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Critical Reviews™ in Physical and Rehabilitation Medicine

ISSN for PRINT: 0896-2960

Institutional price:	$684.00
Issues per year:	4

2003, Volume15

86 pages

DOI: 10.1615/CritRevPhysRehabilMed.v15.i1

Issue price - $163.00

The Amyotrophic Lateral Sclerosis Center: A Model of Multidisciplinary Management

Jay J. Han, M.D.
Muscular Dystrophy Association, Amyotrophic Lateral Sclerosis Center; Department of Rehabilitation Medicine, University of Washington School of Medicine

Gregory T. Carter, M.D.
Muscular Dystrophy Association, Amyotrophic Lateral Sclerosis Center; Department of Rehabilitation Medicine, University of Washington School of Medicine

Thomas W. Hecht, M.D.
Muscular Dystrophy Association, Amyotrophic Lateral Sclerosis Center; Department of Rehabilitation Medicine, University of Washington School of Medicine

Nancy E. Schuman, M.N., A.R.N.P., C.N.R.N.
Muscular Dystrophy Association, Amyotrophic Lateral Sclerosis Center; Department of Rehabilitation Medicine, University of Washington School of Medicine; University of Washington School of Nursing

Michael D. Weiss, M.D.
Muscular Dystrophy Association, Amyotrophic Lateral Sclerosis Center; Department of Neurology, University of Washington School of Medicine

Lisa S. Krivickas, M.D.
Department of Physical Medicine and Rehabilitation, Harvard University

ABSTRACT

Amyotrophic lateral sclerosis (ALS), a progressive motor neuron disorder, is a devastating disease that poses myriad clinical problems. Patients with ALS are best cared for in a multidisciplinary fashion with the involvement of a variety of clinicians, including neurologists, physical medicine and rehabilitation specialists, pulmonary medicine specialists, clinical nurse specialists or nurse practitioners, physical and occupational therapists, speech-language pathologists, dieticians, psychologists, social workers, and case managers. This article provides a summary of the current research into the etiology of ALS and then outlines the diagnostic evaluation and rehabilitative management of ALS in the context of a multidisciplinary ALS center approach.