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Differences between Upper motor neurone and Lower motor neurone Lesions

 

Sign Upper motor neurone Lower motor neurone
1) Weakness Voluntary movements are disturbed Paralysis of muscles supplied by that segment or nerve
2) Tone Hypertonia (clasp- knife spasticity Hypotonia
3) Reflex ( tendon) Increased,+- clonus Decreased or absent
4) Reflex ( superficial) Absent or decreased Absent or decreased
5) Plantar response Extensor Flexor or absent
6) Muscle nutrition Disuse atrophy Marked atrophy
7) Fasciculations Absent Present
8) Reaction of degeneration Absent Present

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