Motor Neuron Physiotherapy Treatment
Motor Neuron is a progressive disorder of unknown cause in which degeneration of motor neuron in the spinal cord and cranial nerve nuclei and of pyramidal neurons in motor cortex. About 5% shown autosomal, dominant inheritance. Genetic defect lying in chromosome 21 the enzyme being involved is superoxide dismutase.
CLINICAL FEATURES |
Onset |
Usually after age of 50 years |
Very uncommon before age of 30 years |
Affects males more than females |
Symptoms |
Limb muscle weakness, cramps, occasionally fasciculation |
Disturbance of speech/swallowing |
Signs |
Wasting and fasciculation of muscles |
Weakness of muscles of limbs,tongue,face and palate |
Pyramidal tract involvement causes spasticity, exaggerated tendon reflexes extensor planter response |
External ocular muscles and sphincters usually remain intact |
No objective sensory deficit |
No intellectual impairments |
Course |
Symptoms often begin focally in one part and spread gradually but relentlessly to become widespread |
Motor Neurone Physiotherapy Measures
- To maintain and improve mobility
- Improve muscle strength, balance coordination
- Improve in gait
- Improve in quality of life and rehabilitate to ADL.