Quality of life and functional independence in amyotrophic lateral sclerosis: A systematic review.

• ALS rehabilitation treatment and impact on functional independence and/or quality of life. • Functional Independence and quality of life instruments most used to evaluate ALS. • Respiratory care, mental health, communication are the focus on ALS quality of life. • ALS Patient-Perceived outcomes about quality of life is limited by disease severity. Amyotrophic Lateral Sclerosis (ALS) leads to functional capacity decline, generating great impact in quality of life. Quality of life is directly related to physical integrity and functional independence. This systematic review aimed to analyze treatment protocols and their outcomes from clinical trials with focus on ALS rehabilitation that evaluated the effects on quality of life and functional independence from their intervention process. A literature search was conducted through MEDLINE-PubMed, Science Direct, Web of Science and Scopus databases. A total of 3630 articles were identified. Eleven studies met the inclusion criteria. They focused on different aspects of quality of life or functional independence, which are: respiratory care, mental health, communication skills and exercises. Use of bipap and inspiratory muscle training, anxiety and depression, communication devices implementation and exercises safety and tolerability were considered as key points. However, the drastic evolution of the disease is a limiting factor to the perception of quality of life improvement by patients. Further studies should be done to validate the benefits on patients' quality of life. [ABSTRACT FROM AUTHOR]