Muscle Weakness
paresis - moderate weakness
plegia - severe weakness
It can be difficult to determine UMN vs LMN in situations of acute weakness, as it can take time for signs to evolve
Upper Motor Neuron patterns:
- in the arm, extensors are the weakest:
- deltoid, triceps, wrist and finger extensors, finger abductors
- in the leg, flexors are weakest:
- psoas, hamstrings, ankle dorsiflexors
- spacticity follows the opposite pattern, with antigravity extensors kicking in
Peripheral neuropathy or motor neuron disease
- distal limbs, in a length dependent manner
Muscle/NMJ disease
- proximal limbs
- ocular, bulbar