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Updated: Aug 6, 2026

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis (ALS)
Published on: February 21, 2011
Evidence-based physiotherapy recommendations for the management of motor aspects in amyotrophic lateral sclerosis
Stephano Tomaz da Silva1, Aline Alves de Souza1, Luciana Protásio de Melo1
1Laboratory for Technological Innovation in Health and Department of Physical Therapy, Federal University of Rio Grande Do Norte, Natal, Brazil.
Aim:
To provide evidence-based recommendations for the physiotherapy management of Amyotrophic Lateral Sclerosis (ALS).
Materials And Methods:
Evidence-based recommendations were developed by a multidisciplinary team, including PhDs and master's-level researchers, physicians, and experienced physiotherapists specializing in neurological rehabilitation.
Results:
After the selection process, 23 studies were included. Eighteen recommendations addressing motor aspects in ALS were formulated.
Conclusions:
Therapeutic exercise should be considered to improve or maintain ALSFRS-R scores in people with ALS. However, the effects of other interventions examined in this study remain uncertain with respect to motor aspects.

