport and have now sailed ten as Financial Controller and was promoted in four internationally recognised regattas in to General Manager in 2008. Weston Milling Australia, Canada and Auckland including the is a large flour manufacturing company with 2012 World Championships in April this year. four plants in New Zealand, sales in excess of I am married to Sheryl with two adult $120m and 150 staff. My business background has given in touch // WINTER 2012 // PAGE 14 me sound commercial experience which eleven years as Treasurer and two as Vice- children and live in Howick in Auckland. 2012 - 2013 I am the General Manager of Enable New Zealand, one drivers for the disability sector and the of the largest disability support providers in New Zealand. I need to deliver quality and accessible have a wide understanding of the disability sector and a long services to disabled people. association with disability support services, both as a funder and I have been a National Council provider, through which I have developed a depth and breadth member for three years and have a of knowledge, insight and experience. I originally trained as strong commitment to ensuring the a physiotherapist, and over the past 20 years in New Zealand MDA can move forward and continue I have worked with the Muscular Dystrophy Association - as to diversify and grow as we respond to a physiotherapist, then as the Director and then in policy and members needs for support and to the contracting settings with both the former Health Funding changing environment of disability services. Authority and the Ministry of Health and now with Enable New Heather Browning - Heather Browning Zealand. My background gives me a sound understanding of the I have a long standing interest in the civil rights of peoples with disabilities. I am a scholar of disability with a roles in the government and non-government sectors of New Zealand. - Dr Huhana Hickey PhD in Law and Tikanga Maori from the University of Waikato. As both a disability activist and human rights lawyer, I have undertaken professional Dr Huhana Hickey I am the mother of two adult children, a daughter, Lisa, and look forward to the challenge of a son, Rhys. Rhys is now aged twenty nine and has Duchenne representing the Southern region muscular dystrophy. My husband and I are the main caregivers. branch at the National Council I have been a registered nurse for thirty five years and currently meetings. I believe I have the skills and work part-time in the cardiology department at Dunedin Hospital. broad knowledge base and experience I have been involved with the Muscular Dystrophy to provide effective communication/ Association for twenty years and am a life member of the consultation and liaison between the Southern region branch. I was a branch representative for a Southern region branch members, the number of years during the 1990s. National Council, other branches and I have been the branch representative to the National Council, for the Southern region branch since June 2009. I Roger Loveless Raewyn Hodgson the national office. - Raewyn Hodgson Since my election to Council in 2008, 2009 marked the end of my career as a professional electric the MDA has identified that some 4000 power engineer, the last 12 years as managing director of a people in New Zealand suffer from small engineering consultancy I founded, I still retain an interest a neuromuscular condition, yet our in professional engineering as Waikato Branch Secretary for the membership only touches about 25% Institution of Professional Engineers NZ, IPENZ. I am currently of these people. I see providing the best employed part-time as an Access Coordinator for CCS Disability possible support to all of these people as Action Waikato, placing the needs to remove barriers to full the Association’s core mission. participation by the disabled community in front of society and The present government professes to support all people with disabilities both effectively and efficiently so that sufferers are both valued in society and can achieve their full potential. The challenge for the Association is to build more specifically local, regional and national government. I am married to Mary, have two grown up, and happily married sons, two grandchildren in the UK, and one in Rotorua. I really appreciate the support of the MDA, and would partnerships with government and other health service non encourage all people with neuromuscular conditions to play an government organisations to make this happen. active, if not physical, role in society within, and occasionally I joined the Association shortly after being diagnosed with Becker MD in 1990. This will be my fifth year on Council. While outside, their comfort zone! - Roger Loveless IN Touch // WINTER 2012 // PAGE 15 I grew up near Greymouth on the West Coast, and have lived sector gives you a view on both sides in Gore for the past 20 years. I have worked as a Practice Nurse of the fence. I have experienced the for 21 years and have three children, Ben (14), Olivia (13) and Zac frustration of how simple things can (11). My eldest was diagnosed with Friedreich ataxia when he be made harder, unnecessarily. I think it’s important for health was age 11. My interests and goals are ensuring that people with health challenges are put in touch with the services required to help/ support their condition, ie removing and/or addressing the barriers at grass roots level. Having a child with a disability and also working in the health My name is Liz Mills and I have been barriers are, as often they don’t. The above challenges are highlighted more so in rural areas. Andrea McMillan - Andrea McMillan fortunate to have always been surrounded by family and friends the Branch Rep and the Chairperson who have always supported and encouraged me through the of Wellington Branch since November past 30 years. 2008, after being on the Wellington Having a good support network has made a significant committee since joining the MDA in difference to my life. For this reason I am actively involved at 2007. branch level and also as the Wellington Branch Rep on the I live in Lower Hutt with my husband Liz Mills providers to be aware of what the National Council. I want all MDA members to have access to Stu. We have two daughters, Hannah is a good support network. By having a strong branch network 20 and lives and studies in Christchurch; backed up by a well structured National Office and an efficient Georgia is 17 and in her last year of college. In 1982 I was diagnosed with Friedreichs ataxia and have been fully wheelchair dependent for several years. It hasn’t always been easy living with Friedreichs ataxia but I am I grew up in West Auckland and have been married to David for a long time. Born with a type of muscular dystrophy condition, in those and focused National Council, an effective support network can and is prospering and one which I wish to keep contributing to and being part of. - Liz Mills facilitation work, in 2010 I moved to the Auckland Council, Economic Development Department. I days it was referred to as being a ‘floppy baby’ and finally continued to work with 30+ business walked at the age of four. With several operations to correct associations, town and commercial the bones I was diagnosed in 2010 with Central Core Disease. centres and collective organisations Most strive for a diagnosis; however to me it was just a name responsible for creating local I was still a wobbly, prone to falling over, limited strength, economic development opportunities stubborn with lots of goals. At the end of the day, I am who I and facilitating local partnerships. My am and I am responsible for who I become. role provides governance and management support, skills and My disability doesn’t stop me from achieving. From an early age I learnt the art of compromise and diplomacy, good listening Claire Siddens training, information and guidance. I have been on the Muscular Dystrophy Northern skills and the ability to see the long-term goal. My aim was to live committee and Branch representative on National Council for and work independently and have a great time doing it. four years. Since 2009 I have had the privilege of being Branch I gained a diploma in design and began full-time work in the retail industry, first doing a physical job merchandising chair of a great organisation and fantastic group of people. I love sailing; having competed in the sport since the age and window dressing then moving into project management of 10 starting in a P Class, love spending time with my niece redeveloping shopping centres in Auckland, Tauranga and and nephew, love fishing, love watching sport and chilling out Christchurch. with my two cats on a Sunday afternoon. After 12 years of self-employment, doing contract business in touch // WINTER 2012 // PAGE 16 - Claire Siddens I have been married to Claire for 45 years and have two adult I am the Canterbury branch Chairman of the Royal Aeronautical society and sons who live in Brisbane. I currently live in Kaiapoi but as my house was badly serve on the national council for that damaged in the first big earthquake I will have to move group. I am currently working on when my new home is finished. That makes me sad that our increasing our youth membership, to community is being broken up. introduce them to how much fun science I belong to several organisations and firmly believe that simply belonging is not enough - I feel strongly that I should take an active part in the running of those organisations and do something for the community I live in. I have belonged to St John for about 28 years, at one time I was the officer in charge of a volunteer ambulance division and can be and hopefully get more girls and boys into aviation as a career. Derek Woodward The last group I am active in is the Waimakariri Mobility Scooter group based in Kaiapoi where I help organise activities for the group. My aim for the MDA, as it is for all the other groups, is that spent about 25 years as a volunteer ambulance officer until my I am active; this means I want to positively contribute to the disability meant that had to stop. running of the groups and the enhancement of what the groups Currently I am an active committee member for the Canterbury division of the MDA, also I am on a local advisory group to the Waimakariri Council called the Waimakariri Access are for the members, and society in general. I personally feel good about doing what I can, so it is good for my wellbeing also. - Derek Woodward Group. As you may know, my name is Stacey Christie and I am your Young University in Wellington, and am majoring in Fashion Design. I (Rangatahi) Representative. I have am enjoying my classes, as well as the student lifestyle as I am been elected to this role on National flatting with three friends near the centre of town. Council for a second year. It is such Stacey Christie old. I