Amyotrophic lateral sclerosis – a motor neuron disease. Case report

1 Department of Physiotherapy in Diseases of Internal Organs, Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland. Head of the Department: Professor Cezary Kucio, PhD, Academy of Physical Education in Katowice
2 Department of Pedagogy, Faculty of Physiotherapy, University of Dąbrowa Górnicza, Dąbrowa Górnicza, Poland. Head of the Department: Professor Marek Walancik, PhD
3 Department and Clinical Ward of Internal Diseases, Angiology and Physical Medicine and Centre of Diagnosis and Laser Therapy in Bytom, School of Medicine with Division of Dentistry in Zabrze, Medical University in Katowice, Bytom, Poland. Head: Professor Aleksander Sieroń, MD, PhD, doctor honoris causa
4 Institute of Physical Education, Tourism and Physiotherapy, Jan Długosz Academy in Częstochowa, Częstochowa, Poland. Director of the Institute: Professor Jacek Wąsik, PhD, Jan Długosz Academy in Częstochowa
Correspondence: Jarosław Pasek, PhD, Department and Clinical Ward of Internal Diseases, Angiology and Physical Medicine and Centre of Diagnosis and Laser Therapy in Bytom, School of Medicine with Division of Dentistry in Zabrze, Medical University in Katowice, Stefana Batorego 15, 41-902 Bytom, Poland, tel.: +48 32 786 16 30

Pediatr Med Rodz 2015, 11 (1), p. 112–118
DOI: 10.15557/PiMR.2015.0010
ABSTRACT

Amyotrophic lateral sclerosis, also known as Charcot’s disease and motor neuron disease, is a progressive neurodegenerative disease that causes muscle weakness, paralysis, and ultimately, respiratory failure. The aetiology and the pathogenesis of the syndrome remain unknown. Most people live 2–5 years after their first signs of the disease. There is no cure or effective treatment. We present a case of a female patient affected by progressing Charcot’s disease. On the Amyotrophic Lateral Sclerosis Functional Rating Scale – Revised (ALSFRS-R), the patient obtained 21 points. Atrophy and muscle spasm were very extended. Electromyography revealed features of coexisting denervation and reinnervation in the examined muscles. A growing number of Charcot’s disease cases require multidirectional actions to meet patient’s physical, emotional, and nutritional needs. Amyotrophic lateral sclerosis is an incurable disease. However, it is possible to relieve its symptoms by applying systematic physical rehabilitation.

Keywords: ALS, amyotrophic lateral sclerosis, fasciculation, motor neuron disease