“…Patients with ALS develop weakness, muscle denervation, atrophy and progressive paralysis of all muscles (bulbar and respiratory), dysphagia (Al-Chalabi and Hardiman, 2013;D'Amico et al, 2013;Gowland et al, 2019) and respiratory muscle weakness that leads to respiratory failure and death (Sferrazza-Papa et al, 2018). The survival rate is 3-5 years after the onset of symptoms (Andersen, 2006;Gordon, 2013;Coan and Mitchell, 2015;Wier et al, 2019).…”