Neuromuscular diseases clinic

Mission and mandate

The Clinic of Neuromuscular Diseases (CMNM) offers specialized adaptation and rehabilitation services to people with neuromuscular diseases and their families.

The interdisciplinary team of the CMNM has advanced expertise in these diagnoses and provides life-long support to those affected.  It also offers a wide range of health services and supports local health teams, such as CLCs, to facilitate the daily activities of its patients.

Our mandate has three objectives :

  • Provide specialized services to people with neuromuscular diseases to reduce the daily impact of these diseases.
  • Educate healthcare professionals, teachers, employers, and community organizations on neuromuscular diseases, their possible impact on patients’ lives, and how they can help.
  • Actively collaborate in research and facilitate the integration of research findings into professional practices.

Consult the clinic brochure (in French only)

Contact information

Clinique des maladies neuromusculaires (Neuromuscular diseases clinic)
Jonquière Hospital, 7th floor
2330, rue de l’Hôpital
Jonquière (Québec) G7X 7X2

Phone : 418 695-7777
Fax : 418 695-7758

Clients

The clinic’s services are available to people of all ages diagnosed with a neuromuscular disease from Saguenay–Lac-Saint-Jean, Chibougamau, and Côte-Nord.

Diagnoses can be made at the request of your family doctor, the genetic counseling service, or by the person themselves. Indeed, it is possible to make an appointment with one of the clinic’s nurses to discuss and make an informed decision based on each person’s reality and needs.

Neuromuscular Diseases

There are over 100 neuromuscular diseases in the region. Here are some examples of diagnoses presented by patients of our clinic:

  • Myotonic dystrophy type 1 (DM1)
  • Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS)
  • Oculopharyngeal muscular dystrophy (OPMD)
  • Amyotrophic lateral sclerosis (ALS)
  • Hereditary motor and sensory neuropathy with agenesis of the corpus callosum (HMSN/ACC)
  • Non-dystrophic myotonia (NDM)
  • Other muscular diseases

Neuromuscular diseases are complex.
They are characterized by several elements, including :

  • The hereditary nature of these diagnoses (familial disease)
  • The progressive and chronic nature of the conditions
  • Symptoms that can vary from person to person for the same diagnosis
  • Their rarity, which means that they are often little known to the general population and healthcare professionals outside specialized neuromuscular disease clinics (see the “Documentation” section for practice guides for healthcare professionals and doctors)

Visit the CORAMH website (in French only) to learn more about hereditary diseases.

Discover the offer of carrier tests, click here.

To learn more on neuromuscular diseases, visit the Muscular Dystrophy Canada website.

Learn more about amyotrophic lateral sclerosis (ALS), visit the ALS Québec website.

Clinical team

Neuromuscular diseases require an interdisciplinary approach in order to adequately respond to all the impairments and difficulties experienced by those affected.

Thus, our interdisciplinary team is composed of several health professionals with extensive expertise in neuromuscular diseases. We ensure quality follow-up of the health status of affected individuals, according to the evolution of the disease and each person’s needs.

Clinical nurse
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The clinic’s nurses are at the core of the care provided to people suffering from neuromuscular diseases. They are the most important link between the clinic’s services, health network services or community partners. They act as case managers and key workers.

  • They offer interventions that meet the needs of their clients. They are available to answer their questions and discuss their concerns.
  • They work in collaboration with their clients and various health professionals.
  • They coordinate and participate in the development of the services their clients need.
  • They assist their clients with other health services or community partners to obtain the services they need.

If you have any question, needs, or changes in your health condition, do not hesitate to contact the clinic to speak with your nurse by calling 418 695-7777.

Nadine Leclerc

Clinical Nurse and Clinic Coordinator.
Bachelor’s degree in nursing science, has been working at the clinic since 2001.

Aline Larouche

Clinical Nurse
Bachelor’s degree in nursing science, has been working at the clinic since 2007. She also completed a diploma in bioethics.

Nancy Bouchard

Clinical nurse
Bachelor’s degree in nursing science, has been working at the clinic since 2007.

Specialist physicians
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Specialist physicians diagnose and monitor your health condition.

The neurologist is the specialist physician who deals with neuromuscular diseases and who is involved early with affected individuals. Meetings with one of the CMNM neurologists take place regularly, with the frequency depending on the disease’s progression and the individual’s needs.

Occasionally, other doctors meet with patients directly at CMNM to support the team with specific issues related to their specialties : orthopedic surgeon, pulmonologist, neurogeneticist, pediatrician, general practitioner, etc.

