What is ALS?
ALS, or amyotrophic lateral sclerosis, is a progressive neurological condition that affects the nerve cells controlling voluntary muscle movement. Over time these nerve cells lose their ability to signal the muscles, which changes strength, coordination, mobility, speech, and swallowing.
ALS looks different from person to person, and the pace of change varies widely. There is no cure yet, but therapy, adaptive tools, and supportive strategies can help people maintain comfort, independence, and quality of life, and stay engaged in meaningful activities.
Common signs and challenges
- Muscle weakness or cramping
- Tripping or falls
- Stiffness and joint tightness
- Tiring quickly
- Slurred or slower speech
- Difficulty swallowing
- Choking or coughing with meals
- Trouble with hand tasks
How therapy may help
Every plan starts with an evaluation. Which disciplines are involved depends on your goals and what the evaluation shows.
What to expect at Empowerize
Your therapist works one-on-one with you or your child to build a customized treatment plan. We collaborate with your referring physician and give regular updates on your plan of care. Families and caregivers are included in goal setting and home strategies.
Questions families ask about ALS
When should someone with ALS start speech therapy?
Early, ideally soon after diagnosis. Starting early allows time for voice banking and for learning communication tools before they are needed.
What is voice banking?
Voice banking means recording your own voice so it can be used later in a speech-generating device, letting you communicate in a voice that sounds like you.
How does physical therapy help if ALS is progressive?
Physical therapy focuses on comfort, safety, and energy conservation, and adjusts as needs change. The goal is to help you stay as independent and active as possible.