am in my second year of a four year degree at Massey I am originally from Nelson, so living in a big city is an an honour to be able to represent the adventure. I started using an electric wheelchair last year when younger members of the Muscular I moved up to Wellington and that has led to many adventures Dystrophy Association. on its own, but it gives me a huge amount of freedom and This year I would really like to focus on creating events and connecting a network of younger means I can go anywhere I want, including shopping! Again, thank you for this opportunity to represent you, members within the association. I hope to get to know more and feel free to email me at shchristie@live.com or add me on of the younger members, so please introduce yourselves. Facebook. I’d really love to hear from you. If you’ve been reading my - Stacey Christie articles in In Touch not too much has changed since my last update. I’ve had a birthday since then and am now 19-years- IN Touch // WINTER 2012 // PAGE 17 MDA news From the Chief Executive Greetings and tena koutou katoa In my column for the most recent In Touch magazine I noted that our staff are the MDA’s most important asset. Indeed, the best books and articles about what’s essential for building great organisations always talk about the importance of getting staffing and employment decisions right. This has been brought home to me recently with the MDA recruiting five new people over the past few weeks to replace staff members who have either left or are taking extended leave of absence. MDA Chief Executive, Chris Higgins It’s my job to ensure that we employ wouldn’t know where to start! However, the the best people that we can so that MDA following highlights of the last two to three members benefit from having a robust weeks will give an idea of some of the things organisation and great services. that I do: Catch Up) and staff newsletter (He Tangata) • Chaired fortnightly National Office staff and monthly MDA Executive Team meetings to ensure that we operate in I am delighted therefore to welcome Met with the Foundation for coordinated and collaborative ways Dympna Mulroy and Kristine Newsome as • our newest field workers for members of Business Excellence to commission an the Wellington and Northern MDA Branches. independent organisational audit of the This means that together with Paul Graham MDA prior to the National Council Branch Committee Chairs and other members (Canterbury) and Darian Smith (also Northern) strategic planning meeting in August to agree on how the Branches can be better • Held discussions with various supported by the National Office the MDA now has a full complement of field workers . A few weeks ago I met with them • as a team and I was really impressed with the expert on information and energy, enthusiasm and professionalism that communications technology (ICT) strategic finance committee to review the MDA’s they are all keen to bring to their roles. planning to review the MDA’s draft ICT year to date financial results and provide strategic plan; also met with a potential explanations for any variances I am also delighted to welcome Barbara Identified and met with an Woods, Reena Mehta and Tammy Miles to provider of membership and fieldworker the MDA’s National Office team. Barbara and service databases Services Manager) and Deborah Baker • (Marketing Manager) while they are away interviewed, reference checked, revised for a year on parental leave. Tammy replaces job descriptions and prepared employment Raema Inglis (Accountant and Business contract for the three new National Office Manager) who left to take up another role staff members Advertised, short listed, Obtained legal advice and with the new owner of the MDA’s National Office premises • Responded to daily telephone calls and emails from the project manager and contractors engaged to carry out the fit elsewhere. I’m extremely pleased with the calibre of the people we’ve recruited to the • National Office and I’m looking forward to coordinating MDA’s applications for grants us working together as a team in support of Interviewed candidates for from philanthropic trusts out of the new National Office premises in Penrose • MDA members. People sometimes wonder how I spend • Met with the National Council negotiated a short term rental agreement Reena replace Miriam Rodrigues (Membership my time and have suggested that I use this • • Annual performance reviews for all National Office staff Met with the National Office IT support supplier to sort out continuing problems with how our computers work column to describe my typical day. This would be a good idea if there was such a thing as • a “typical day” (or even a typical week or AGM and National Council meeting, month) – but my job is so wonderfully varied I in touch // WINTER 2012 // PAGE 18 Prepared the minutes of the MDA’s together with the members’ newsletter (MDA • Telephone discussion with John Forman of NZORD updating progress on the campaign for funding for high cost medicines MDA news Calling all Writers! • Reviewed and signed off on to her first child, a very healthy looking MDA’s agreement with the Mobility Harriet. She worked right up until just Assistance Dogs Trust for discounted rates before the delivery producing the MDA’s for MDA members Annual Report, and then within days was back at work making sure that this issue There’s always plenty of things to be of In Touch gets produced on time with getting on with, and the list of things to all of its usual interesting and informative do for the next two to three weeks will content. E noho ra Open to all ages and all themes and genres accepted. in the day I enjoy my job, and my aim always is to focus on those things that will directly or indirectly be of benefit to MDA’s members. Winning stories will be chosen by, celebrity judge, Judy Bailey and the winning entry will be published in In Touch with prizes to be confirmed. Word limit: 1500 words Entries close 31 October, 2012. undoubtedly be different from the last. Although there’s often not enough hours MDA are running a Short Story Competition Chris Higgins Chief Executive Contact Darian Smith for details and an entry form at darian@mdn.org.nz or (09) 4155682. Finally, congratulations and a big thank you to Kimberley Cameron, editor of In Thanks to our confirmed sponsor Touch. Kimberley has just given birth Allied Medical If yoU HAd To LIvE IN A CHAIR yoU woULd wANT IT To bE THIS oNE… RISE & RECLINE Electric Lift Chair THE ULTIMATE THERAPEUTIC SEATING EXPERIENCE… AvoId THIS kINd of PRESSURE ULCER The Compact Lift Chair, with inbuilt Air Comfort Seating System and electrically operated adjustments, is extremely comfortable and will help anyone at risk of developing pressure sores to avoid them. Whether reading, writing or watching TV, you will do so in a position of supreme comfort and safety. l IT’S fLexIbLe … you might not be as flexible as you once were but the chair is. It will stand you up, sit you down and even lie you completely flat so you can sleep. l IT’S Very CLeVer … the chair comes with the ultimate pressure management system built-in, the Air Comfort Seating System. This provides proven pressure relief for long-term seating. l And IT’S SAfe … the chair is easy to operate and clean. It is beautifully designed and finished, and its electrically operated parts are covered so that you cannot injure yourself. Funding may be available or the chair can be purchased direct Phone 0800-330 331 or email don@wsmedical.co.nz Website www.wsmedical.co.nz MDA news From the Chairperson Kia Ora! This year our Annual General Meeting and associated National Council meeting were held in Wellington. It was good to see some of our Wellington members and supporters there. As is the custom, after the meeting, Chris had arranged some speakers to address us. We were privileged to hear with passion and conviction from John Forman, New Zealand Organisation for Rare Diseases and Minnie Baragwanath, the Chief Executive of Be. Accessible Institute. We also heard from Clare Curran, Labour Party spokesperson for disability issues. MDA Chairperson, Helen Melrose John’s discussion about the work NZORD has been doing to try to access drugs for rare diseases was most enlightening. Those of us present at the address now understand in more detail the relationship with Pharmac Minnie put this issue of physical accessibility of our Association. There is no shortage of in a much broader context. courage here! I was keen to recognise this I can highly recommend their website http://www.beaccessible.org.nz As Chris reports in his column, we have quality of courage, whether from members with a form of disability or from those supporting a person with a disability. As you can imagine there has been and the issues that must be confronted now got a full complement of field workers. before our members have access to some of The timing of the two new appointments a significant amount of writing and these drugs. presented an ideal opportunity for a field philosophising about this quality but I was worker workshop to be held on the same taken particularly with a summary that lobbying by NZORD, supported by MDA, day as the AGM and for our field workers describes courage in four categories: was in respect of some of our members to attend the AGM and the social event • who have Pompe’s Disease, a very rare immediately afterwards. All the Council what is right in difficult situations; neuromuscular condition. members enjoyed meeting with the field • workers in this social environment. goal in spite of obstacles; MDA is a member of NZORD and recent Be.Accessible was initially established to assist with accessibility at the time of the This arrangement also afforded us • Bravery – the ability to stand up for Perseverance – the ability to seek a Honesty – this involves integrity Rugby World Cup. It has grown quickly from the opportunity to have Claudine Young, in all areas of one’s life and the ability to there. The philosophy of Be. Accessible is National Service Leader and Miriam be true to oneself and one’s role in the to enrich the lives of all people, by inspiring Rodrigues, Membership Services Manager world across circumstances; and enabling greater accessibility for all. address our National Council meeting. Whilst • This they achieve through their support of there is a clear division between governance alive, being full of zest and displaying three interconnected pillars of accessibility and management in our enterprise, which enthusiasm for any and all activities. – physical pillar, social pillar and personal we have worked hard to achieve, it is also The Be.Accessible website refers to a pillar. Their programmes are directed to useful for Council members to hear at first quote from Maya Angelou a well-respected those areas. In particular, Be.Accessible hand the terrific progress that has been author, on the subject of