Pulmonary Physical Therapy Techniques to Enhance Survival in Amyotrophic Lateral Sclerosis: A Systematic Review

@article{Macpherson2016PulmonaryPT,
  title={Pulmonary Physical Therapy Techniques to Enhance Survival in Amyotrophic Lateral Sclerosis: A Systematic Review},
  author={Chelsea E Macpherson and Clare C Bassile},
  journal={Journal of Neurologic Physical Therapy},
  year={2016},
  volume={40},
  pages={165–175}
}
Background and Purpose: Respiratory insufficiency is the primary cause of morbidity and mortality in individuals with amyotrophic lateral sclerosis (ALS). Although mechanical interventions are effective in prolonging survival through respiratory support, pulmonary physical therapy interventions are being investigated. The purpose of this systematic review was to examine the effectiveness of pulmonary physical therapy interventions across the progressive stages of ALS. Methods: Six databases… 

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References

SHOWING 1-10 OF 50 REFERENCES

Respiratory exercise in amyotrophic lateral sclerosis

  • S. PintoM. SwashM. de Carvalho
  • Medicine
    Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases
  • 2012
There was no clear positive or negative outcome of the respiratory exercise protocol proposed, but it is suggested that inspiratory exercise promotes a transient improvement in the respiratory subscore and in the maximal voluntary ventilation, peak expiratory flow, and sniff inspiratory pressure.

Diaphragm Training in Amyotrophic Lateral Sclerosis

There was a nonsignificant trend toward a slower rate of decline in respiratory function in those subjects who mastered the diaphragm training technique, however, only half the subjects were able to successfully change their pattern of breathing.

Breathing new life into treatment advances for respiratory failure in amyotrophic lateral sclerosis patients.

Methods to determine respiratory failure in ALS, mechanical invasive and noninvasive ventilation, telemetry, diaphragm pacing, cough aids and respiratory exercise are reviewed, after a brief overlook of respiratory insufficiency in ALS.

A Systematic Review of the Effect of Moderate Intensity Exercise on Function and Disease Progression in Amyotrophic Lateral Sclerosis

  • A. LuiN. Byl
  • Medicine
    Journal of neurologic physical therapy : JNPT
  • 2009
Evidence suggests that moderate exercise is not associated with adverse outcomes in persons with early-stage ALS, and can be safely adapted to abilities, interests, specific response to exercise, accessibility, and family support.

Can amyotrophic lateral sclerosis patients with respiratory insufficiency exercise?

Amyotrophic lateral sclerosis: prolongation of life by noninvasive respiratory AIDS.

It is concluded that up to continuous use of NPPV, along with MAC when needed, can permit prolonged survival and delay the need for tracheotomy for a significant minority of ALS patients by > 1 year.

INSPIRATIonAL – INSPIRAtory muscle training in amyotrophic lateral sclerosis

  • B. CheahR. Boland M. Kiernan
  • Medicine
    Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases
  • 2009
In conclusion, inspiratory muscle training may potentially strengthen the inspiratory muscles and slow the decline in respiratory function in patients with ALS/MND.

Effects of controlled inspiratory muscle training in patients with COPD: a meta-analysis

It is concluded that inspiratory Muscle Training is an important addition to a pulmonary rehabilitation programme directed at chronic obstructive pulmonary disease patients with inspiratory muscle weakness.

Prevention of pulmonary morbidity for patients with Duchenne muscular dystrophy.

The use of inspiratory and expiratory aids can prolong survival while significantly decreasing the pulmonary morbidity and hospitalization rates associated with conventional resort to tracheostomy IPPV.