H Budinčević, A Marčinko Budinčević, M Kos, S Vlašić, J Bartolović, S Benko, V Ostojić, S Soldo Butković
{"title":"肌萎缩性侧索硬化症患者的多学科管理和神经康复","authors":"H Budinčević, A Marčinko Budinčević, M Kos, S Vlašić, J Bartolović, S Benko, V Ostojić, S Soldo Butković","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Patients with amyotrophic lateral sclerosis require comprehensive care with a multidisciplinary approach, which is\nindividually adjusted to each patient. The goals of neurorehabilitation should be adjusted to the stage of disease. In early\nstages, physical therapy is focused on preserving and optimizing motor and respiratory function. At this stage, family\nshould be involved to partake in desired activities and be informed regarding the natural course of the disease. In late\nstages, physical therapy is focused on preventing respiratory complications and contractures, and orthotics may also be\nrecommended. The onset of dysarthria should trigger swallowing and pulmonary function testing. Swallowing maneuvers\nshould be tried at the onset of symptoms, later feeding tubes or percutaneous gastrostomy tube is necessary. Noninvasive\nmechanical ventilation may delay the need of tracheostomy and invasive mechanical ventilation. The key objectives of\nmultidisciplinary teams are to optimize medical care, facilitate communication, and thus to improve the quality of care and\nquality of life.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Multidisciplinary Management and Neurorehabilitation of Patients with Amyotrophic Lateral Sclerosis].\",\"authors\":\"H Budinčević, A Marčinko Budinčević, M Kos, S Vlašić, J Bartolović, S Benko, V Ostojić, S Soldo Butković\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Patients with amyotrophic lateral sclerosis require comprehensive care with a multidisciplinary approach, which is\\nindividually adjusted to each patient. The goals of neurorehabilitation should be adjusted to the stage of disease. In early\\nstages, physical therapy is focused on preserving and optimizing motor and respiratory function. At this stage, family\\nshould be involved to partake in desired activities and be informed regarding the natural course of the disease. In late\\nstages, physical therapy is focused on preventing respiratory complications and contractures, and orthotics may also be\\nrecommended. The onset of dysarthria should trigger swallowing and pulmonary function testing. Swallowing maneuvers\\nshould be tried at the onset of symptoms, later feeding tubes or percutaneous gastrostomy tube is necessary. Noninvasive\\nmechanical ventilation may delay the need of tracheostomy and invasive mechanical ventilation. The key objectives of\\nmultidisciplinary teams are to optimize medical care, facilitate communication, and thus to improve the quality of care and\\nquality of life.</p>\",\"PeriodicalId\":35756,\"journal\":{\"name\":\"Acta Medica Croatica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Medica Croatica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Multidisciplinary Management and Neurorehabilitation of Patients with Amyotrophic Lateral Sclerosis].
Patients with amyotrophic lateral sclerosis require comprehensive care with a multidisciplinary approach, which is
individually adjusted to each patient. The goals of neurorehabilitation should be adjusted to the stage of disease. In early
stages, physical therapy is focused on preserving and optimizing motor and respiratory function. At this stage, family
should be involved to partake in desired activities and be informed regarding the natural course of the disease. In late
stages, physical therapy is focused on preventing respiratory complications and contractures, and orthotics may also be
recommended. The onset of dysarthria should trigger swallowing and pulmonary function testing. Swallowing maneuvers
should be tried at the onset of symptoms, later feeding tubes or percutaneous gastrostomy tube is necessary. Noninvasive
mechanical ventilation may delay the need of tracheostomy and invasive mechanical ventilation. The key objectives of
multidisciplinary teams are to optimize medical care, facilitate communication, and thus to improve the quality of care and
quality of life.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.