courage, which I provides tips to businesses as to how to made by National Office staff. have set out below. make their businesses more accessible and When setting the scene for our Council Zest – this is defined as feeling “One isn’t necessarily born with courage, offers assessments; a TV channel, Be. TV meetings for the coming year, I addressed but one is born with potential. Without Channel, offering information and news; and the concept of courage. I have personally courage, we cannot practice any other virtue Be.Leadership, a leadership programme for been inspired over the years by the courage with consistency. We can’t be kind, true, potential leaders in the disability area. that members of MDA show as they go merciful, generous, or honest.” To me, the address by Minnie Baragwanath was the most engaging of about their daily lives. I have written before of my admiration The courage and passion that I come across in my involvement with Muscular the evening. Over the last months I have for National Council members and the Dystrophy Association is awe-inspiring and been writing about the barriers to physical commitment they make in attending sustains me in my role. accessibility, particularly in our homes. meetings and contributing to the governance in touch // WINTER 2012 // PAGE 20 At the AGM, we welcomed a new MDA news In conclusion, I wish you all, all the National Council member, Andrea McMillan. base in Invercargill. Mary has served on Lindsay McGregor as Deputy Chairperson, National Council for approximately 10 years very best and lots of courage in your daily Stacey Christie as Young (Rangatahi) and for several of those as President. Her endeavours. Representative and Roger Loveless, were also steadfastness has been so appreciated as E noho rā confirmed in their roles. has been her willingness to contribute to Helen Melrose However, sadly, we said farewell to tough decisions. I am pleased to advise that Mary Burn who did not offer herself for Mary will continue her involvement with our re-election. Mary has made an outstanding Association as Chairperson of the Southern contribution to the Association from her Regions Branch. Chairperson New staff at National Office Due to the arrival of a couple of babies and of rare genetic disease including Pompe the decision of the National Office Account disease. During the course of her work she and Business Manager to move on to another has come into contact with Miriam and many role, there are several new faces now at the of the team at MDA. MDA National Office premises. Both the Membership Services Manager, “Helping as a volunteer with the Sailability Kiwi cup several years ago made Miriam Rodrigues, and the Marketing me realise how much I miss interacting with Manager, Deborah Baker, were due to have people with disabilities so I was delighted their babies in May/June and so each have when I was offered the opportunity to look taken maternity leave for a year. after Miriam’s role while she is on leave. My The new Membership Services Manager, knowledge of neuromuscular conditions is Barbara Woods, has previously worked in limited at present but I am looking forward both education and the pharmaceutical to this new challenge.” industry. After completing a BSc in Reena Mehta has been rehired to fill neuropsychology plus a Diploma in Deaf Deborah’s marketing role while Deborah is Education, Barbara taught hearing impaired on leave. children before having a family. She has Reena has been involved in the not for since taught at Carlson School for Cerebral profit sector for more than 10 years. She Palsy and worked with people with learning recently project managed appeal campaigns disabilities. More recently Barbara worked for The Multiple Sclerosis Society of Auckland with Genzyme, promoting greater awareness and the Northshore and the New Zealand Red Cross. Reena has previously worked with the MDA coordinating the 2010 Bow Tie Campaign and is looking forward to starting her role as Marketing Manager. Tammy Miles has also been hired in the Accountant/Business Manager role, for three months, while work continues on how to best carry out the National Office accounting, business management and executive support functions in the future. NEW STAFF: From left, Barbara Woods, Tammy Miles and Reena Mehta Farewell Raema, farewell MDA National Office staff came together for a morning tea in April to thank Accountant and Business Manager, Raema Inglis, for her eight-year contribution to the Association. During a speech peppered with humourous anecdotal stories, Chris Higgins praised Raema’s good humour under pressure, ability to meet deadlines and very successful track record at securing grant income for MDA. Raema said it had been a pleasure meeting and working with so many MDA members who, despite their challenges, embrace life with such ‘joie de vivre’. Many of those she had met had been inspirational to her, she said. Raema has taken up a position at the Disability Resource Centre in Royal Oak. IN Touch // WINTER 2012 // PAGE 21 Independence indoors like never before • • • • • Reach higher in kitchen cupboards. Sit lower at a desk or table. Will turn easily in a small bathroom. Pass through narrow doors with ease. 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Travel anywhere anytime. MDA news Field workers bring fresh experience Both the Northern Branch and the Wellington Branch have welcomed new field workers to their ranks just recently, both new staff members bringing new perspective and experience to the role. Introducing Dympna Mulroy (Wellington) and Kristine Newsome (Northern). I am delighted to have this Greetings! My name is Kristine opportunity to introduce myself Newsome and I am the newest to the members of the Wellington member of staff at the Northern Branch of the MDA. I have recently Branch of the Muscular Dystrophy been appointed as field worker Association. I started mid-April and for the lower North Island. This is was able to attend the Wellington my first post within a volunteer conference and AGM. organisation and I am enthusiastic and honoured to join your association. For the past 3-4 years I have lived in Sydney. This job with the MDA appealed to me the most of all the I am a qualified occupational therapist (OT) from Ireland who jobs I applied for back in NZ and I was delighted when I was offered moved to New Zealand in December 2010. Since then I have been the position. I am employed for 30 hours a week and will do those working at Wellington Regional Hospital as an OT. I qualified in hours over four days. 2008 from Robert Gordon University in Aberdeen Scotland and Prior to going to Australia I was a needs assessment and service worked in Ninewells Hospital Dundee for two years, before coming coordinator with the Auckland District Health Board for almost to New Zealand. seven years. I have a social work degree, worked briefly in mental I chose occupational therapy because I have a passion to assist health and for a time was a locum social worker at Auckland individuals achieve their functional potential while encouraging Hospital. When in Australia I did contact supervision of children in integration within their own communities. My experience to date foster care but most of the time I worked with my husband in his is mainly working with individuals who have a variety of acute solar business in a sales admin position. physical and neurological conditions. I am motivated to take on new I spent my early life growing up in Lancashire, England. My family challenges and learn from you the members, and other supporters emigrated to New Zealand at a time when I was ready to leave of the association. school and my first job was in an office. I went to night-classes I am the youngest of a family of six who all reside in Ireland and to hone my shorthand and typing skills. I then married, had five I maintain a close relationship with them while abroad. I have an children in quick succession and I became a full-time mother. When interest in skiing, walking, musical productions and dance. Since I the last child went to school I trained and qualified as a beauty arrived in New Zealand I started running and completed a 10km run therapist by doing a full-time one year course and within a couple of last June. years I had my own clinic. Divorce came in my forties and, when the I have been fortunate to have the opportunities to travel widely children were all independent, I began travelling to visit countries in Europe, which interested me in experiencing other cultures and around the world. A social work degree followed and a few years countries. after that I met my second husband. After being married for about Arriving in New Zealand has been like coming home – I have been warmly welcomed by the people I’ve encountered and Wellington weather is all too familiar to the West of Ireland! The eighteen months we went to Australia to live and work. Missing my family has brought me back to New Zealand and now here I am! There is a lot to keep me busy – for a start I am trying to learn as landscape and wildlife are different to Ireland but I am enthralled by much as I can about neuromuscular conditions and I am currently the country’s unique and beautiful attributes. The inspiration I have shadowing Darian - soon though I will be taking up my own quota received during my time here has encouraged me to make different of clients and before too long there will be an away trip to the lifestyle choices. This included a career change and embracing the central North Island to accomplish. new opportunities that challenge and motivate me, as does this work I am undertaking with you. I look forward to meeting all of the MDA Wellington members. My preference is to work from the ‘strengths perspective’ which means I would rather support and empower a person to continue being as independent as possible in all ways than to take over tasks Working together I am confident that I can make a valuable that the individual is perfectly capable of doing themselves which of contribution towards your association, and be a strong advocate for course is disempowering. At the moment, however, I am still trying the branch. to absorb everything I need to know in order to be a good resource to you. I ask for your understanding as I grow into this role. IN Touch // WINTER 2012 // PAGE 23 Your condition in review Limb girdle muscular dystrophy A group of rare, inherited disorders predominantly affecting the muscles around the shoulder girdle and hip girdle, causing progressive muscle weakness. What is limb girdle muscular dystrophy Limb girdle muscular dystrophy (LGMD) is a group of inherited disorders that affect the voluntary muscles of the hip and shoulder areas – the pelvic and shoulder girdles, also known as the limb girdles. These muscles weaken and waste away (atrophy), and as a progressive disorder, it may involve other muscles over an individual’s