RevELA Project: MOTOR CARE FOR INDIVIDUALS WITH AMYOTROPHIC LATERAL SCLEROSIS
: Amyotrophic lateral sclerosis, Physiotherapy, Cross-sectional study, Evidence-based practice
Introduction: Amyotrophic Lateral Sclerosis (ALS) causes significant impairment of motor abilities. Among the professionals involved in treating the condition, physical therapists stand out for designing intervention plans aimed at optimizing functionality. However, physical therapists often face challenges in creating personalized and appropriate treatment plans for individuals with ALS. Objective: To analyze aspects related to motor symptoms of individuals with ALS, in terms of motor evolution and the best evidence for motor care for this population. Methodology: This thesis comprises three methodological designs, namely a systematic review, a clinical practice guideline, and a longitudinal study. Results: In total, five articles compose this thesis: 1) A systematic review protocol; 2) A systematic review with meta-analysis; 3) A clinical practice guideline; 4) A cross-sectional study; and 5) a mixed-methods study. Conclusion: Evidence analysis indicates that physical therapy practices can improve the functionality of individuals with ALS; however, benefits for other symptoms remain uncertain. We also found that fatigue is related to functionality, cognition, and pain symptoms in a sample of Brazilian individuals with ALS.