Physiotherapist
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The physiotherapist primarily evaluates the impact of difficulties caused by the muscles and skeleton. They assess :

  • Balance, gait, and fall risks
  • Endurance, strength, flexibility
  • The safety of movements
  • Etc.

They propose interventions to help individuals perform activities safely and independently, such as walking aids, orthotics, exercises, etc.

Social worker
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The social worker collaborates with the affected individual, their family, and close ones. They provide support following the diagnosis announcement and during periods of distress or significant grief related to the disease.

The social worker also assists with life changes (new job, school transition, reaching adulthood, etc.) or other challenges. Group interventions are also available.

Occupational therapist
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The occupational therapist evaluates difficulties in performing daily activities, using hands, or dealing with fatigue. They propose interventions or adaptations to assist with activities such as:

  • Dressing
  • Personal hygiene
  • Eating (cooking and feeding)
  • Work or leisure tasks
  • Mobility, transportation
  • Etc.

They can offer advice on energy management, suitable accessories for carrying out activities, exercise programs, home adjustments, etc.

Neuropsychologist
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The neuropsychologist evaluates the impact of the diagnosis on behavior, emotions, memory, reasoning, logic, etc. To promote psychological health, they make recommendations, referrals, and interventions tailored to the needs of the affected individuals.

Nutritionist
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The nutritionist identifies difficulties in eating, such as difficulty swallowing food (dysphagia). They offer advice to help the affected individual eat sufficiently, such as:

  • Tips for adapting food texture or swallowing more easily
  • Tricks to reduce choking while eating
  • Tips for stabilizing weight
  • Etc.
Other members of the team
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Medical Secretary

Medical secretaries work in conjunction with nurses, doctors, and clinic professionals. They make it easier to track and update medical records and appointments.

Mission Coordinators

The mission coordinator supports the implementation of CMNM’s activities in its three missions (clinical activities, teaching, and research). They collaborate closely with the clinic team, particularly the three nurses, the medical coordinator (neurologist), and the director of the Interdisciplinary Research Group on Neuromuscular Diseases (GRIMN).

Knowledge Broker

The knowledge broker assists the practitioners by facilitating access to the best scientific and clinical knowledge on neuromuscular diseases. They develop practice guidelines for neuromuscular diseases in collaboration with the clinic team and experts, for both doctors and health professionals. They conduct knowledge transfer activities tailored to patients or professionals.

Program Manager

The Program Manager is responsible for the clinical-administrative management of the interdisciplinary team of the Neuromuscular Diseases Clinic. They organize, control, and evaluate activities related to the services provided in the program. They ensure the administrative and professional supervision of the practitioners.

Research

The CMNM team collaborates closely with the Interdisciplinary Research Group on Neuromuscular Diseases (GRIMN) to develop and implement research projects.

The success of the research projects conducted here relies on several key elements, including :

  • close collaboration between clinical and research environments
  • the interest of the regional population and individuals affected by neuromuscular diseases in participating in research projects

Partners

The CMNM works in collaboration with several partners in the health network, the school and employment sector, specialized residences, the recreational and community sectors, municipalities, adapted transportation, etc.

Aks your nurse to learn about organizations that may interest you.

Here are some examples :

  • Molecular Biology and Medical Genetics Service
    Neuromuscular diseases are genetic disorders. The medical genetics service helps diagnose or obtain information on various genetic diseases and their mode of transmission. This service is available to both the affected individual and their close and extended family.
    For more information: 418 541-1234, ext. 203238
  • CLSC Saguenay–Lac-Saint-Jean
    The CLSCs are there to meet your needs locally, for example, for home adaption. Click here to know the contact information of your CLSC.
  • Physical Disability Rehabilitation Center (CRDP) Le Parcours / Intellectual Disability Rehabilitation Center (CRDI)
    Your nurse will involve CRDP or CRDI professionals to address your specific needs that may require specialized intervention.

Community partners

Several community organizations support individuals with neuromuscular diseases. The two most significant for these diagnoses are :

Documentation

The documents listed here were produced by the clinical team, the research team, or jointly with other external partners.

For patients :


Pour les professionnels de la santé

Documents généraux

Infirmières

Outil de gestion intégrée de la santé pour la dystrophie myotonique de type 1 (OGIS-DM1)
Cet outil adresse la pratique infirmière pour la prise en charge et les éléments de surveillance pour la dystrophie myotonique de type 1.

Médecins omnipraticiens

Ergothérapeutes