Motor Neurone Disease

Motor Neurone Disease (MND) is a progressive disease that attacks the motor neurones, or nerves, in the brain and spinal cord. This means messages gradually stop reaching muscles, which leads to weakness and wasting.

MND can affect how you walk, talk, eat, drink and breathe. However, not all symptoms necessarily happen to everyone and it is unlikely they will all develop at the same time, or in any specific order.

Although there is currently no cure for MND, symptoms can be managed to help you achieve the best possible quality of life.

There are many forms of MND.

  • Amyotrophic lateral sclerosis (ALS).  Symptoms tend to start in the hands and feet. The muscles tend to become stiff as well as weak at first.
  • Progressive bulbar palsy (PBP). The muscles first affected are those used for talking, chewing and swallowing (the bulbar muscles).
  • Progressive muscular atrophy (PMA). The small muscles of the hands and feet are usually first affected, but the muscles are not stiff.
  • Primary lateral sclerosis (PLS).  It mainly causes weakness in the leg muscles. Some people with this type may also develop clumsiness in the hands or develop speech problems.

Our neuro physiotherapist will perform a comprehensive assessment of you and together we would identify the priority areas for you.

It is important to be a step ahead of this disease and have the support you require before you need it. This will give you the confidence to manage your MND and feel in control of your life.

How physiotherapy can help:


  • Support and advice
  • Exercise and fatigue management
  • Soft tissue and joint management
  • Improve balance
  • Improve movement patterns and prevent secondary compensations
  • Monitor changes
  • Provide advice on seating and posture
  • Advice regarding wheelchairs and assistive technology
  • Chest and respiratory support
  • Teaching of support workers and carers (manual handling, stretches, exercise, and chest care)

We will work with you maintain as active a life as possible. Empowering you to have a good quality of life.

Please see for further information.

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