Can motor impairments in ALS be improved by physiotherapy?

ALS is a progressive disease that is associated with an increase in muscle atrophy (myatrophy), paralysis (paresis) or muscle stiffness (spasticity). The progressive nature of ALS cannot be overcome or halted by physiotherapy.

Nevertheless, intensified physiotherapy can improve certain motor functions over a longer period of time, reduce symptoms and prevent complications. Physiotherapy for affected arms and legs can prevent accelerated muscle deterioration and preserve muscle function for longer. Spasticity therapy can also sometimes bring about improvements. Spasticity-relieving physiotherapy can reduce muscle tension (muscle tone) and improve the functionality of the affected muscle groups. In certain situations, it is also possible to improve gait stability and increase the walking distance. Tendon shortening (contractures) and painful changes in joints (arthralgia) can be prevented, stabilized or improved through continuous, intensive and long-term physiotherapy.

An important aim of physiotherapy is to prevent undesirable consequences in the body’s joint and ligament apparatus. This is where physiotherapy (and the use of exercise trainers) can make an important contribution and lead to improvement. Without physical activity, there is a risk of tendon shortening, narrowing of joint capsules and a restricted range of motion in the joints. Physical activity (including passive movement by therapists) can limit the undesirable consequences for the musculoskeletal system.