lifetime. In LGMD involuntary muscles of the digestive system, bowel and bladder are not affected, and sexual function is also normal. Intellectual and cognitive abilities also remain unaltered, as do sensations such as touch, temperature and pain. of muscle membrane proteins may also be muscular dystrophy” may be replaced by affected in LGMD. more specific terms. Not all of the muscle proteins associated with LGMD are in the membrane, however. Calpain-3 is located in the main part of the muscle cell, and myotilin and telethonin are located in the part of the muscle cell that allows it to contract and relax. As more and more genes are identified in the cause of LGMD, there will be a greater understanding of which and how proteins are implicated in the symptoms of LGMD. Types of limb girdle muscular dystrophy The different types of LGMD are generally Symptoms and implications of limb girdle muscular dystrophy In most cases of LGMD, the disorder starts with weakness and a lost of muscle mass in the pelvis, hips and upper legs, resulting in difficulties in getting out of chairs or climbing stairs. Individuals may compensate for this weakness by adopting an unusual walking manner, known as the waddling gait. The muscle weakness and atrophy may also result in lower back pain. LGMD will progress to the shoulders affected which can make reaching over classified by its pattern of inheritance where the head, holding the arms outstretched childhood or symptoms may not be apparent disorders that are autosomal dominant are or carrying heavy objects difficult. It may until adolescence or adulthood. Males and classified as LGMD1 and those that are become increasingly hard to keep the females are equally affected. autosomal recessive, as LGMD2. Subsequent arms above the head for such activities as letters and numbers indicate which gene combing. Some individuals find it harder is known (or suspected) to be involved in to type on a computer and may even have the disorder. The different types can also trouble feeding themselves. The onset of LGMD can occur in Causes of limb girdle muscular dystrophy Several different genes that normally lead to the production of muscle proteins have been identified as mutated in LGMD. In 2005, eleven of these genes had been identified. When these proteins are not produced properly, due to a faulty gene or genes, the cells in the muscles fail to function properly. Most types of LGMD are inherited in an autosomal recessive manner and some in an autosomal dominant manner. Six of the genes that cause LGMD have been found to affect the proteins in muscle cell membranes, which are protective, thin coverings. When these proteins are missing as a result of the gene mutation, the membrane cannot adequately protect the muscle cell from injury caused by normal contractions. The muscle membrane may also be “leaky” and let substances in or out of cells that are supposed to remain on one side. Several other unidentified functions in touch // WINTER 2012 // PAGE 24 be classified according to the missing or deficient protein. As the causes of individual types of LGMD are better understood, the term “limb girdle Progressively, muscles of the face and distal muscles, such as the lower legs, feet, forearms and hands, may become affected and lead to considerable weakness. Calf muscles may appear unusually large (pseudohypertrophy) as fatty deposits accumulate and replace lost muscle tissue. Mobility may become increasingly restricted and 20-30 years from onset, individuals with LGMD may lose independent mobility and a wheelchair may become a necessity. Wheelchair options can be discussed with an occupational and/or seating therapist. Late symptoms can also include contractures as scar tissue replaces normal elastic tissue. Contractures result in prevention of normal movement in the joint and makes the tissue resistant to stretching. These most commonly occur in the ankles and surgery may be an option to release them. For some Limb girdle muscular dystrophy individuals, contractures may be an early sign. Scoliosis, an abnormal curvature of the spine, can also become an issue. Spinal bracing may be required, and in more severe cases spinal fusion surgery. An orthopaedic specialist is beneficial in monitoring the scoliosis. Cardiac problems can arise such as weakness of the heart muscle (cardiomyopathy) or abnormal heartbeat (conduction abnormalities or arrhythmias). Arrhythmias can result in increased risk for heart palpitations (fast or irregular heartbeat) and syncope (loss of consciousness due to lack of oxygen to the brain). The heart must be monitored regularly and some problems may be controlled or treated with medication or devices (such as pacemakers), though severe forms can be fatal. Respiratory muscles may also be affected resulting in breathing Types of autosomal dominant (i.e only one copy of the altered gene leads to the condition developing) LGMD LGMD1A - an uncommon condition where heart and breathing problems may be a problem. LGMD1B - All are at risk of heart problems as well as muscle weakness. Faults in this laminin A/C gene involved also cause AD Emery Dreifuss muscular dystrophy, neuropathy and an unusual condition called lipodystrophy, as well as other conditions. Follow up for heart complications is very important, and there may be important implications for other family members. LGMD1C difficulties. When necessary, several options may be available to - Can present in many different ways including “rippling muscle disease” help maintain respiratory ability, ranging from exercises to the use of and muscle cramps. Muscle weakness seems not to be so severe in most ventilators. Like cardiac problems, respiratory problems can be fatal affected people. and therefore need to be monitored closely. LGMD1D, E, F Many researchers have noted that progression of LGMD is often - Very rarely reported so far faster and more severe when the onset is earlier, in comparison to individuals who develop LGMD later in adolescence or adulthood. Additional management of limb girdle muscular dystrophy Types of autosomal recessive (i.e two copies of the altered Wheelchair Access Shuttle Service gene are needed for the condition to be present) LGMD. LGMD2A calpain deficiency, Calpainopathy - Often presents aged 8-15, not usually very rapidly progressive. LGMD2B dysferlin deficiency, Dysferlinopathy, Miyoshi myopathy - Often presents in late teens. Difficulty standing on toes is an early feature. Usually slow worsening of problems. LGMD2C, 2D, 2E, 2F sarcoglycan deficiency, sarcoglycanopathy, previously called ‘autosomal recessive muscular dystrophy of childhood’ - Very variable. Usually causes problems in childhood. Monitoring of breathing and heart function and treatment if necessary, is important. LGMD2G - First reported in Brazil SuperCare4u LGMD2H - First reported in Canada • Professional Drivers • Safe and Courteous • Airport Transfers • Door-to Door Service • Wheelchair/Stretcher Access • Non Emergency Medical Assistance LGMD2I -a relatively common form of LGMD, and can resemble Becker MD. Some patients may develop problems with their heart and breathing and should be monitored for this. TELEPHONE OR ONLINE BOOK A RIDE (09) supercare_poster_show_841x594.in1 1 BOOK A RIDE 630 2060 www.SuperCare4u.com IN Touch // WINTER 2012 // PAGE 25 8/17/09 12:05:56 PM Your condition in review ... continued from the previous page From an early stage, it is important to undergo regular exercise and stretching programmes, with the help of a physiotherapist, to maintain muscle strength and flexibility. Swimming is an excellent option to exercise and mobilise all muscles and joints. A good diet with plenty of fresh fruit and vegetables is very important in ensuring excessive weight does not impede mobility. Diagnosis of limb girdle muscular dystrophy Diagnosis usually commences after the Life with limb girdle By Leanne Johnstone Hi, my name is Leanne; I am 45 years old, married and have a 16 year old son. I was adopted at the age of five so obtaining any medical information was difficult. My adoptive parents had me checked over medically, as I walked on my toes a lot, and were told I just had identification of key early symptoms of clicky hips and to treat me the same LGMD: as they would for their other children, which they did. • Muscle Biopsy – shows typical Growing up I was always a bit Leanne Johnstone signs of damage, the presence of certain slower at sports. It wasn’t until my This enables me to manage my cell types, such as inflammatory cells, and early twenties when my GP told me fatigue levels but learning to listen to can establish whether certain proteins are I needed to learn yoga that I knew I my body and adjust things accordingly reduced or absent needed to change GPs. Finally I got was a tough lesson to learn. I am still • someone to listen to me about what currently fully mobile and use an elbow was happening to my body. crutch for support. I have a power chair Electromyography (EMG) – observes the electrical activity of muscles and its consistency with activity typical of Within a week I was in hospital to use at work and to run errands LGMD individuals. getting so many tests done and not during my lunch break, as this helps • long after this I was told I had limb me conserve my energy. Blood Testing – elevated levels of creatine phosphokinase (CPK) are indicative of muscle problems girdle MD. Having an answer was both great My arms, legs and hips are the main areas affected which make getting (as it was nice to know it was not just up from the sitting position hard, gives a graphic presentation of the something in my head) and also scary. also climbing stairs and lifting things electrical activity or beat pattern of the As with anything, you go through from low levels is nigh on impossible heart to look for heart abnormalities different stages of grief and a lot of without help. • Electrocardiogram (ECG) – which thoughts and emotions and natural Soon after a diagnosis of LGMD in the family, it is essential that genetic counselling is arranged. Treatment of limb girdle muscular dystrophy As with many degenerative diseases of the nervous system, there is currently no known cure for LGMD. Treatment focuses on the prevention and management of symptoms and accompanying complications to help maintain optimal functioning as long as possible Research is being carried out in a number of centres around the world seeking to address the causes of LGMD. in touch // WINTER 2012 // PAGE 26 Social outings can be difficult but treatments, but in the end you just with planning and support from my have to get on with life. husband, son and friends I get there. I did just that, got on with life, and The biggest thing for me now is had my son at the age of 29. I had a managing my fatigue levels and getting great pregnancy, and an uneventful a balance in life. delivery. Things became a bit harder