# ALS and Huntingtons

Term
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Presentation of ALS: Early Symptoms
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Terms in this set (23)
Long term - these patients will end up on a vent
Maintain their higher cognitive skills à they are fully aware of their body's decline, cognitive symptoms such as anxiety and depression are prevalence
A small percentage of patients may develop dementia over time
Pain à if they do have it, it can be very debilitating and impact the PT session
however, neuropathic pain is not very common
•Gentle, low-impact aerobic exercises
•ROM and stretching
•Caregiver training
•Education

-Stationary bike, swimming
-We do have the capacity to strengthen the unaffected muscles
-AFOs, assistive devices, W/C, power chair
-AFOs are good for efficiency
-Strength goals are not appropriate as we are not expecting them to recover from strength deficits
-We work to adapt and modify their mobility
"à goals cannot just be maintenance they need to be skilled
-Goal is to maintain what they have and relate it to function
-Write goal about the function they are trying to accomplish, not the strength
-EX: patient will be independent with W/C propulsion
-Use an outcome measures to direct a goal
-Prevention goals: pressure relief, contracture
-Education goals for the caregiver - mobility, assist, pressure relief, etc.