AI Chat Paper
Note: Please note that the following content is generated by AMiner AI. SciOpen does not take any responsibility related to this content.
{{lang === 'zh_CN' ? '文章概述' : 'Summary'}}
{{lang === 'en_US' ? '中' : 'Eng'}}
Chat more with AI
Article Link
Collect
Submit Manuscript
Show Outline
Outline
Show full outline
Hide outline
Outline
Show full outline
Hide outline
Editorial | Open Access

What advances in upstream medical therapies inform neurorestoratology

Department of Physical Medicine and Rehabilitation, Rutgers University - New Jersey Medical School, Center for Ventilator Management Alternatives, Pulmonary Rehabilitation of the University Hospital of Newark, Newark, NJ, 07102, USA
Show Author Information

Abstract

Recent advances in upstream medical therapies for neuromuscular disorders suggest that the best outcomes result from their administration in the pre-symptomatic, and perhaps, neonatal period. Currently available therapies, and many other extremely expensive therapies in the pipeline soon to be considered by the Food and Drug Administration, and suggest the importance of avoiding potential life-threatening disease complications for patients to continue to benefit from these. There is evidence that this is almost always possible with the use of respiratory muscle aids to avoid pneumonias and respiratory failure, but these are currently little understood and rarely offered by the medical community. However, restoring neuromuscular function necessitates keeping the patient alive and well.

References

1
Beghi E, Pupillo E, Mazzini L, Vanacore N. Do soccer players have an increased risk of ALS?. In: 71st Annual Meeting of the American Academy of Neurology. Abstract for Press Release; 2019. https://www.aan.com/PressRoom/Home/GetDigitalAsset/12892. Accessed January 15, 2023.
2
Bach JR. Medical therapies and research. In: The Management of Patients with Neuromuscular Disease. Philadelphia: Hanley & Belfus; 2004:29-36. Bach JR.
3

Ries M. Enzyme replacement therapy and beyond-in memoriam Roscoe O. Brady, M.D. (1923-2016). J Inherit Metab Dis. 2017;40(3):343-356.

4

Finkel RS, Chiriboga CA, Vajsar J, et al. Treatment of infantile-onset spinal muscular atrophy with nusinersen: final report of a phase 2, open-label, multicentre, dose-escalation study. Lancet Child Adolesc Health. 2021;5(7):491-500.

5

Darras BT, Chiriboga CA, Iannaccone ST, et al. Nusinersen in later-onset spinal muscular atrophy: long-term results from the phase 1/2 studies. Neurology. 2019;92(21):e2492-e2506.

6

Carter RE, Donovan WH, Halstead L, et al. Comparative study of electrophrenic nerve stimulation and mechanical ventilatory support in traumatic spinal cord injury. Paraplegia. 1987;25(2):86-91.

7

Bach JR. Amyotrophic lateral sclerosis. Communication status and survival with ventilatory support. Am J Phys Med Rehabil. 1993;72(6):343-349.

8
Bach JR. To trach or not to trach? Consequences. In: A Compendium of Interventions for the Noninvasive Management of Ventilatory Pump Failure: For Humane Management of Neuromuscular Diseases, Spinal Cord Injury, Morbid Obesity, Chest Wall Deformity, Critical Care Neuromyopathy, and Other Neurological and Pulmonary Disorders. 1st ed. Book Vine Press; 2022:181-192. Bach JR, Gonçalves MR.
9
Bach JR. More consequences of invasive mechanical ventilation. In: A Compendium of Interventions for the Noninvasive Management of Ventilatory Pump Failure: For Humane Management of Neuromuscular Diseases, Spinal Cord Injury, Morbid Obesity, Chest Wall Deformity, Critical Care Neuromyopathy, and Other Neurological and Pulmonary Disorders. 1st ed. Book Vine Press; 2022:193-208. Bach JR, Gonçalves MR.
10

Bach JR. Noninvasive respiratory management of patients with neuromuscular disease. Ann Rehabil Med. 2017;41(4):519-538.

11

Bach JR, Chiou M. Limitations of evidence-based medicine. Rev Port Pneumol. 2016;22(1):4-5.

12

Bach JR. POINT: is noninvasive ventilation always the most appropriate manner of long-term ventilation for infants with spinal muscular atrophy type 1? Yes, almost always. Chest. 2017;151(5):962-965.

13

Bach JR, Gupta K, Reyna M, et al. Spinal muscular atrophy type 1: prolongation of survival by noninvasive respiratory aids. Pediatr Asthma Allergy Immunol. 2009;22(4):151-162.

14

Bach JR, Martinez D. Duchenne muscular dystrophy: continuous noninvasive ventilatory support prolongs survival. Respir Care. 2011;56(6):744-750.

15

Gomez-Merino E, Bach JR. Duchenne muscular dystrophy: prolongation of life by noninvasive ventilation and mechanically assisted coughing. Am J Phys Med Rehabil. 2002;81(6):411-415.

16

Ishikawa Y, Miura T, Ishikawa Y, et al. Duchenne muscular dystrophy: survival by cardio-respiratory interventions. Neuromuscul Disord. 2011;21(1):47-51.

17
Bach JR, Gonçalves MR. Dedication. In: A Compendium of Noninvasive Approaches for Managing Ventilatory Pump Failure: Humane Management of Neuromuscular Diseases, Spinal Cord Injury, Morbid Obesity, Chest Wall Deformity, Critical Care Neuromyopathy, and Other Neurological and Pulmonary Disorders. 1st ed. Book Vine Press; 2022:335. Bach JR, Gonçalves MR.
18

Gonçalves MR, Bach JR, Ishikawa Y, et al. Continuous noninvasive ventilatory support outcomes for patients with neuromuscular disease: a multicenter data collaboration. Pulmonology. 2021;27(6):509-517.

19

Bach JR, Alba AS. Noninvasive options for ventilatory support of the traumatic high level quadriplegic patient. Chest. 1990;98(3):613-619.

20

Bach JR, Saporito LR, Shah HR, et al. Decanulation of patients with severe respiratory muscle insufficiency: efficacy of mechanical insufflation-exsufflation. J Rehabil Med. 2014;46(10):1037-1041.

21

Bolikal P, Bach JR, Goncalves M. Electrophrenic pacing and decannulation for high-level spinal cord injury: a case series. J Spinal Cord Med. 2012;35(3):170-174.

22

Bach JR, Saporito LR. Indications and criteria for decannulation and transition from invasive to noninvasive long-term ventilatory support. Respir Care. 1994;39(5):515-528. discussion 529-531.

Journal of Neurorestoratology
Article number: 100049
Cite this article:
Bach JR. What advances in upstream medical therapies inform neurorestoratology. Journal of Neurorestoratology, 2023, 11(2): 100049. https://doi.org/10.1016/j.jnrt.2023.100049

439

Views

0

Crossref

0

Web of Science

0

Scopus

Altmetrics

Received: 22 January 2023
Accepted: 02 February 2023
Published: 24 February 2023
© 2023 The Author.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Return