This clinical progression created by Helen Posselt PT in Brisbane, is around 8 years old. For many today, these dreadful milestones will be thankfully delayed because of better treatment and care, most notably steroids and physiotherapy, cardiac and respiratory care. Around the world our scientists are working hard to refine a definitive strengthening treatment. But sadly, in many regions and in many families, here in Australia and around the world this natural progression may still be the best case scenario.