1. For Muscular Dystrophy (e.g., Duchenne, Becker):

• Stretching exercises: Prevent muscle contractures and joint stiffness.

• Gentle strengthening: Avoid overexertion; focus on low-resistance exercise.

• Orthotic support: Splints, braces to support joints and walking.

• Postural management: Seating support, wheelchair positioning.

• Breathing exercises: To maintain respiratory muscle strength.

• Aquatic therapy: Reduces strain on muscles and joints.

⚠️ Overworking weak muscles can worsen damage in MD—physios tailor exercises to avoid this.

2. For Parkinson’s Disease:

• Gait training: Improve stride length, reduce freezing episodes.

• Cueing techniques: Rhythmic auditory or visual cues to improve movement.

• Balance and posture training: Reduce fall risk.

• LSVT BIG therapy: Intensive, amplitude-focused exercises.

• Facial and vocal exercises: For facial masking and speech issues.

3. For Multiple Sclerosis (MS):

• Fatigue management strategies

• Stretching and range-of-motion exercises

• Strength and endurance training

• Balance training: To reduce fall risk.

• Hydrotherapy: Reduces fatigue, joint pain.

• Mobility aids: As needed over time.

4. For ALS (Motor Neuron Disease):

• Gentle, non-fatiguing exercises

• Stretching: To reduce cramps and stiffness.

• Breathing exercises: To slow respiratory decline.

• Assistive devices: Walkers, wheelchairs, communication aids.

• Pain relief techniques: Positioning, massage.

5. For Huntington’s Disease:

• Coordination and balance training

• Posture correction

• Fall prevention

• Walking aids if necessary

• Education for safe movement strategies

🤝 Multidisciplinary Collaboration

Physiotherapists often work with:

• Occupational therapists

• Speech and language therapists

• Neurologists

• Respiratory therapists

• Orthotists