期刊
JOURNAL OF NEUROLOGY
卷 269, 期 6, 页码 2910-2921出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00415-022-10971-w
关键词
Amyotrophic lateral sclerosis; Motor neuron diseases; Clinical management; Emerging technologies; Telemedicine; Brain-computer interface; Eye tracking; Robotics; Internet of things
资金
- Fondazione Serena Onlus
- Gruppo Cooperativo CGM
Amyotrophic lateral sclerosis (ALS) is an incurable disease characterized by the degeneration of motor neurons, leading to muscle weakness and paralysis. Multidisciplinary approaches and emerging technologies have been used to manage ALS, but there are still unresolved issues.
Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease, is characterized by the degeneration of both upper and lower motor neurons, which leads to muscle weakness and subsequently paralysis. It begins subtly with focal weakness but spreads relentlessly to involve most muscles, thus proving to be effectively incurable. Typically, death due to respiratory paralysis occurs in 3-5 years. To date, it has been shown that the management of ALS patients is best achieved with a multidisciplinary approach, and with the help of emerging technologies ranging from multidisciplinary teleconsults (for monitoring the dysphagia, respiratory function, and nutritional status) to brain-computer interfaces and eye tracking for alternative augmentative communication, until robotics, it may increase effectiveness. The COVID-19 pandemic created a spasmodic need to accelerate the development and implementation of such technologies in clinical practice, to improve the daily lives of both ALS patients and caregivers. However, despite the remarkable strides that have been made in the field, there are still issues to be addressed. This review will be discussed on the eureka moment of emerging technologies for ALS, used as a blueprint not only for neurodegenerative diseases, examining the current technologies already in place or being evaluated, highlighting the pros and cons for future clinical applications.
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