It is important to collaborate with the patient on their goals as giving them an individualized exercise program increases adherence to the program and can increase their level of functioning 

• Drop foot
  • Short-term: Increase ankle dorsiflexion by 1 on the oxford scale by 2 weeks. (if not possible, prescribe AFO by 2 weeks.)

Long-term: Not applicable

• Shortness of breath on exertion
  • Short term: Decrease shortness of breath on exertion by 1 on MRC dyspnea scale by 2 weeks
  • Long-term: Maintain shortness of breath on exertion by 6 months (as ALS is a progressive disease it is realistic that this patient should try and maintain what they have currently if not, try to slightly improve if there is room for it)
• Right leg weakness
  • Short-term: Increase mobilization distance by 10m with gait aid by 2 weeks
  • Long-term: Mobilize with gait aid by 50m by 6 months 
• Deconditioning
  • Short-term: Increasing mobilization distance 
• Respiratory Complications
  • Short-term: Patient can perform 3 cycles of active cycle of breathing exercise  independently by 1 week. 
  • Long-term: Maintain the same peak flow value by 6 months. 
• ALS progression
  • Short-term: Patient independent on recognizing the symptoms of dysarthria and dysphagia by 1 week
  • Long-term: Patient attending rehabilitation exercise program 2x/week by 6 months. 

3. Collaborate with the patient on both short and long term goals to make sure they are specific, measureable, achievable, realistic, and timely.