Comprehensive rehabilitative care across the spectrum of amyotrophic lateral sclerosis

NeuroRehabilitation. 2015;37(1):53-68. doi: 10.3233/NRE-151240.

Abstract

Background: Amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease) is a neurodegenerative disease that results in progressive muscle weakness and wasting. There is no known cure and the disease is uniformly fatal.

Purpose: This review discusses current concepts in ALS care, from breaking the diagnosis to end-of-life care. People with ALS have several multidisciplinary needs due to a complex and dynamic disease process. They benefit from rehabilitation interventions that are individualized and have the goal of optimizing independence, function, and safety. These strategies also help minimize symptomatic burden and maximize quality of life.

Conclusion: Patient-centered, multidisciplinary care has a significant impact on the life of people with ALS and is the current standard of care for this patient population.

Keywords: Amyotrophic lateral sclerosis; assistive device; braces; equipment; function; palliative care; quality of life; rehabilitation; supportive care.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological
  • Amyotrophic Lateral Sclerosis / psychology
  • Amyotrophic Lateral Sclerosis / rehabilitation*
  • Amyotrophic Lateral Sclerosis / therapy
  • Animals
  • Humans
  • Quality of Life
  • Terminal Care