ALS is a progressive neurodegenerative disease associated with the degeneration of motor neurons, resulting in muscle weakness, spasticity and overall loss of function. The limitation of mobility and quality of life these symptoms cause makes it imperative to find effective means of therapeutic intervention. As such, physical therapy has a strong role in reducing these complications, along with providing individualized methods for preserving function, managing symptoms, and improving outcomes. We tailor interventions for stretching, strength training, and mobility exercises to the evolving needs the ALS patients will present. Assistance devices improve mobility, and energy conservation strategies help maximize mobility before fatigue sets in and before independence is lost. It is essential with ALS care to manage spasticity and pain, with stretches, massage and aquatic therapy being effective. Respiratory complications are one of the most debilitating effects of ALS, so breathing exercises focus on this. 

Multidisciplinary care is incorporated to guarantee a holistic approach to the management of the disease — neurologists, physical therapists, and caregivers are involved. New technologies, including telerehabilitation and wearable devices, have improved access to care and the ability to monitor and intervene in more personalized ways remotely. Physical therapy interventions for ALS are reviewed based on evidence as both an aid to mobility and as a means of optimizing quality of life. We find that tailored physical therapy interventions have the potential to slow disease progression and even help people live more independently. However, access disparities and the requirement of standardized protocols are still big hindrances. Through research and innovation, these limitations can be addressed, thereby optimizing ALS rehabilitation strategies and providing a comprehensive delivery of care to affected individuals.