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Neurological

Motor neurone disease physiotherapy

Physiotherapy for people living with motor neurone disease aims for comfort, safe movement and independence, with equipment and energy conservation, alongside your MND clinic and GP.

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Understanding the condition

Motor neurone disease (MND) is a progressive condition in which the nerve cells that control voluntary muscles gradually stop working, so muscles weaken over time. There is currently no cure. Care focuses on managing symptoms and complications, and how quickly things change varies a great deal between people.1 Care from a multidisciplinary team, including a specialist MND clinic in Perth, helps people live better and may help them live longer.2

Physiotherapy for people living with MND aims at comfort, safe movement and independence, not at strengthening muscles the disease has weakened.3 Exercise is supervised by someone who knows MND and kept within limits to avoid fatigue and soreness.3 A Cochrane review found too little evidence to say how much strengthening exercise helps, so we make no claim that exercise changes the course of the disease.4 We help with pacing and energy conservation5 and with timely equipment advice.6

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Motor neurone disease physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Weakness or clumsiness in a hand, arm or leg, such as dropping things or tripping
  • Muscle cramps, twitching or stiffness, and changes in how the muscles look or feel
  • Changes in speech or swallowing, which are often first managed with a specialist MND clinic
  • Fatigue that is out of proportion to what you have done
  • Greater difficulty with walking, transfers and daily tasks over time, and a growing need for aids
  • Seek urgent medical review for breathing problems, a chest infection, severe swallowing problems or a blocked feeding tube, call 000 in an emergency, and tell your MND clinic nurse, neurologist or respiratory physician about breathing changes early rather than waiting until breathing becomes difficult.

How our team helps

  • Assessment of strength, mobility, safety and fatigue, with goals that matter to you and your family
  • Gentle individual exercise programs within your limits, with rest built in
  • Walking aid prescription, and advice on safe movement and transfers for you and your carers
  • Pacing and energy conservation strategies for daily routines
  • Clear reports for your GP, MND clinic and NDIS to support equipment and funding requests
  • Coordination with dietitians, exercise physiologists, podiatrists and pharmacists

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Related services

Related conditions

See all conditions

Sources and clinical review

Our care follows MND Australia guidance, Healthdirect information and the Cochrane review of therapeutic exercise in motor neurone disease, adapted to each person's goals and stage.

  1. Healthdirect Australia. Motor neurone disease (MND). Sydney: Healthdirect Australia [cited 2026 Oct 4].
  2. MND Australia. Multidisciplinary Care [factsheet]. Sydney: MND Australia; updated 2026 Aug.
  3. MND Australia. Exercise and MND. Sydney: MND Australia; 2026 Aug.
  4. Dal Bello-Haas V, Florence JM. Therapeutic exercise for people with amyotrophic lateral sclerosis or motor neuron disease. Cochrane Database Syst Rev. 2022.
  5. MND Australia. Managing day to day [fatigue section]. Sydney: MND Australia; updated 2026 Aug.
  6. MND Australia. Equipment and home modifications. Sydney: MND Australia; 2026 Aug.
  7. MND Australia. Breathing support and motor neurone disease. Sydney: MND Australia; updated September 2026 [cited 2026 Oct 4].
  8. MND Australia. How to better support people with MND in emergency care. Sydney: MND Australia; November 2022 [cited 2026 Oct 4].
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Common questions

Can exercise cure or slow motor neurone disease?
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No. Exercise does not cure MND, and we do not claim it changes the disease course. MND Australia says moderate, supervised exercise within your limits can support physical health and quality of life, but research is limited and it cannot strengthen weakened muscles.

What does a physio do for motor neurone disease?
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We focus on comfort, safe movement and independence. That means gentle exercise within your limits, pacing, walking aid prescription, safe transfer and movement advice for you and your carers, and reports for your GP, MND clinic and NDIS. Goals are set with you.

How can I manage fatigue with motor neurone disease?
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Plan activities in advance, do harder tasks when you usually have more energy, avoid rushing and take regular breaks. Labour-saving devices help. Listen to your body and do not push through. We can build pacing into your daily routine and any exercise.

Do I need an MND clinic as well as a physiotherapist?
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Multidisciplinary clinic care is recommended, and specialist MND clinics operate in Perth. We work alongside your clinic and GP, not instead of them, and can provide local ongoing physiotherapy and share reports with your team.

Do I need a referral, and is it funded?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. NDIS, aged care funding or private health extras may also help, depending on eligibility.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.