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Neuromuscular diseases

Spinal muscular atrophy (SMA)

An inherited disease that affects the motor nerve cells in the spinal cord and causes muscle weakness. In Türkiye, it has been included in newborn heel-prick blood screening since 2022.

Included in Türkiye's National Newborn Screening Programme (heel-prick test) since May 9, 2022. Source

This page is translated from the Turkish original.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

SMA is an inherited disease that affects the motor nerve cells in the spinal cord. These cells send movement signals to the muscles. As these cells are lost over time, the muscles become weak and thin. Weakness is greatest in the muscles close to the trunk.

Which symptoms can occur?

The age when symptoms begin and how severe they are vary greatly from person to person. They can begin in infancy, in childhood or in adulthood. The intelligence of children with SMA is not affected.

  • Weakness and floppiness in the arms and legs (common)
  • Difficulty sitting, standing or walking (common)
  • Trembling of the fingers (sometimes)
  • Curvature of the spine, called scoliosis (sometimes)
  • Difficulty breathing (sometimes; more often in severe types)
  • Difficulty swallowing and feeding (sometimes; more often in severe types)

How is it diagnosed?

The diagnosis is considered when muscle weakness and difficulty moving are noticed. The doctor examines the person and checks the reflexes. The diagnosis is confirmed with a genetic test done on a blood sample. This test looks for the change in the SMN1 gene.

Treatment and care

There are medicines and gene therapies that target the cause of the disease. These treatments work best when they are started before symptoms begin. But they cannot bring back nerve cells that have already been lost. Physiotherapy, mobility aids, and support with breathing and nutrition are also part of care. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

SMA is passed on through recessive inheritance: both copies of the gene are changed. The mother and father are usually healthy carriers. In each pregnancy, the chance that the baby has SMA is 25%. Early testing of brothers and sisters who have no symptoms, and genetic counselling, are recommended.

Source: MedlinePlus Genetics – Spinal muscular atrophy · NHS – Spinal muscular atrophy (SMA) · GeneReviews – Spinal Muscular Atrophy

Key facts

How common is it?
Prevalence: 1-9 per 100 000 (Europe) · Birth prevalence: 1-5 per 10 000 (Europe)
How is it inherited?
Autosomal recessive
When does it usually start?
Any age
Gene(s) involved
SMN1

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

Guides related to this disease

  • Home care and medical devices · Home health service, oxygen and respiratory device reports, wheelchairs and orthoses, power outage notification, emergency plan.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about SMA

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 54 active interventional studies for this disease. 26 are recruiting now; none has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Neuromuscular diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:70 · ICD-11 8B61

Codes checked against WHO ICD-11 and Orphanet on October 6, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.