Exercise and stretching is important as my son grew and got heavier and I - I confess this is not my strong point found different ways of doing things and often let them slip by when I (as us kiwis do) to make my life easier. am feeling great and then wish I had I have always worked full-time up until last year when bouts of fatigue forced me to reduce my hours to a remembered them when my muscles start to get tight and sore. With the support of my loving four-day week. Working two days then husband and son and close friends I having one day off, then working two feel I lead a full on life, one I don’t let more days. muscular dystrophy rule. Living with limb girdle muscular dystrophy A journey with LGMD Denise Ganley shares her story biopsy and this was sent to Perth for further I was originally diagnosed with LGMD around the age of 18 years. I think my study. The results came back that I have parents had known for some time that Calpainopathy or LGMD Type 2A which is a there was something not quite right, as I recessive condition. I had waited 21 years to did myself, but the process for getting a get that confirmed diagnosis and was told diagnosis seemed to take quite some time I was the first person in NZ to be officially as there was no family history. I remember diagnosed with this. As both of my parents being told I had a variety of different are dead we were unable to do any testing on conditions including SMA but after many them but it looked likely that they were both tests and a muscle biopsy this was changed carriers of this recessive gene. A simple blood to limb girdle muscular dystrophy. test on an aunt and uncle revealed that one of them was also a carrier and suddenly the One of the early signs was having great difficulty with running and doing PE in puzzle was complete. An amazing story as general. The annual school cross country my father was from Hamilton and my mother was an absolute nightmare for me and I would go to extreme lengths to get out of MDN’s Denise Ganley with her husband, Steve, and two daughters. was from Dublin, Ireland. The odds of them having an affected child was one in four and unfortunately I was it. it, including taking a massive short cut that made my cross country about a quarter of that I shouldn’t waste time with a manual what everyone else was doing. chair as that would have been a very short- I set about trying to find out what research Now that I had this confirmed diagnosis term solution. I think she was quite right in was being done and I stumbled across a lab really make much of a difference to me and this but I do remember taking quite some near Bordeaux who were doing research I didn’t dwell too much on the future. I went time to adjust to being a wheelchair user specifically into this. I emailed them and had off to Auckland University and later to the when I had always been ambulatory. a response to say that they had ceased doing Getting a name for my condition didn’t Wellington College of Education for further With an active toddler and a new baby some of this work. study, before taking nine months off work to the wheelchair became essential as it travel through Europe in a campervan with allowed me to independently care for my which has an aim to raise money for research Steve who I met when I was 24 years old. children at home while Steve went to work. into Calpainopathy. They held a conference Then just recently I found the C3 Group A move to a new and more accessible house in California last year and also have a Patient progress and I often felt it was hard to know also meant that I was able to make more use Registry which I have joined. They currently or be able to chart when these changes of the wheelchair, and around this time we have more than 100 people on this, which would come about. It felt like I was able to got a platform hoist fitted to the tow bar of is a good result considering the condition do something one day but not the next. the Jeep so that we could transport it. is so rare. As part of this they also have a Obviously my condition continued to Stairs became very difficult and we had to Although I had seen other neurologists it closed Facebook group for those living with put a lift in at home as well as some other wasn’t until Dr Richard Roxburgh started at the condition or their family members. I have minor changes. Getting up out of chairs Auckland Hospital that I felt someone finally joined and have found it really interesting and out of bed was also difficult. It seemed started to take more of an interest. He decided to read of other people’s stories which are I needed to have a ‘high rise’ world where we needed to look further into my condition very similar to mine. The people are from all everything was jacked up for me to be able to in fact determine that this was what I really around the world and there are 54 of us that to get up independently. did have. I knew that with a diagnosis of a belong to the group at this stage. recessive form of LGMD it would have been My outlook has always been a positive 29 years old and the second when I was 33. very unlikely for my daughters to have been one and I strongly believe that you just have At some point between those two events I affected, but it was a real shock to me to to make the best of what you have been got a powered wheelchair. Ruth (the MDA think that I might have been living with a false dealt. I feel lucky to have a very supportive physiotherapist) convinced me that the diagnosis all of this time. partner and two wonderful daughters. My first daughter was born when I was power chair was the sensible option, and Dr Roxburgh organised another muscle IN Touch // WINTER 2012 // PAGE 27 Your condition in review Experiencing life with and beyond limb girdle MD By Maxine Palmer What a journey my life has been. My name is Maxine and I have early onset limb girdle muscular dystrophy, a condition that primarily has weakened and wasted away the muscles in my shoulders and neck, down my back around my torso and stomach and in my hips and thighs. I have lost a lot of muscle, which has been replaced by fatty tissue, but the condition stops there and I have relatively normal strength in my face muscles, hands, calf muscles and feet. from the school chair. One day at the school’s and minimal scarring. Watching the needle girdle is rare and quite severe in progression. “spring day”, where we brought along pets go in, though, was all too much for me and When I look back to my childhood, our for show and tell and we had races like sack I got off the table and went down the hall family of six lived on a sheep and beef farm and egg and spoon races, my brother and I screaming. They then put me under general in Canterbury at the foot of Mount Grey. were in a race with the other children and, as anaesthetic and the procedure went well, but There were my mum and dad, my two the race started, we were still at the start line the results came back confirming that I had older brothers, myself as the middle girl trying to run while the other children were limb girdle muscular dystrophy. and my younger sister. We were toddlers going over the finish line. The local general in the 1970’s, my father adopted my older practitioner had come to the event and while to be in a wheelchair in our twenties and we brother, when my Mum and Dad married and watching us, he realised that something was would have a shortened life span, perhaps therefore my older brother, due to different not adding up. After talking to Mum and living till our late forties or fifties. At this genetics, does not have muscular dystrophy. Dad, he referred us for tests and a biopsy at point the medical profession could do no This particular kind of auto-recessive limb The doctors told us that we could expect Christchurch Public Hospital. At the time, I was more for us and suggested we try to live as that inherits muscular dystrophy. One chance about eight years old and I was chosen to be close to as normal life as possible. So we all out of twenty for every child. It must have the one to undertake the tests - more simply grew up going to a mainstream high school been strong in our family or we hit the put I was the guinea-pig. I spent a month which included some accessible classes. We jackpot as my second brother, my younger in hospital recovering from the biopsy and I were still walking at this stage and we did sister and I have all inherited limb girdle. did enjoy the hospital food and lemonade. I not have any intervention from occupational This is quite rare, we are perhaps the ‘one did not enjoy so much the medical students or physiotherapists. My brother went on to of a few’ or the only family to have three observing me and my condition, although do a computer course and then worked for a offspring with limb girdle muscular dystrophy I realise this helped them learn and inform famous New Zealand photographer; he saved in New Zealand. research and doctor practice. I felt at times on up and bought his own home, he travelled and display and a bit violated. lived out his dreams while spending time with Usually there is only one child in a family I don’t remember much of how our In the eighties, diagnoses for muscular friends and family. Sadly, having been ill for years, Mum said that I used to drag myself dystrophy was in its infancy stage; the tests more than two years my brother died at the around on my bottom a lot and didn’t start were less developed than today and not age of thirty from congestive heart failure in crawling until I was four or five and I even much was known about the varying types. conjunction with respiratory distress. I had not crawled outside a lot until I was eight years The biopsy results came back inconclusive - I realised just how ill he was and it came as a big old. We did not go to preschool and stayed might have some other condition or I might shock for all our family when he passed away. on the farm until we were five and then went have MD. We knew he wasn’t breathing well but did not condition affected us in the early toddler to a local rural primary school. Mum and When I was fourteen I was sent to Dad had no idea that we had the condition; Dunedin hospital for another more advanced Mum just put our slowness down to slow biopsy called a needle biopsy. I could still realise how compromised he was. We miss him heaps and we have grieved a lot as a family. My sister after high school and university development, but then again not much was walk at this stage and got up on a bed in the left home and began living independently known about muscular dystrophy in the 70s consult room, where a doctor pushed a large in her own home in Christchurch, with the and 80s. needle into my thigh and extracted a small support of family and carers. I left high mass of muscle tissue. This is a less invasive school and started flatting and had some type of biopsy, requiring less healing time of