Meet the Neurorehabilitation Team
ALS - Amyotrophic lateral sclerosis
Treating ALS at the Institut Guttman
There are currently no effective drugs that act on amyotrophic lateral sclerosis (ALS), but drugs are available to alleviate the symptoms.
Neurorehabilitation improves the quality of life of these patients, with the participation of different professionals and from the earliest stages of the disease.
At the Institut Guttmann we carry out a highly specialised neurorehabilitation process aimed at restoring, minimising and/or compensating functional alterations caused by ALS. We provide patients with comprehensive, continuous, personalised care based on the intervention of an expert multidisciplinary team.
Diaphragm pacing system for ALS patients
In more advanced cases of amyotrophic lateral sclerosis, the use of a pacing system surgically implanted in the diaphragm represents a significant improvement in quality of life. The diaphragm pacing system is used on patients with certain neuromuscular diseases like ALS who are dependent on continuous mechanical ventilatory support. It causes the diaphragm muscles to contract and helps patients breathe without mechanical support (after adequate training).
In addition to providing a better quality of life, this favours the reduction of recurrent respiratory infections and ultimately, an increase in life expectancy.
The Institut Guttmann is a pioneer in the implantation of this type of pacing system in Spain. It is used for adults and very young children alike (in whom it is used in the case of high cervical spinal cord injuries), with highly satisfactory results.
Training and maintenance for people affected by ALS
Patients can follow personalised treatment programmes to optimise their functional capacity or address a specific problem resulting from their neurological impairment. At Guttmann Barcelona patients can find a totally personalised training and functionality improvement programme.
Guttmann Barcelona
The Guttmann Barcelona, Brain Health and Neurorehabilitation Institute offers personalised training and function improvement programmes, as well as specialised intensive programmes.
A space that is adapted and designed for you
GBL apartments
Guttmann Barcelona Life is a social facility consisting of a group of fully adapted and automated apartments that offer a wide range of complementary services tailored to each user.
The apartments share a building with the Guttmann Barcelona Brain Health and Neurorehabilitation Institute, so it is possible to combine a stay with a specialised neurorehabilitation treatment.
References on ALS
Van den Berg JP, Kalmijn S, Lindeman E et al. Multidisciplinary ALS care improves quality of life in patients with ALS. Neurology. 2005 Oct 25;65(8):1264-7.
Lunetta C, Lizio A, Sansone VA et al. Strictly monitored exercise programs reduce motor deterioration in ALS: preliminary results of a randomized controlled trial. J Neurol. 2015 Oct 17.
Hardiman O. Management of respiratory symptoms in ALS. J Neurol. 2011 Mar;258(3):359-65.
Beeldman E, Raaphorst J, Klein Twennaar M et al. The cognitive profile of ALS: a systematic review and meta-analysis update. J Neurol Neurosurg Psychiatry. 2015 Aug 17.
F. Orient-López, R. Terré-Boliart, D. Guevara-Espinosa, M. Bernabeu-Guitart Tratamiento neurorrehabilitador de la esclerosis lateral amiotrófica. Rev Neurol 2006; 43 (9): 549-55