How PhysioFunction can help manage Motor Neurone Disease (MND)

Physiotherapy plays a crucial role in managing Motor Neurone Disease (MND) by helping maintain muscle strength, joint flexibility, and mobility, while also addressing pain, breathing difficulties, and promoting independence through tailored exercise programs and assistive devices.

Some of the key interventions include:

• Tailored Exercise Programs: Individualised exercise plans to maintain strength in muscles that are still functional, preventing further deterioration and muscle atrophy.

• Passive and Assisted Exercises: Therapist guided passive or assisted exercises to help maintain range of movement in joints and prevent stiffness, even in muscles affected by MND.

• Neuromuscular Electrical Stimulation (NMES): This technique can help maintain muscle function and prevent atrophy.

• Hydrotherapy: Gentle exercises in water can be beneficial for maintaining strength and flexibility, especially when other forms of exercise become difficult.

• Breathing Exercises: Techniques can be taught to help clear the chest and improve breathing efficiency, which can become challenging as MND progresses.

• Respiratory Interventions: Providing guidance on managing breathing difficulties, including the use of assistive devices like non-invasive ventilation.

• Positioning and Posture: Ensuring maintenance of good posture and providing advice on proper positioning to prevent contractures and maximise comfort.

• Mobility Aids: Recommendations and training for individuals on the use of assistive devices like walking aids, wheelchairs, and other mobility aids to maintain independence.

• Falls Prevention: Carry out assessments on fall risks, providing strategies, assistive equipment and training to minimise the risk of falls.

• Functional Training: Assistance in practicing functional tasks like standing, walking, and transfers to promote independence and teach ways to make these tasks easier.

• Stretching and Massage: The use of manual therapy techniques, such as soft tissue massage and joint mobilisation, to help reduce pain and stiffness in the muscles and joints.

• Pain Relief Techniques: Recommend and teach relaxation techniques and other strategies to manage pain and discomfort.

• Training for Carers: Education and training of family members and carers on how to assist with exercises, positioning, and transfers, ensuring safe and effective care.