the most fun and best times of my life. At primary school I remember it was incredibly hard to stand up from the mat and in touch // WINTER 2012 // PAGE 28 Living with limb girdle muscular dystrophy Working as a machinist, I then completed a fashion and design two year diploma which, due to partying, was at times a challenge. I had my own car and enjoyed driving. I lived with a partner and did some more courses and I did voluntary work at the Christchurch City Mission. I found that fashion and sewing was not my real passion and calling in life and I had a light bulb moment - I needed to study and devote my working life to the social services. I then completed a yearlong counselling course and went on to complete a Bachelor of Arts double major in psychology and sociology. I worked for two years part-time as a coordinator of social services working with domestic and family violence. I have since then completed postgraduate studies in sociology. I am a sociologist at heart and this will always be. Currently I am doing voluntary community work, fitting it around my big care schedule. I am training and working as a budget advisor and also I carry out and collaborate on projects to make the Waimakariri district “accessible” for people who use wheelchairs, who use crutches, the elderly on scooters and on walking frames, people with sensory and sight impairments, even mums and dads with prams. Anyone who has difficulty in accessing the able-bodied environment. I started falling a lot when I was twenty two - one fall so bad that I ended up in bed for three weeks - and at this point I went into a powered wheelchair permanently. At this stage my cardiologist noticed that I had a stretched left ventricle cardiomyopathy, resulting in some build up of fluid in my feet, due to my heart not keeping up with the workload. I was put on a diuretic and ace inhibitor medication. I can happily say that my heart has repaired and is working well with normal output. Sometime after the time I spent grieving for my brother’s death, I became quite scared about mine Maxine Palmer, during a much enjoyed trip to Queenstown and my sister’s health and mortality. It heart cells from toxins and cell death. Co-Q became apparent to me that my sister and 10 also helps to strengthen the heart beat I may not live into our forties and fifties as and help with the pumping of blood around the doctors in the eighties had suggested. I the body, as co-Q 10 provides energy to went to visit the neurologist who confirmed the cardiac cells, across the mitochondria. that we had severe early onset limb girdle, In conjunction Levo-Carnitine or L-Carnitine type 2C or 2F, almost as severe as Duchenne also provides energy to the cardiac cells, muscular dystrophy. I then decided to set off and is shown to prevent congestive heart on my own health research search. Because failure and, if people are already in the initial I had learnt research skills in my degrees, I stages of heart failure, both Co-Q 10 and spent a couple of months getting out books L-carnitine are shown to reduce, slow down and reading medical research and journals and combat the cycle of heart failure. The online. I weighed up all the evidence and positive health outcomes are reinforced by medical information and made up my own also taking omega 3 and 6 fish or flaxseed health elixir to sustain my own and my oil which help to prevent or reduce heart sister’s health and longevity. I found out that failure. Also a high dose of magnesium has many studies were showing the benefits to been shown by studies in New Zealand preventing and or reducing the possibility and overseas to help prevent arrhythmias of congestive heart failure, by taking certain and conduction problems of the heart by natural pharmanutricuticles. I started taking keeping the heart beat even and steady. Co-enzyme 10 in a high dosage of 150 mg, I take these supplements alongside the one a day. Co-Q 10 is widely shown to be a traditional medications prescribed by my radical antioxidant that protects the delicate cardiologist and, with a healthy diet and ... to be continued on the following page IN Touch // WINTER 2012 // PAGE 29 Your condition in review Maxine Palmer’s story .....continued from the previous page the workload off my heart. swimming exercise, I maintain good oxygen and I invented a toilet bottle made out of wellness, health and longevity to the weekly levels, good circulation and I keep in good a plastic milk container and I would push swimming that I undertake and enjoy. I health. My sister also benefits from this health myself forward in my chair and toilet myself believe that it has saved my life. While recipe and keeps good health. I have often with this invention. I started having some swimming, due to the buoyancy, I can even been told by people around me to share my care from carers and could still be lifted with stand up and walk for the first time in some story in the possibility that I might help others a lifting belt. I lived life this way quite well years. I have improved my blood flow and in some way. The health elixir that I take is into late twenties. I progressively became circulation and have maintained the muscle of my own risk and choice and not specified weaker and I found that the passive stretches in other areas of my body that are not by my cardiologist or doctor, therefore I am I was doing were not enough to keep me affected by my condition. More importantly personally responsible for any benefits or flexible and keep some muscle condition. I have kept my diaphragm breathing muscles risks. Luckily for me, the natural state of the Also I felt that my circulation was getting in good condition by strengthening them. pharmanutricuticals and medical research worse due to lack of exercise and so I studies showed minimal or no risks and many lobbied my physiotherapist to assess me my share of frustrations from having my health benefits, I decided to go for it and I for swimming. I find that there is a culture condition, I am for the most part really have been going from strength to strength. in New Zealand that promotes passive enjoying life. I go out on social outings exercises, usually carried out on a bed, which during the week, I read and cook, I spend consult their doctor and/or cardiologist overlook the benefits of gentle exercise and time with my family, friends, my boarder before considering using this or alternative circulation of hydrotherapy and swimming. and my cats, I am dating and I really enjoy health regimes and, most importantly, It must be noted for some people with the community work I do as I feel like always take the medications prescribed by conditions that passive exercises may be all I’m contributing something back to my your health specialists - the supplements that can be managed, depending on their community and society. My journey through I use are extras that I add on top of my health and circumstances, but for others that this life continues and I am looking forward traditional medications which repair and take would benefit from hydrotherapy I can’t say to the future. I must stress that individuals should When I was twenty three, my brother enough about the benefits of water exercise for health. Until this day I credit my own These days even though I still have Feed Yourself again… Independently Reduce fatigue and pain of the arm Strengthen your arm muscles Use a Keyboard to communicate again To view a video: scan this QR code with your Smartphone and click ‘Media’ – or visit medifab.co.nz/multilink MULTILINK TOP There’s an arm support for you! Medifab supply 9 different upper limb systems, and we tailor each one to perfectly meet your needs and unlock your arms. Contact the friendly team at Medifab today to chat about how your arm function can improve or arrange a FREE assessment trial. DO THINGS AGAIN you thought you never could… Call: 0800 543 343 Email: bruce@medifab.co.nz www.medifab.co.nz WREX Research and relevance Biglycan – a promising therapy A protein that has shown early promise in preventing the loss of muscle function which is working toward human trials of biglycan. in mouse models of Duchenne muscular Last month the USA Muscular dystrophy has been found in a new study Dystrophy Association, which helped to be a key player in the process of joining support Fallon’s new study, gave Tivorsan nerves to muscles. a $1 million grant. The protein biglycan needs to be Now Fallon’s research group has found present to stabilise synapses at the another important role for biglycan. In neuromuscular junction after they have the new multi-institutional study, lead formed, according to research led by author Alison Amenta and a team of Brown University that appears in the other scientists found that biglycan binds February 14, 2012, issue of the Journal of and helps activate and target a receptor Neuroscience. enzyme called MuSK, which works like a “What neuromuscular junctions do master regulator over other proteins that second-by-second is essential for our build and stabilise the neuromuscular brain to control movement and they are junction. also important for the long-term health Mice engineered to lack biglycan of both muscle and motor neurons,” says developed normal junctions at first, but Justin Fallon, professor of neuroscience at by five weeks after birth their synapses Brown University and the paper’s senior became much more likely to break up. author. “A treatment that sustains or The scientists saw that up to 80 percent supports the synapse could promote the of synapses in biglycan-lacking mice health of motor neurons and muscle.” were unstable. Biglycan-lacking mice also Previous work has shown that in showed other structural defects including mice with the same genetic mutation as misaligned neurotransmitter receptors and Duchenne patients, biglycan promotes extra folds near synapses. the activity of another natural protein, found that in mice lacking biglycan, the muscle degradation that patients levels of MuSK at neuromuscular junction experience. Utrophin essentially takes synapses were reduced by a factor of over for dystrophin, which is the protein more than 10. In another experiment, they Duchenne patients cannot produce. In found that recombinant biglycan could 2010 Fallon’s biglycan intellectual property rescue the stability of synaptic structures was licensed to the Providence startup in model cell culture system. company Tivorsan Pharmaceuticals, TREAT NMD update procedures and joint research for on its website: http://www.treat-nmd.eu/ Duchenne muscular dystrophy. The three year action plan is ambitious Workshop for parents July (date and venue to be confirmed) Palmerston North Official opening new MDA National Office premises Friday 3 August Penrose, Auckland Spring In Touch contribution deadline Wednesday8 August Email: kimberley@mda.org.nz Waikato Health and Disability Expo Friday 14 to Saturday 15 September