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Amyotrophic Lateral Sclerosis (ALS)

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Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease affecting both the upper and lower motor neurons in the cerebral cortex, brainstem, and spinal cord. It is the most common motor neuron disease in the adult population with a prevalence of two to seven cases per 100,000 individuals. Survival rates in persons with ALS show considerable variation. Five-year survival rates vary from 7% to 40%, whereas 10-year survival rates range from 8% to 16% (cite). Amyotrophic lateral sclerosis (ALS) presents clinically with upper motor neuron, and lower motor neuron signs. ALS is characterized by progressive death of UMNs in the motor cortex and corticospinal tracts, the LMNs in the anterior horn cells of the spinal cord, and …show more content…

The primary methods include pharmacological treatment, as well as a treatment plan formed by a multidisciplinary team. A physical therapist is often a member of this multidisciplinary team to form an exercise plan that delays loss of strength, ambulation, as well as overall functional independence. Exercise can be defined as a subset of physical activity that is planned, structured, repetitive, and has a final or an intermediate objective for the improvement or maintenance of physical fitness …show more content…

There has been recent support for exercising those diagnosed with ALS, but a substantial amount of the research available on this subject has been performed on mice. This has made it increasingly difficult to justify these same treatment guidelines on humans. However, these research studies that have been completed in recent years have shown exercise to be an intervention that can help improve function, slow disease progression, and lessen caregiver burden. For example, aquatic therapy has been found to significantly delay spinal motor neuron death in mice with ALS, as well as preserve astrocyte and oligodendrocyte populations in the spinal cord in a study published in 2009 (cite). In 2003, research demonstrated that a lifetime of vigorous exercise did not promote the onset and/or progression of motor degeneration in mice, revealing the running group of mice demonstrated a non-significant 6-day improvement in survival, compared with the sedentary group, and a 4-day improvement when compared to the control (cite). Lastly, in 2004 a study revealed that exercise delayed the onset of disease in female but not in male hSOD1 mice. Also, exercise delayed the total survival time in female high-copy hSOD1 mice. Sedentary female hSOD1 mice showed more frequently irregular estrous cycles suggesting a higher estrogen exposure

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