Exercise-based rehabilitation in patients with amyotrophic lateral sclerosisteral sclerosis
DOI:
https://doi.org/10.28957/rcmfr.413Keywords:
Amyotrophic lateral sclerosis, physical exercise, rehabilitationAbstract
Introduction. Amyotrophic lateral sclerosis (ALS) is a degenerative disease of the nervous system in which motor neurons wear out and die, that manifests itself by the presence of progressive muscle weakness, spasms, and inability to move the arms, the legs, and eventually the entire body. The standards of care for patients with ALS recommend multidisciplinary care that includes rehabilitation interventions. Physical exercise has been used for its treatment; however, there are few specific recommendations regarding its prescription.
Development. It was conducted a review of the available literature regarding exercise-based rehabilitation in patients with ALS. The effects of the different types of exercise, prescription parameters, safety aspects of the intervention, and specific recommendations from the clinical practice guidelines and consensus documents are described. The best available evidence indicates that therapeutic physical exercise in its different modalities produces positive or neutral effects on the outcome measures and is not associated with serious adverse events.
Conclusion. Rehabilitation based on physical exercise can be a feasible, tolerable, safe, and effective intervention to reduce the deterioration of functionality and quality of life in patients with ALS.
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