This session was a motor neuron special where we discussed the role and location of both the upper and lower motor neuron and considered different upper motor neuron lesion (UMNL) pathologies.
Reflective Summary
We started off by considering the role, cause and presentation of both the upper and lower motor neuron. I found it very engaging as it enabled us to explore the similarities and differences between these areas. As sports therapists, we are most concerned about the clinical presentation of motor neuron problems. This is because we want to identify them and refer on as soon as possible. With upper motor neuron lesions, we would expect minimal muscle atrophy, weakness, hyperactive deep tendon reflexes (patella reflex), diminished or absent superficial reflex and a positive babinski sign, whereas with lower motor neuron lesion signs and symptoms include muscle atrophy, absent deep tendon reflexes and a negative babinski sign. During the second part of the session various members of the seminar gave a brief overview on different UMNL pathologies that we may see during clinic. This included Lou Gehrig’s disease, primary lateral sclerosis (PLS), traumatic brain injury, spinal cord injury, multiple sclerosis (MS), stroke and Huntington’s disease. Even if a client comes to a session with a condition you haven’t heard of before it is important to go away from the session and research it. This is so you can understand more about what goals and barriers they may have as well as what they want your role to be within their treatment. Areas for further improvement I think it would be important for me to revise the clinical presentations for different motor neuron lesions so I can identify them quickly. I also need to increase my knowledge on the different UMNL pathologies so I understand what they are and what to expect with the conditions. This can help me to ensure treatment is specific to the client and so that their needs have been considered and implemented. Things to Remember:
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