Motor neurone disease (MND): supportive care
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Motor neurone disease (MND): supportive care. Head back tilt: for tongue weakness. Fully referenced neurology checklist.
Measures to improve swallow
- Head back tilt: for tongue weakness
- Chin tuck: for pharyngeal weakness
- Manual lip sealing: for buccal weakness
- Supraglottic swallowing manoeuvre: to close the vocal cords when swallowing
Other measures to support eating and swallowing
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Communication aids
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Dietary modifications
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Interventional care for secretions
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Nutritional management
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References
- Kühnlein P, Gdynia HJ, Sperfeld AD, et al. Diagnosis and treatment of bulbar symptoms in amyotrophic lateral sclerosis. Nat Clin Pract Neurol 2008; 4:366-374.
- Lee CN. Reviewing evidences on the management of patients with motor neuron disease. Hong Kong Med J 2012; 18:48-55.
- Nieves JW, Gennings C, Factor-Litvak P, et al; Amyotrophic Lateral Sclerosis Multicenter Cohort Study of Oxidative Stress (ALS COSMOS) Study Group. Association between dietary intake and function in amyotrophic lateral sclerosis. JAMA Neurol 2016; 73:1425-1432.
