Neurorehabilitation in patients with amyotrophic lateral sclerosis

Czech version

Authors: D. Líška ^1,2; D. Brünn ¹
Authors‘ workplace: Katedra telesnej výchovy a športu, FF Univerzity Mateja Bela, Banská, Bystrica, Slovensko ¹; Fakulta zdravotníctva so sídlom, v Banskej Bystrici, Slovenská zdravotnícka univerzita v Bratislave, Slovensko ²
Published in: Cesk Slov Neurol N 2020; 83/116(5): 504-507
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2020504

Overview

Amyotrophic lateral sclerosis (ALS) is a relatively rare neuromuscular disease characterized by degeneration of the lower and upper motor neurons. ALS includes a wide range of symptoms, including muscle weakness, cramps, fatigue, spasticity, dysphagia, dysarthria, respiratory failure, and also cognitive and mood changes. Rehabilitation is an important part of therapy. The main goal of rehabilitation is to prevent muscle atrophy and increase muscle strength. Maintaining adequate mobility through exercise is another essential part of exercise therapy. Exercises aimed at increasing the range of motion are an important part of treatment in the prevention and treatment of contractures. They also play a potential role in improving spasticity. Quality of patients’ life is expected to improve also due to pleiotropic effect of exercise. Exercise therapy may also improve fatigue. Respiratory rehabilitation can help prevent respiratory complications. Overall, rehabilitation therapy can help improve patients functional status, muscle strength and patients quality of life as well.

Keywords:

exercise – Amyotrophic lateral sclerosis – rehabilitation

Sources

1. Kehyayan V, Korngut L, Jetté N et al. Profile of patients with amyotrophic lateral sclerosis across continuum of care. Can J Neurol Sci 2014; 41 (2): 246–252. doi: 10.1017/s0317167100016656.

2. Majmudar S, Wu J, Paganoni S. Rehabilitation in amyotrophic lateral sclerosis: why it matters. Muscle Nerve 2014; 50 (1): 4–13. doi: 10.1002/mus.24202.

3. Hemerková P, Vališ M. Homeostáza mědi jako terapeutický cíl u amyotrofické laterální sklerózy s mutací superoxiddismutázy 1 a sloučenina CuATSM. Cesk Slov Neurol N 2020; 83/116 (1): 21–27. doi: 10.14735/amcsnn202021.

4. Bello-Haas VD. Physical therapy for individuals with amyotrophic lateral sclerosis: current insights. Degener Neurol Neuromuscul Dis 2018; 8: 45–54. doi: 10.2147/DNND.S1469.

5. Kolář P et al. Rehabilitace v klinické praxi. Praha: Galén 2009: 713.

6. Orsini M, Lial L, Moreira R et al. Rehabilitation in amyotrophic lateral sclerosis: “Prudence and limit of programs”. Physical Med Rehabil Int 2015; 2: 1–3.

7. Van den Berg JP, Kalmijn S, Lindeman E et al. Multidisciplinary ALS care improves quality of life in patients with ALS. Neurology 2005; 65 (8): 1264–1267. doi: 10.1212/01.wnl.0000180717.29273.12.

8. Soofi AY, Bello-Haas VD, Kho ME et al. The impact of rehabilitative interventions on quality of life: a qualitative evidence synthesis of personal experiences of individuals with amyotrophic lateral sclerosis. Qual Life Res 2018; 27 (4): 845–856. doi: 10.1007/s11136-017-1754-7.

9. Budincevic H, Budinčević A, Kos M et al. Multidisciplinary management and neurorehabilitation of patients with amyotrophic lateral sclerosis. Acta Medica Croatica 2016; 70 (2): 111–116.

10. Brabcova L, Roth J, Ulmanová O et al. Effect of a specific inpatient multidisciplinary rehabilitation program on postural and gait stability in Huntington’s disease – pilot study. Ann Physical Rehabil Med 2018; 61: e252.

11. Orsini M, Nunes M, Moreira R et al. Rehabilitation in amyotrophic lateral sclerosis: approaches and future prospects. Physical Med Rehabil Int 2015; 2: 1074. doi: 10.24966/PMRD-8670/100008.

12. Pinto S, de Carvalho M. Can inspiratory muscle training increase survival in early-affected amyotrophic lateral sclerosis patients? Amyotroph Lateral Scler Frontotemporal Degener 2013; 14 (2): 124–126. doi: 10.3109/17482968.2012.726227.

13. Machová L, Poděbradská R, Stepaňuková M. Basics of respiratory physiotherapy for general practitioners. Prakticky Lekar 2018; 98 (3): 104–108.

14. Bužgová R, Bar M, Bartova P et al. Neuropaliativní a rehabilitační péče u pacientů v pokročilé fázi progresivních neurologických onemocnění. Cesk Slov Neurol N 2018; 81/114 (1): 17–23. doi: 10.14735/amcsnn201717.

15. Novotná K, Jeníček J, Janatová M et al. Neurorehabilitace poruch chůze s využitím funkční elektrické stimulace – aktuální poznatky z randomizovaných klinických studií. Cesk Slov Neurol N 2019; 82/115 (6): 621–626. doi: 10.14735/amcsnn2019621.

