Lecture 1.3 ALS

Neuropathology review: Areas involved in ALS

Cause of ALS?

Classic presentations of ALS?

Location of symptoms at spinal onset of ALS

Key differential diagnosis questions during subjective exam

T/F: If the patient has sensory changes and/or cognitive changes, he/she is likely ALS.

To determine the type of onset of ALS, what do we ask the patient?

What are your expected results for ALS patients for:
1. MMT
2. reflexes
3. sensation
4. bowel/bladder changes
5. fasciculations

What are the effects of exercise on ALS patients?

What MMT grade suggests compensation for a muscle group?

What are some key points of patient education?

What is the main precaution when treating ALS patients?

T/F: exercise in partially denervated muscle can further weaken the muscle rather than strength improvement.

What is the recommended intensity for muscle training in ALS patients?

T/F: the therapist should be the one deciding how many reps and sets an exercise should reach.

T/F: At the mid stage of ALS, therapy should be focusing on compensation rather than recovery.

recovery technique for early stage ALS

Compensation technique at early stage ALS

Prevention technique at early stage ALS

Compensation technique at mid-stage ALS

Prevention technique for mid-stage ALS

Compensation technique at mid-stage ALS

Prevention technique for late-stage ALS