When confronted with the devastating diagnosis of amyotrophic lateral sclerosis (ALS, or motor neurone disease), patients are desperate for information particularly in regards to causation and treatment. Inevitably, discussion turns to lifestyle-related issues, and often the role of exercise. Unfortunately, this is a complex, largely unresolved area of disease management, with the potential benefits of exercise in ALS remaining an open discussion between physician and patient.In America, ALS is also known as Lou Gehrig's disease, named after the famous New York Yankees baseballer (Fig. 1).
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