ALS patients are encouraged to pace themselves, alternating activity with rest periods. It is best not to work at a constant rate to decrease the effect of local muscle fatigue. Decreasing the amount of resistance placed on muscle groups also helps to prevent overwork fatigue. Using a lightweight thermal coffee cup instead of stoneware and a paperback book rather than a hardback book are examples of ways to decrease resistance. Adaptive devices can assist weakened muscles, reduce fatigue, promote safety, and enhance life quality by helping to maintain maximum independence.
Muscle weakness can make certain self-care, household, and occupational tasks more difficult.
This weakness, combined with general fatigue, may require an assistive device to help maintain independence. The goals of occupational therapy must coincide with the goals of the ALS patient and their perception of what independence means to them.