La Esclerosis Lateral Amiotrófica es una enfermedad del sistema nervioso que degenera las neuronas motoras de la corteza, tronco encefálico y médula, que va debilitando diferentes grupos musculares. Las neuronas que se encuentran en la parte inferior de la médula controlan las piernas. Las que están en la parte superior, los brazos; y, las que están en el tronco encefálico controla la capacidad de deglutir, masticar, respirar y otras funciones vitales. Generalmente la parálisis comienza en un mismo territorio muscular definiéndose en cualquiera de las cuatro extremidades o en la región cefálica.  De esta manera la enfermedad progresará a todo el cuerpo en un promedio de 2 a 5 años. Luego de ser diagnosticada, un 20% tiene un tiempo de supervivencia de 3 a 5 años.  

¿Cuáles son las causas?

Aún no se determina cuál es la causa real por la cual aparece la Esclerosis Lateral Amiotrófica. Existe un 5 a 10% de los casos son familiares; es decir, genéticos aunque aún está en investigación. La prevalencia es de 1 a 2 personas nuevas por 100,000 habitantes al  año.  Según estudios el sexo es un factor determinante siendo ésta mayor en varones que en mujeres en casos familiares. Al ser su inicio lento e insidioso puede tardar hasta 20 meses su diagnóstico y acorde a la sintomatología presentada puede darse en dos formas: Medular o Bulbar. La diferencia fundamental es que el ELA (Esclerosis lateral amiotrófica) bulbar progresa más rápidamente y ataca a funciones como el hablar, comer, caminar o escribir.

El diagnóstico médico consta de los criterios de El Escorial de 1998, y actualmente con criterios electromiográficos, resonancia nuclear, análisis de sangre y otros que excluyen otras enfermedades.

Conozca los síntomas

Algunos síntomas primordiales  de la Esclerosis Lateral Amiotrófica son la debilidad muscular, la sialorrea (babeo), secreciones bronquiales (exceso de flema), calambres, espasticidad (músculos rígidos que ceden pero regresan a su misma posición si se les suelta), afección seudobulbar (expresión de risa o llanto involuntario)

¿Cuáles son los tratamientos?

Actualmente no existe un tratamiento que cure esta terrible enfermedad.  Nos podemos imaginar lo difícil que es esta situación para todos aquellos que la padezcan o tengan a un familiar cercano que la padezca, pero lo que si podemos hacer es mejorar la calidad de vida de ellos.

El tratamiento se enfoca en la insuficiencia respiratoria debido a que la debilidad no solo afectará a los músculos de piernas y brazos sino también a los músculos respiratorios. En casos mucho más avanzados el uso de oxigenoterapia y  ventilación mecánica es imprescindible para que el paciente siga viviendo. La terapia respiratoria evitará el cúmulo de secreciones en las vías respiratorias, causantes de los famosos “paros” respiratorios.

Consecuencias

  • Por la falta de movimiento se presentará edema en miembros inferiores siendo la kinesiología (terapia física) en conjuntos con vendas elásticas una excelente opción.
  • La depresión e insomnio son otros temas de amplio abordaje que en conjunto con un psicólogo o psiquiatra se pueden aminorar, en algunos casos los médicos recetan antidepresivos.
  • La disfagia o dificultad para poder ingerir alimentos se irá dando debido a que irá afectando los músculos masticatorios.  Esto implicará el acompañamiento de un nutricionista en este proceso. Será importante para evitar la pérdida de peso.

En esta enfermedad en particular es recomendable evitar los ejercicios excesivos porque pueden fatigar aún más a la persona, pero si se deben movilizar todas sus articulaciones para mejorar la circulación. Es importante también movilizar los tejidos y mantener rangos articulares, el acompañamiento de un fisioterapeuta es vital en este proceso.

Conclusiones

Como conclusión, podemos decir que es indispensable el trabajo de un equipo multidisciplinario y la educación a los familiares, para mejorar la calidad de vida al paciente. Es indispensable tener el conocimiento de algunas técnicas y herramientas necesarias para poder tratar a aquellos que sufren de esclerosis lateral amiotrófica.

Si usted está interesado en poder encontrar un tratamiento fisioterapéutico que se adecue a la necesidad de un paciente, no dude en ponerse en contacto con Hogar Salud. Para poder apoyarlo en el proceso de recuperación. 

Contáctenos al:
Celular: 973040749
Central: (01) 7951224
Corre: consultas@hogarsalud.com.pe

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    Law firms can sometimes be endlessly chaotic. Lawyers, paralegals, and staff members must organize, analyze, and manage every aspect of multiple cases. They must track and monitor:

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    Table of Contents
    What Should You Look for When Choosing Case Management Software?
    There are many options for case management software. You need to choose software that meets your specific needs.

    Each law firm is unique, and lawyers may have different preferences.

    Fortunately, there are options that allow you to customize a case management program to fit your needs.

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    The provider offers ongoing, quality support
    Ability to configure the system to adapt it to your needs and current systems
    Ease of retrieving data and create reports, forms, and other documents
    The ability to track time, expenses, and generate invoices and billing documents
    Accept online and credit card payments
    Prepare documents for trial and monitor litigation deadlines
    Many software companies offer free demos or free trial periods. You might need to try several case management software systems before finding the best system for you.

