Review article

MULTIDISCIPLINARY MANAGEMENT AND NEUROREHABILITATION OF PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS

HRVOJE BUDINČEVIĆ orcid.org/0000-0002-0184-8949 ; Sveti Duh University Hospital, Clinical Department of Neurology, Clinical Department of Cerebrovascular Diseases and Intensive Neurology, Zagreb and Josip Juraj Strossmayer University, Osijek School of Medicine, Osijek, Croatia
ANITA MARČINKO BUDINČEVIĆ ; Sveti Duh University Hospital, Clinical Department of Neurology, Clinical Department of Cerebrovascular Diseases and Intensive Neurology, Zagreb and Josip Juraj Strossmayer University, Osijek School of Medicine, Osijek, Croatia
MARINA KOS orcid.org/0000-0003-1528-0239 ; Sveti Duh University Hospital, Clinical Department of Neurology, Clinical Department of Cerebrovascular Diseases and Intensive Neurology, Zagreb, Croatia
SANJICA VLAŠIĆ orcid.org/0000-0003-3307-6549 ; Sveti Duh University Hospital, Clinical Department of Physical Medicine and Rehabilitation, Zagreb, Croatia
JELENA BARTOLOVIĆ orcid.org/0000-0002-3352-5327 ; Clinical Department of ENT and Head and Neck Surgery, Osijek, Croatia
SNJEŽANA BENKO orcid.org/0000-0002-4092-9434 ; Sveti Duh University Hospital Clinical Department of Physical Medicine and Rehabilitation. Zagreb, Croatia
VEDRAN OSTOJIĆ ; Clinical Department of Internal Medicine, Division of Clinical Immunology, Rheumatology and Pulmonology, Osijek, Croatia
SILVA SOLDO BUTKOVIĆ ; Josip Juraj Strossmayer University, Osijek School of Medicine, Osijek, and Osijek University Hospital Center, Clinical Department of Neurology, Osijek, Croatia

Abstract

Patients with amyotrophic lateral sclerosis require comprehensive care with a multidisciplinary approach, which is individually adjusted to each patient. The goals of neurorehabilitation should be adjusted to the stage of disease. In early stages, physical therapy is focused on preserving and optimizing motor and respiratory function. At this stage, family should be involved to partake in desired activities and be informed regarding the natural course of the disease. In late stages, physical therapy is focused on preventing respiratory complications and contractures, and orthotics may also be recommended. The onset of dysarthria should trigger swallowing and pulmonary function testing. Swallowing maneuvers should be tried at the onset of symptoms, later feeding tubes or percutaneous gastrostomy tube is necessary. Noninvasive mechanical ventilation may delay the need of tracheostomy and invasive mechanical ventilation. The key objectives of multidisciplinary teams are to optimize medical care, facilitate communication, and thus to improve the quality of care and quality of life.

Keywords

neurorehabilitation; amyotrophic lateral sclerosis; management, multidisciplinary approach

Hrčak ID:

165169

URI

https://hrcak.srce.hr/165169

Publication date:

7.9.2016.

Article data in other languages: croatian

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