EBP Compendium: Summary of Clinical Practice Guideline
Good Practice in the Management of Amyotrophic Lateral Sclerosis: Clinical Guidelines. An Evidence-Based Review with Good Practice Points. EALSC Working Group
Andersen, P. M., Borasio, G. D., et al.
Amyotrophic Lateral Sclerosis, 8(4), 195-213.
AGREE Rating: Recommended with Provisos
This guideline provides recommendations for the assessment and care of individuals with amyotrophic lateral sclerosis (ALS). This guideline may be relevant to a large range of professionals, including speech-language pathologists. Recommendations are based on a systematic review of the evidence in accordance with the European Federation of Neurological Societies (EFNS)criteria with good practice points (GPP) included when there was lack of evidence.
- Assessment Areas
- Speech - "Regular assessment (i.e. every three to six months) of communication by a trained speech therapist is recommended" (p. 209).
- General Findings - Treatment should “optimize the effectiveness of communication for as long as possible” (p. 209) and focus on the individual’s communication as well as partner-to-partner communication (GPP).
- Augmentative and Alternative Communication (AAC)
- Use of augmentative and alternative communication (AAC) systems should be provided as dysarthria progresses.
- Communication systems can range from simple alphabet or picture boards to high tech AAC systems with voice computerized speech synthesizers (GPP).
- Compensatory Strategies and Diet Modification - Use of compensatory swallowing techniques is part of the initial management of dysphagia along with dietary modifications, dietary counseling and caloric supplements. Speech-language pathologists can provide swallowing techniques for individuals with dysphagia (GPP).
Keywords: Amyotrophic Lateral Sclerosis
Access the Guideline
Added to Compendium: November 2011