Effectiveness of Customised Physiotherapy in Managing Motor Neuron Disease Variants: A Case Series

KANNA MUNI RAMYA; VADLAMUDI SRIKUMARI; GAALI KAMESHWARI; KONETI MADHAVI

doi:10.36948/ijfmr.2025.v07i05.55270

Effectiveness of Customised Physiotherapy in Managing Motor Neuron Disease Variants: A Case Series

Author(s)	Ms. KANNA MUNI RAMYA, Dr. VADLAMUDI SRIKUMARI, Dr. GAALI KAMESHWARI, Dr. KONETI MADHAVI
Country	India
Abstract	Motor neuron disease (MND) encompasses a group of chronic, sporadic, and hereditary neurological disorders marked by progressive motor neuron degeneration, affecting upper, lower, or both types of motor neurons. While diagnosis is often clinically evident, it plays a critical role in formulating long-term physiotherapy plans for ongoing management. This case series presents three patients with atypical MND variants, initially suggestive of other conditions, resulting in delayed diagnosis. Once confirmed, customised physiotherapy interventions were implemented to address respiratory compromise, generalized limb weakness, and speech/swallowing difficulties. Regular assessments allowed for ongoing adjustments to the treatment approach, focusing on a comprehensive strategy aimed at improving the patient's overall well-being. Outcome measures and follow-up evaluations showed improvements in functional scales and manual muscle testing. This case highlights the importance of customised physiotherapy in achieving optimal functional outcomes and enhancing the quality of life for patients facing the complex challenges of bulbar MND. (1)A 75-year-old male patient diagnosed with bulbar motor neuron disease (MND) - ALS presented with worsening respiratory issues, generalized limb weakness, and challenges with speech and swallowing. A customised physiotherapy plan was developed to enhance his quality of life. (2)A 62-year-old male patient diagnosed with bulbar motor neuron disease (MND) - ALS presented with mild respiratory issues, generalized asymmetrical limb weakness, and difficulties with speech. A customised physiotherapy was planned. (3)A 13-year-old male patient diagnosed with SMA Type III presented with severe respiratory difficulties, including pectus excavatum, generalized muscle atrophy of the limbs and trunk, widespread fasciculations, tongue fibrillations, and speech challenges. A customised physiotherapy plan was created to improve his quality of life and support long-term well-being.
Keywords	MND- motor neuron disease, ALS-Amyotrophic lateral sclerosis, SMA-Spinal muscular atrophy, PIVD-Prolapsed intervertebral disc
Published In	Volume 7, Issue 5, September-October 2025
Published On	2025-09-05
DOI	https://doi.org/10.36948/ijfmr.2025.v07i05.55270

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Effectiveness of Customised Physiotherapy in Managing Motor Neuron Disease Variants: A Case Series

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