16. Paganoni S, Karam C, Joyce N et al Comprehensive rehabilitative care across the spectrum of amyotrophic lateral sclerosis. NeuroRehabilitation 2015; 37 (1): 53–68. doi: 10.3233/NRE-151240.

17. Sanjak M, Hirsch M, Bravver E et al. Vestibular Deficits leading to disequilibrium and falls in ambulatory amyotrophic lateral sclerosis. Arch Phys Med Rehabil 2014; 95 (10): 1933–1939. doi: 10.1016/j.apmr.2014.05.024.

18. Pancani S, Tindale W, Shaw PJ et al. Efficacy of the head up collar in facilitating functional head movements in patients with amyotrophic lateral sclerosis. Clin Biomech (Bristol, Avon) 2018; 57: 114–120. doi: 10.1016/j.clinbiomech.2018.06.016.

19. Plzáková V, Nikolai T. Kognitivní rehabilitace pacientů s Parkinsonovou nemocí. Cesk Slov Neurol N 2020; 83/116 (1): 14–20. doi: 10.14735/amcsnn202014.

20. Connors KA, Mahony LM, Morgan P. Adaptive equipment use by people with motor neuron disease in Australia: a prospective, observational consecutive cohort study. Disabil Rehabil Assist Technol 2019; 14 (1): 62–67. doi: 10.1080/17483107.2017.1396623.

21. van Groenestijn AC, Schröder CD, Visser-Meily JM et al. Cognitive behavioural therapy and quality of life in psychologically distressed patients with amyotrophic lateral sclerosis and their caregivers: Results of a prematurely stopped randomized controlled trial. Amyotroph Lateral Scler Frontotemporal Degener 2015; 16 (5–6): 309–315. doi: 10.3109/21678421.2015.1038276.

22. Lisle S, Tennison M. Amyotrophic lateral sclerosis: the role of exercise. Curr Sports Med Rep 2015; 14 (1): 45–46. doi: 10.1249/JSR.0000000000000122.

23. Dal Bello-Haas V, Florence JM. Therapeutic exercise for people with amyotrophic lateral sclerosis or motor neuron disease. Cochrane Database Syst Rev 2013; 2013 (5): CD005229. doi: 10.1002/14651858.CD005229.pub3.

24. Chen A, Montes J, Mitsumoto H. The role of exercise in amyotrophic lateral sclerosis. Phys Med Rehabil Clin N Am 2008; 19 (3): 545–557. doi: 10.1016/j.pmr.2008.02.003.

25. Reffin J, Dewar L, Di Marco M, et al. Exercise advice for adults with muscle-wasting conditions. Muscular Dystrophy Campaign Support Resour Hub. [online]. Available from URL: http: //hub.muscular-dystrophy.org/wp-content/uploads/2014/12/Exercise-advice-for-adults-final-051214.pdf.

26. Michalicka V, Pohnan R. Brain energetic demands during cognitive activities in relation to aerobic load. Military Medical Science Letters (Vojenske Zdravotnicke Listy) 2019; 88 (4): 159–165.

27. Zucchi E, Vinceti M, Malagoli C et al. High-frequency motor rehabilitation in amyotrophic lateral sclerosis: a randomized clinical trial. Ann Clin Transl Neurol 2019; 6 (5): 893–901. doi: 10.1002/acn3.765.

28. Kato N, Hashida G, Kobayashi M et al. Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: a case series study. Ann Phys Rehabil Med 2018; 61 (2): 108–110. doi: 10.1016/j.rehab.2017.09.007.

29. Podsbradská R, Baniariová K, Peknik O et al. Využití chůze jako pohybové intervence v praxi. Rehabilitacia 2019; 56 (3): 222–229.

30. Bartolčičová B, MusiIová E. Relationship between exercise mechanisms and neuroplasticity. Rehabilitacia 2019; 56 (2): 100–110.

31. Novotná I, Nováková T, Pavlú D. Swallowing malfunction in patients with Huntington’s disease – possibilities of therapeutic rehabilitation intervention. Rehabilitacia 2019; 56 (1): 62–72.

32. Kühnlein P, Gdynia HJ, Sperfeld AD et al. Diagnosis and treatment of bulbar symptoms in amyotrophic lateral sclerosis. Nat Clin Pract Neurol 2008; 4 (7): 366–374. doi: 10.1038/ncpneuro0853.

33.Weisser FB, Bristowe K, Jackson D. Experiences of burden, needs, rewards and resilience in family caregivers of people living with motor neurone disease/amyotrophic lateral sclerosis: a secondary thematic analysis of qualitative interviews. Palliat Med 2015; 29 (8): 737–745. doi: 10.1177/0269216315575851.

34. Duran MA, Reis RG, Oliveira AS et al. Orientations of the motor physiotherapy to the caregivers, relatives and patients with ALS. Arq Neuropsiquiatr 2002; 60 (Supl 1).