As with the lower motor neurone problem , functions within the capabilities of the patient should be encouraged. Suitable functions should be found relevant to the patient’s ability. If good movement re-education is to occur, it is most important that excessive demands are not made upon the patient since abnormalities will inevitably appear which might otherwise be avoidable. Walking with possibly be a goal and this should be encouraged after the patient has the ability to balance in standing.
At first some support by the hands may be necessary using walking aids of some kind and only when the patient is secure should he be encouraged to walk without using the upper limbs as balance mechanisms. It must be borne in mind that perfect functioning is unlikely in these cases and the physiotherapist must be aware of the likely limitations. Occupational therapists and physiotherapists can…