Claudelands Events Centre Hamilton Riding the Wave 2012 neuromuscular conference Friday 5 to Saturday 6 October Bond University, Gold Coast Australia communications, standard operating year action plan, which can be viewed about/network/action-plan/ HDC National Disability Conference Monday 11 June Alexandra Park, Auckland Email: conference@hdc. org.nz Amenta, Fallon and their team also utrophin, that can significantly reduce TREAT NMD has announced its three- Events to diary Standards of care for facioscapulohumeral muscular dystrophy, and includes a number of tasks associated inclusion body myositis and myotonic with biobanking for neuromuscular dystrophy will be established and many research, patient registries, care and other initiatives that will be of benefit to trial site registries, outcome measures, the neuromuscular community. South Island Kids Camp Hamner Springs 10 – 13 October standards of care and diagnosis, IN Touch // WINTER 2012 // PAGE 31 in touch // WINTER 2012 // PAGE 32 Research and relevance Clinical trial tool developed for Charcot-Marie-Tooth disease An international study led by the University of Sydney and published in the Annals of Neurology has the potential to improve the design of clinical trials for the treatment of Charcot-Marie-Tooth disease, a disorder which affects the peripheral nervous system. Charcot-Marie Tooth disease (CMT) is among the most common inherited neurological disorders, affecting one in 2500 people. Symptoms such as leg weakness, foot pain, trips and falls develop in to more than 170 children aged three to 20 with varying types of CMT in Australia and internationally via the Inherited Neuropathies Consortium. Analysis of this data supported the viability of CMTPedS as a reliable, valid and sensitive global measure of disability for children with CMT from the age of three years. The CMTPedS can be completed in 25 minutes and will have broad application in clinical trials of rehabilitative, pharmacological and surgical interventions. “There is growing international support for the rating scale to be the first two decades of life, with some patients wheelchair bound by implemented as the primary outcome measure in studies of children 21 years. Currently there is no treatment for any form of this disease, with CMT because the quality of the measure has the potential to but clinical trials are increasingly occurring. influence the outcome of clinical trials and patient care,” Associate “While it is very positive that clinical trials are taking place in this area, it is vital that trials are based on appropriately selected patients Professor Burns says. This research was supported by grants from the National Health and carefully chosen outcome measures,” says Associate Professor and Medical Research Council of Australia, the National Institutes Joshua Burns, Chief Investigator from the University of Sydney and of Neurological Disorders and Stroke’s Office of Rare Diseases, The Children’s Hospital at Westmead. “This relies on being able the Charcot Marie Tooth Association, the Muscular Dystrophy to measure disease severity accurately, and in turn the patient’s Association and the CMT Association of Australia. response to treatment, which we were previously unable to do in children.” In response, Associate Professor Burns and colleagues from the USA, UK and Italy have designed the CMT Pediatric Scale (CMTPedS), a patient-centred multi-item rating scale of disability for children with CMT. “Rating scales used for adult patients are inappropriate for children and since most forms of CMT affect children there was an obvious need for a new clinical tool.” “Furthermore, it is during childhood that we anticipate that treatments for CMT may be most effective – before the disease progresses and makes repair more difficult.” During a 14-month test period the CMTPedS was administered Visit ClinicalTrials.gov The number one website for current information on clinical trials ClinicalTrials.gov is a website freely available that offers up-todate information for locating clinical trials for a wide range of diseases and conditions including neuromuscular conditions. Every reputable clinical trial will register with ClinicalTrials. gov. If you’re asked to take part in a clinical trial but it’s not listed on the clinical trials website ask the investigator why not. ClinicalTrials.gov currently contains more than 120,000 trials with studies conducted in 178 countries around the world. Simply enter clinicaltrials.gov into your browser and click on “Search for Clinical trials”. IN Touch // WINTER 2012 // PAGE 33 NEW TO INVACARE NEW Cushions: Matrx® Vi/Kid*ab*ra-Vi Cushion/Base I N VA C A R E ® The Matrx® Vi /Kid*ab*ra-Vi cushions are designed to provide skin protection and positioning for users at moderate to high risk of skin breakdown. The unique 3 part foam construction targets skin protection to where it is needed most, and features improved stability, support and comfort. Matrx Seating ® Series Kid*ab*ra fabric standard on pediatric sizes. 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The full range of patent pending hardware options ensures optimal adjustment for the widest range of applications, while the lightweight carbon fiber shell provides exceptional support and durability. For further information or to request a trial freephone 0800 468 222 or visit www.invacare.co.nz Legally mindful Dr Huhana Hickey is an education and law reform solicitor with recent experience at Auckland Disability Law (ADL), a community law centre service that aims to meet the unmet legal needs of Aucklanders with disabilities. Huhana has direct experience in issues relating to disability. She was the sole solicitor with ADL until February this year when she took on a new part-time role in education and law reform to try and concentrate on the legal issues rather than the case law for Aucklanders with disabilities. Promoting awareness-training programmes regarding persons with UN Convention on the Rights of Persons with Disabilities - disabilities and the rights of persons with disabilities. Article 8 - Awareness-raising What all of this effectively means is that the Government will work For this edition of In Touch I am back to continuing a focus on to make sure the community is aware of its rights and obligations the different articles in the UN Convention. Each article has its own to the disability community to understand the Convention, to strength and to know what they all mean for you is important if you understand that there should be no discrimination in their lives, are going to begin to understand why we need the Convention and to remove stereotypes of disabilities and to promote the rights of what it will do for the disability community. persons with disabilities at all levels of education. Is this currently happening? Since the signing of the UN Article 8 states: Convention by NZ in 2007 and ratifying it in 2008 there has been the 1. introduction of a disability specific Commissioner with the Human Parties undertake to adopt immediate, effective and appropriate measures: Rights Commission. In the past we had Commissioners with the To raise awareness throughout society, including at the family level, portfolio but Catherine Delahunty of the Green Party introduced a regarding persons with disabilities, and to foster respect for the bill in 2010 to legislate for a Commissioner with a specific disability rights and dignity of persons with disabilities; portfolio. Paul Gibson is this Commissioner and he is with the Human To combat stereotypes, prejudices and harmful practices relating to Rights Commission. His job is to oversee disability issues through the persons with disabilities, including those based on sex and age, in Commission as per the Human Rights Act 1993. all areas of life; The Government has not begun a program that centres on To promote awareness of the capabilities and contributions of breaking down the discrimination yet and they have not worked on persons with disabilities. promoting the education of persons with disabilities. With the latest announcements of shutting down special needs schools, of changing Measures to this end include: the welfare laws and of forcing persons with disabilities into work Initiating and maintaining effective public awareness campaigns if they are seen to be capable of working for fifteen hours or more designed: a week does lend one to question whether or not the Government To nurture receptiveness to the rights of persons with disabilities; itself understands the Convention and what it entails or whether we To promote positive perceptions and greater social awareness as a community need to remind the Government of its obligations towards persons with disabilities; regarding disability and the Convention. To promote recognition of the skills, merits and abilities of persons We as individuals and MDA as a community organisation with disabilities, and of their contributions to the workplace and have a duty to remind the Government of their obligations and the labour market; responsibilities to the disability community and write to the disabilities Fostering at all levels of the education system, including in all MInister, to the Office of Disabilities Issues to remind them of these children from an early age, an attitude of respect for the rights of obligations or they will continue ignore our needs and our rights as persons with disabilities; citizens in New Zealand. In the next edition, I will look at Article 9 Encouraging all areas of the media to portray persons with which is on accessibility. disabilities in a manner consistent with the purpose of the present Convention; Dr Huhana Hickey IN Touch // WINTER 2012 // PAGE 35 At ease Ben Robertson shares his views on life, opportunity and finding peace Ben Robertson New Zealand sporting success continued this month with close to the Breakers during the regular season. The Breakers won the New Zealand Breakers winning the Australian Basketball the first game but only very narrowly. C.J Bruton being the only real Championship for the second straight year. The Breakers topped difference between the teams and his three in the dying seconds the points table throughout the series, won home court advantage of overtime gave them the win. The second game also came down for the finals by beating six time champions Perth Wildcats on their to the last shot, but this time the result wouldn’t be in the Breakers home court and looked as though they were a class above many of favour. Wildcat Shaun Redhage sealing a one point win with a their opponents for much of the regular season. So it was bitterly tremendous block in the final play of the game, keeping the series disappointing to see them lose the first of the three game semi- alive and necessitating a third and final game. final series to fourth place Townsville Crocs and put themselves in a must win situation. The