PT Management Of MND

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44 likes•5,828 views

This document appears to be an assessment from a physical therapist. It lists a problem list, goals for treatment, and proposed management techniques including using a plumb line, photography with light emitting diodes, and a postural grid to assess and treat the patient.

Education

KEERTHI PRIYA MPT NEURO,
ASSISTANT PROFESSOR

ASSESSMENT
PROBLEM LIST
GOALS
MANAGEMENT

• Plumb line
• Still photography with
light emitting diode
• Postural Grid

Physiotherapy in MND Dr. Quazi Ibtesaam Huma (MPT) Dr. Suvarna Ganvir (Phd, Prof & HOD) Dept. of Neurophysiotherapy DVVPF’s College of Physiotherapy Content Introduction Types of MND Clinical Features of MND Diagnostic Procedure Management: 1) Pharmaceutical 2) Physiotherapy Motor Neuron Disease Motor Neuron Disease are a group of neurodegenerative disorders that affects the nerves in the spine and brain to progressively lose its function. Motor neuron diseases (MND) include a heterogeneous spectrum of inherited and sporadic (no family history) clinical disorders of the upper motor neurons (UMNs), lower motor neurons (LMNs), or a combination of both. Types of MND Amyotrophic Lateral Sclerosis Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, characterized by progressive degeneration of motor neurons in the spinal cord, brain stem, and motor cortex, leading to progressive muscle atrophy and weakness. Clinical Features UPPER MOTOR NEURON Loss of Dexterity Muscle Weakness Spasticity Hyperreflexia Pathological reflexes LOWER MOTOR NEURON Muscle Weakness Muscle Atrophy Hypotonicity Hyporeflexia Fasciculation Muscle Cramp Impairment related to LMN Other clinical features Diagnostic Criteria Diagnostic Procedure EMG- It include signs of active denervation, such as fibrillation potentials and positive sharp waves; Signs of chronic denervation, such as large motor unit potentials (increased duration, increased proportion of polyphasic potentials, increased amplitude) Unstable motor unit potential Nerve Conduction Velocity Studies, Muscle And Nerve Biopsies, Neuroimaging Studies - MRI Management- Multidisciplinary Approach Physical Therapy Examination Cognition Pain Psychosocial Function Joint integrity, ROM and Muscle strength. Motor Function: Gross motor and Fine motor Muscle tone and reflexes Cranial nerve integrity Sensations Gait Respiratory Function Physiotherapy goals in MND treatment. Pain reduction Prevention for contractures Maintenance of joint mobility Regular review of posture Positioning to relieve discomfort House Modification and ergonomic advice. Management of Sialorrhea and Pseudobulbar Affect Management for Dysphagia PEG procedure. A PEG may be recommended as the disease progresses. A PEG is a type of gastrostomy tube inserted via endoscopic surgery that creates a permanent opening into the stomach for the introduction of food. Studies have found that PEG insertion may prolong survival. Patients with PEG were found to live 1 to 4 months longer than those individuals who refused it. Management of Dysphagia A palatal lift prosthesis may be prescribed for individuals with good articulation but who have a breathy voice quality or decreased loudness because of excessive air loss through the nose. The device, a dental appliance designed to attach to the existing teeth and to elevate the soft palate, is custom-made by a prosthodontist.

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