Motor neurone disease (MND) is a progressive and terminal disease that results in degeneration of the motor neurones, or nerves, in the brain and spinal cord.
Muscle wasting in MND causes weakness and can affect balance and posture, with the risk of falls.
General muscle tightness or spasticity (stiffness, rigidity and spasms) can affect mobility, coordination of movement and may cause pain or increase the risk of falls.
- physiotherapy (including walking aids, orthotics, splints, active and passive exercise, posture management)
- occupational therapy for posture management and equipment for managing activities of daily living
- medication for spasticity
- an exercise programme to maintain joint range of movement, prevent contractures, reduce stiffness and discomfort, and optimise function and quality of life. It may be a resistance, active-assisted or passive programme and should be appropriate to the person's needs, function, abilities and preferences.
- Fasciculations are often among the first symptoms of MND.
- Some people feel the rippling effect in individual muscles, but this can be more widespread.
- Fasciculations may be so obvious they can be seen by other people.
- They can seem worse when a person is stressed.
- The problem usually eases over time.