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

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