situation, although disheartening for fans, was nothing The grand final was everything fans could wish it would be. Neither team got ascendancy and like the previous two games this game would come down to the wire. Every-time one team new to the team. Last year they did the same thing. Giving up their got ahead the other would quickly come back. With the scores hard-won home court advantage and letting the game get out very close and lest than a minute left, C.J Bruton calmly slotted his of their hands without really firing a shot. Last year, we had Kirk signature three. Down the other end, the Wildcats had to score. Penny. But this year we did not have anyone to score most of the But when they took their shot it was blocked by Abercrombie. The points. The Breakers would have to play as a team with each man Breakers now had a chance to put the game beyond reach and contributing in order to have a chance of advancing to the finals, claim their second straight championship. The ball came to Bruton add to this the pressure of playing at your opponents home and the and he did the exact same thing he had done moments before, the dream of being back-to-back champions was certainly in jeopardy. Breakers lead was now unassailable. But to win a championship you have to be a champion team and With the Rugby World Cup and now back-to-back the Breakers proved that they had what it takes to go all the way championships in the Australian Basketball League New Zealand by snatching victory, much to the disapproval of thousands of fans sport is once again in fine form, don’t forget to mention this fact cheering for the other team. Forcing a third game of the semi- next time you see an Aussie! finals, which would be a winner-take-all game, which was to be played on the Breakers home court. Once again they had the odds stacked in their favour and proved too strong for Townsville partly because they had reliable scoring options all over the court. For Breaker’s fans the only lull came in the dying minutes of the game when swing-man Tom Abercrombie suffered an ankle injury after being pushed from behind and falling awkwardly. His role in the finals would be unknown, but at least the team had made it. The finals were against Perth, the only team that really came in touch // WINTER 2012 // PAGE 36 Ben GenY ine issue I know I’ve said this before, but my wheelchair really is one of the best things I own. For a number of reasons I consider the electric wheelchair to be one of the best inventions ever! Did you know that Canadian inventor George Johann Klein invented the electric wheelchair during the 1950s for injured World War II veterans? Since then the wheelchair has progressed to such an extent that new generations of wheelchairs have features that are totally astonishing. Gone are the days where there was limited choice of wheelchairs and features. Nowadays many companies are developing high tech and refined wheelchair technology. One such company is Toyota, which has created what is believed to be one of the most high tech and expensive wheelchairs in the world. The Toyota i-REAL has features that The back of the wheelchair has a small platform, which are not only practical but also ‘fun’. These include a social wasn’t used for much until one day my friend was really tired networking display capable of sending and receiving messages and decided to stand on it. That was the beginning of a new from other wheelchair users, as well as a full colour LED display way of travel for us. We now go out with me sitting on the on its exterior that the user can change the colour of or even wheelchair and one of my flat mates standing on the back. project images onto. When we are leaving the flat they race to see who is going to Although my wheelchair is not nearly that high tech, I still stand on the back, it has become quite the popular activity. think it’s pretty great. Apart from the obvious, getting me We do get a lot of stares but most people smile, and one guy from point A to point B, it has so many other practical uses. asked if the wheelchair was a segway while another made up a Firstly, I can get to places in record time. A trip that takes my song about it. friends 20 minutes takes me half that time. Sometimes I catch It’s fair to say that I love my wheelchair and all of its a glimpse of myself going past a window at full speed, and it features, both the specified features and the ones invented by does look like it a bit of an oxymoron. A girl in a wheelchair my flat mates and I. We often joke that all four of us need a speeding past everyone who is walking. But it comes in very wheelchair, as it’s just so handy. We’re currently thinking up a handy, especially since I have timed it and found that I can name for the wheelchair, so any suggestions would be greatly leave the flat four minutes before my 9am class starts and still appreciated! Don’t forget, if you have any questions or just get there on time, giving me a few extra minutes of sleep in want to chat you can email me at shchristie@live.com or add the morning. me on Facebook. Another impressive feature is my wheelchair’s ability to carry not only me but multiple other items. Occasionally the wheelchair is piled high with our flat’s groceries after a visit to the supermarket, so when people are walking towards us all Stacey Christie, MDA Young (Rangatahi) Representative they see of me is my head, and the rest is covered by shopping bags. One time we even pulled a shopping trolley behind the wheelchair like a trailer, but that’s a different story. IN Touch // WINTER 2012 // PAGE 37 CONDITIONS COVERED BY MDA • Duchenne Muscular DISEASES OF THE MOTOR NEURONS: Dystrophy • Spinal Muscular Atrophy - DISEASES OF THE NEUROMUSCULAR JUNCTION: • Becker Muscular Dystrophy all types including Type • Myasthenia Gravis • Manifesting carrier of 1 Infantile Progressive • Lambert-Eaton Syndrome Muscular Dystrophy Spinal Muscular Atrophy • Congenital Myasthenic • Emery-Dreifuss Muscular (also known as Werdnig Syndrome Dystrophy Hoffman Disease) • Limb-Girdle Muscular • Type 2 Intermediate Spinal Dystrophy Muscular Atrophy • Facioscapulohumeral • Type 3 Juvenile Spinal Muscular Dystrophy Muscular Atrophy • Myotonic Dystrophy (Kugelberg Welander • Oculopharyngeal Muscular Disease) Dystrophy • Type 4 Adult Spinal • Distal Muscular Dystrophy Muscular Atrophy • Congenital Muscular • Spinal Bulbar Muscular Dystrophies and Congenital Myopathies MUSCULAR DYSTROPHIES: Atrophy (Kennedy’s Disease and X-Linked SBMA) METABOLIC DISEASES OF MUSCLE - all types including: DISEASES OF PERIPHERAL NERVE: • Charcot-Marie-Tooth • Phosphorylase Deficiency Disease (CMT) (Hereditary (also known as McArdle’s Motor and Sensory Disease) Neuropathy) - all types • Acid Maltase Deficiency • Dejerine-Sottas Disease (also known as Pompe’s (CMT Type 3) Disease) • Hereditary Sensory • Phosphofructokinase Neuropathy Deficiency (also known as • Myotonia Congenita (Two forms: Thomsen’s and Becker’s Disease) • Paramyotonia Congenita • Central Core Disease • Nemaline Myopathy • Myotubular Myopathy • Inclusion body Myopathy • Periodic Paralysis • ` Andersen-Tawil Syndrome • Hyperthyroid Myopathy • Hypothyroid Myopathy INHERITED ATAXIAS • Friedreich Ataxia (FA) • Spinocerebellar Ataxias (SCA) HEREDITARY SPASTIC PARAPLEGIAS - all types - (HSP) (also called Familial Spastic Paraparesis) Tarui’s Disease) INFLAMMATORY MYOPATHIES: • Debrancher Enzyme • Dermatomyositis Deficiency (also known as • Polymyositis Cori’s or Forbes’ Disease) • Inclusion Body Myositis • Mitochondrial Myopathy (including MELAS, MERRF, NARP and MIDD) in touch // WINTER 2012 // PAGE 38 MYOPATHIES - all types: Should you have a query regarding a condition not listed please contact Barbara on (09) 815 0247, 0800 800 337 or email Barbara@mda.org.nz LEUCODYSTROPHIES - all types PHAKOMATOSES (conditions affecting the brain and the skin) • Neurofibromatosis Types 1 YES, I would like to help. Please accept my donation. Please charge my credit card: Visa Mastercard Other Credit Card No: Name on Credit Card .................................................................................................................... Expiry Date: / Signature............................................................................... Or enclosed is my cheque Your name ................................................................. Mailing address ........................................................... ......................................................................................................................................................................................... The privacy act 1993 requires us to advise you that your private details are held in our records for our purposes only, but should you wish us not to do so at any time you may advise us of this. Or to make an online donation go to www.mda.org.nz Return to: Muscular Dystrophy Association NZ Inc. PO Box 16 238 Sandringham, Auckland 1351, New Zealand. Others ways to donate: - You can call 0900 426 98 to make an automatic $15 donation via your phonebill - Donate an amount of your choice securely online at www.mda.org.nz You can also donate via Payroll Giving Payroll giving is a really easy way to make regular donations to the MDA while also helping you to reduce your PAYE tax. For example a donation of $20 earns $6.66 in tax credits that is taken off your PAYE, so MDA receives $20 and you keep $6.66. All you need to give your employer is our name, the amount you wish to donate and our bank account number. For more information contact us. To make a bequest to the MDA You may be thinking of making a will and may wish to include the MDA as a beneficiary. If so we suggest the following as an option for inclusion in your will: “I give and bequest to: Muscular Dystrophy Association of NZ Inc. …………% of my estate, or the sum of $......... for the general purposes of the Muscular Dystrophy Association, I declare that the receipt of an officer of Muscular Dystrophy Association shall be a full and sufficient discharge of my trustee”. THANK YOU FOR YOUR SUPPORT Charities Commission Registration CC31123 IN Touch // WINTER 2012 // PAGE 39 It might be you ..... or a family member, a neighbour or a friend. It could be a wee baby, or a retiree, and could happen at any stage in life. Muscle weakness and wasting conditions can strike anyone of any age, of any ethnicity. These disabling conditions are called neuromuscular conditions with most but not all being genetic in origin. Muscular Dystrophy Association Patron, Judy Bailey. We provide services to people with neuromuscular conditions - services that help them lead full lives You can help by • Telling family members affected by a neuromuscular condition about us • Supporting our fundraising efforts PO Box 16-238, Sandringham, Auckland Ph 09 815 0247 / 0800 800 337 www.mda.org.nz
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