ALS Flashcards
stage 1 ALS pts are —— with mobility and ADLs
independent
stage 1 ALS intervention
prime them
1. AROM
2. normal activities
3. resistance to unaffected muscles
4. aerobic exercise, moderate intensity ok as long pt. tolerates
stage 2 ALS show —— in groups muscles
Moderate weakness in groups of muscles
stage 2 ALS
implement —- techniques, assess for —-, and increased need for caregiver.
moderate weakness can result in difficulty with —–
- airway clearance techniques
- assess for Assistive device
- ADLs
stage 3 ALS
pts. will be ambulatory but have severe weakness in muscle groups. They will also show these 2 signs
SOB with exertion and sleep disordered breathing
stage 3 add —– , —- increases and —- decreases, and paralysis in some muscles might occur **
- add orthotic, splints, AD
- LMN increases and spasticity decreases
- foot drop and hand paresis
stage 4 - patients require —– to ambulate
severe weakness in —-, weakness in speech muscles requries —–
- WC
- severe weakness in UE and LE
- weak speech muscles –> augementive commuication
stage 5: progressive weakness that impacts —- and —-
mobility and endurance
In stage 5 ALS patients loss ability for —–,
—- program
pain contractures and cramping
- loss ability to transfer
- maintenance program: stretching, orthotics, splints
Stage 6 ALS pts are —- and require —– for survival
- bed ridden
- mechanical ventilation ( due to respiratory muscle weakness)
Stage 6 interventions include skin care and prevention, pain management, —- —– , and — technique
- postural drainage
- coughing techniques
Exercise guidelines for ALS pts. ( aerobic exercise)
3x week
10 to 20 minutes
HRmax: 60 -75% ( submax)
This airway clearnace technique provides immediate benefit and inc. FVC
lung volume recruitment
ALS what stage:
- mild focal weakness
- asymmetrical distribution
- hand cramping and fasiculation
stage 1
ALS what stage:
- severe weakness
- increased fatigue
- fxnal limitations
- ambulatory
stage 3
what ALS stage:
- bedridden
- dependent ADLs
- progressive respiratory distress
stage 6
what ALS stage:
- moderate weakness
- atrophy of muscles
- mod. I with AD
stage 2
What ALS stage?
LEs: severe and muscle wasting
UEs: mild weakness
WC use starts
stage 4
What ALS stage:
- progressive weakness that leads to decreased mobility and endurance
- whole body + trunk weakness
- spasticity
- hyper-reflexia
- loss of head control
- max A.
stage 5
