What it is
A short, honest summary.
- —MND is the progressive loss of the motor neurons that carry signal from brain to muscle.
- —Muscles weaken and waste because they no longer receive their nerve supply.
- —Common forms include ALS (Lou Gehrig's disease). Cognition is often preserved.
What families notice
The signals worth taking seriously.
- 01Slowly progressive weakness, often starting in one limb or in speech
- 02Muscle twitching (fasciculations) and cramps
- 03Difficulty with fine motor tasks — buttons, writing
- 04Changes in voice, swallowing, or breathing
- 05Falls or stumbling
My approach
How the work is structured.
- —Function-preserving exercise — gentle, not exhausting.
- —Stretching and positioning to manage stiffness and prevent contractures.
- —Equipment recommendations: braces, walkers, communication aids, eventual respiratory support.
- —Caregiver training and palliative coordination as the picture progresses.
What recovery looks like
A plain-language picture.
“MND is not reversed. But quality of life — and the family's experience of it — is profoundly shaped by the work we do. That work matters every day it happens.”
FAQ
Common questions, answered briefly.
- Won't exercise just speed up muscle loss?
- No — the evidence shows appropriately dosed exercise preserves function without accelerating progression. Over-exertion is what to avoid.
- When do we add respiratory physiotherapy?
- Early. Breath stacking, cough assistance, and positional work help long before non-invasive ventilation is considered.