What is Functional Cognition?

Functional cognition refers to the ability to use thinking skills like memory, attention, and problem-solving to complete everyday tasks. In individuals with ALS, cognitive changes can vary. Recent studies indicate that cognitive impairment affects approximately 30% to 75% of individuals with ALS, with up to 45% meeting the criteria for frontotemporal dementia (FTD), which is a disorder affecting the frontal and temporal lobes of the brain responsible for decision-making, behavior, personality, and language (Agosta et al., 2023).

Common Cognitive Challenges in ALS:

Memory Loss

Difficulty recalling important events, appointments, or daily tasks

Focusing

Difficulty maintaining attention during conversations or activities

Planning

Challenges in organizing and executing daily routines

Language Difficulties

Challenges with word retrieval and communication

Problem-Solving

Difficulty adapting to new challenges or unexpected situations

Reduced Awareness of Cognitive Challenges

Some individuals may not recognize their cognitive decline

Cognitive changes in ALS can impact daily routines, communication, and overall quality of life. Recognizing these challenges is the first step toward finding effective solutions. Keep reading to learn about strategies that can assist with these challenges.