    What Are Some Popular Case Management Software Systems for Law Firms?
    Some of the popular case management software systems available today include:

    CASEpeer,
    FileVine,
    SmartAdvocate,
    Litify,
    MyCase,
    Clio,
    Thomson Reuter’s Legal Tracker,
    Trialworks, and
    LawRuler.
    Here’s a brief overview of each of these top-rated attorney case management systems:

    CASEPeer Logo
    CASEPeer is designed specifically for personal injury law firms. This cloud-based system offers time-saving and organizational features such as:

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    From the company: “CASEpeer’s powerful built-in tools allow you to constantly evaluate your organization’s workflow, identify opportunities to further develop employees, more effectively communicate on client’s cases, and maximize productivity and results.” -Lucero Smith, COO, CASEPeer

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    Good choice for document management
    Demo: Want to see how FileVine can help you transform your law firm operations? Book a free demo that’s customized to your firm’s particular needs.

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    SmartAdvocate is a fully integrated legal case management system. Initially designed for personal injury and mass tort litigation practices, it is now used by a large range of litigation firms.

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    From the company: “We take pride with each annual release,” Igor Selizhuk, CTO at SmartAdvocate states, “because with each release, we fulfill our promise to our clients to continually provide them with a system that matches their evolving needs.”

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    Litify is an integrated solution designed for mid-size and large law firms. It is built on the popular Salesforce platform used by many businesses for automation and analytics.

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    Visit www litify com to learn more about how you, your team, and your clients could all benefit from a partnership with Litify.

    Mycase Logo
    MyCase offers an all-in-one case management software solution to document management, time tracking, invoicing, payment collection, and calendaring.

    Some of its key features are:

    Simple user-friendly interface
    Simple pricing structure includes all features instead of having to add options
    Unlimited e-signatures included
    MyCase offers a free 10-day trial, so you can test the software and see if it’s a good fit for your practice.

    Clio Manage Logo
    Clio Manage offers a variety of features, including billing, contact management, document management, calendaring, accounting, task management, online payments, and time tracking.

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    Matter timelines display who made changes and when updates were made
    Separate module available for client intake/client relationship management
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    Thomson Reuters >ogo
    Legal Tracker has features such as eBilling, matter management, reporting, analytics, cloud integrations, data services, and legal operations.

    It offers such features as:

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    Robust reporting system
    Excellent collaboration tools
    This Thomson Reuters system is geared towards helping corporate in-house legal departments track and organize their legal teams.

    Trialworks Logo
    Trialworks is a cloud-based solution created by trial lawyers with options for mobile case intake, document management, calendaring, and trial management.

    Some distinct features include:

    Litigation-centered tools
    Based on familiar Microsoft Office platform
    Available as software to be used on local network or cloud-based
    Offers database conversion (as a separate service)
    Check out their website to learn more and schedule a free demo.

    Law Ruler Logo
    Law Ruler has customized solutions for litigation firms and is integrated with Office 365 for convenient workflow. Its detailed dashboard analytics help you keep track of case status, leads, and marketing performance.

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    Managing your cases effectively improves customer service, as well as your legal services. You have more time to devote to your clients and work on their cases when you do not need to worry about the day-to-day logistics of case management.

    FAQs About Law Firm Case Management Software
    If you are not familiar with case management software, these frequently asked questions may help you understand why your law firm needs to invest in high-quality case management software.

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    Managing legal cases requires a system for keeping up with detailed information about each case. Case management begins before your client hires your law firm. You need an effective way to perform conflict checks before your client signs a retainer agreement.

    Throughout the case, there could be hundreds or thousands of documents to organize, deadlines to monitor, statements to process, and other details that must be analyzed and organized into categories that are easy to search.

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    WHAT CAN CASE MANAGEMENT SOFTWARE DO FOR MY PRACTICE?
    Gathering, analyzing, and organizing large amounts of information, data, and documents is a significant element of case management. Many lawyers, paralegals, and case managers have multiple cases they handle. As a result, the volume of data can be overwhelming.

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    In addition, everyone within the law firm can access the case files and all information stored in the files from their desktop or tablet.

    WHAT ARE OTHER BENEFITS OF CASE MANAGEMENT SOFTWARE?
    In addition to managing the data, documents, and other information associated with a client’s case, there are other benefits of using case management software.

    REDUCE THE RISK OF MISTAKES
    Case management software can reduce the risk of human error. Mistakes happen when you are handling multiple cases and thousands of documents. Case management software completes many of the tasks automatically, which reduces the risk of errors and mistakes.

    For example, errors in transferring data to forms could be costly and time-consuming.

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    Lawyers have a fiduciary duty to protect confidential information. A data breach could result in the theft or exposure of sensitive information. Case management software can add another layer of security for data.

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    Lawyers and staff members can access client files and data from work, home, and other locations. In addition, case management software that is cloud-based allows employees to access data even when telecommuting.

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