Hi barbara my name is kathy ,my husband has msa, the one that is effected by the cerrabellum ,he has trouble walking, talking, coughs a lot and has terrible like hiccips sounds, lots of trouble swollowing, and just recently has had two uti,s he is slowly getting worse and spends most of the day reading or watchung tv which i feel is bordom as he has limited movement ,he is 68 yrs old and was diognosed 7yrs ago its a terrible disease and my heart goes out to all that are going thru this terrible disease ,all the best with everything kathy