MND-PHYSICAL FUNCTION

SUMMARY

Aim to maintain the following (as opposed to improving):
1. Mobility
2. Self-care
3. Home environment: modifications, ADL assistance, walking aid then W/C, transfers, equipment (commode, hospital bed, hoist)
4. Community access
5. Upper limb function
6. Head support: worse at later stages
7. Falls prevention
8. Orthoses (usually off-the-shelf as there is little time): upper limb orthoses tend to be supportive (slings), head support
9. Exercise: CVS benefit, but not limb weakness, education to avoid injury and avoid fatigue

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].