Vocal Cord and Pharyngeal Distal Myopathy, also known as distal myopathy with vocal cord weakness, is related to amyotrophic lateral sclerosis 21 and distal myopathy 2. An important gene associated with Vocal Cord and Pharyngeal Distal Myopathy is MATR3 (Matrin 3). Related phenotypes are hyperreflexia and dysarthria