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Related Experiment Video

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Complementary and Alternative Therapies in Amyotrophic Lateral Sclerosis.

Richard S Bedlack1, Nanette Joyce2, Gregory T Carter3

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Patients with amyotrophic lateral sclerosis (ALS) often explore complementary and alternative therapies due to limited treatment options. This review details common therapies and communication strategies for discussing them.

Keywords:
AutonomyComplementary and alternative medicinePaternalism

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Area of Science:

  • Neurology
  • Integrative Medicine

Background:

  • Amyotrophic lateral sclerosis (ALS) is a severe neurodegenerative disease with limited effective disease-modifying treatments.
  • Patients frequently seek complementary and alternative therapies (CATs) to manage their condition.

Purpose of the Study:

  • To review commonly considered CATs for ALS.
  • To discuss physician-patient communication models regarding CATs.
  • To introduce the ALSUntangled program for shared decision-making on CATs.

Main Methods:

  • Literature review of commonly used CATs in ALS.
  • Description of communication frameworks: paternalism, autonomy, and shared decision-making.
  • Overview of the ALSUntangled program's approach.

Main Results:

  • Commonly considered CATs include special diets, supplements, cannabis, acupuncture, chelation, and energy healing.
  • Three models for discussing CATs with patients are presented.
  • The ALSUntangled program exemplifies shared decision-making for CAT evaluation.

Conclusions:

  • Given the lack of curative treatments for ALS, patients explore various CATs.
  • Effective communication strategies, particularly shared decision-making, are crucial for discussing CATs.
  • Programs like ALSUntangled can aid patients in making informed choices about alternative therapies.