In early-stage Amyotrophic Lateral Sclerosis, what is the first recommended Range of Motion (ROM) exercise?

In early-stage Amyotrophic Lateral Sclerosis (ALS), active Range of Motion (ROM) exercises are recommended as they involve the client actively using their muscles to move their joints. This type of exercise can help maintain strength and preserve muscle function for as long as possible, which is particularly important in a condition like ALS that affects motor neurons and leads to muscle weakness.

In the early stages, individuals often retain some level of muscle function and control, making active ROM exercises beneficial. These exercises encourage clients to engage their muscles, fostering a sense of control and encouraging neuromuscular connections. Additionally, active ROM exercises can help with circulation, flexibility, and joint health.

While passive and active assistive ROM exercises have their roles, they are generally suggested for situations where the individual has less capability to move independently. Thus, in this context, active ROM is the first exercise recommended, as it aligns with the goal of maximizing the individual's existing abilities while addressing the challenges posed by ALS.