Perspective on Japan: Rehab Research By Jackie Montes, Physical Therapist This year’s symposium, the third that I have attended, gave evidence through many presentations, discussions and meetings that this diverse group of clinicians and scientists is working hard to fight motor neuron disease. In the future, I hope to see more work on the role of the rehabilitation specialist. Since ALS results in muscle weakness, maintaining functional mobility is often a major challenge for patients. Falls, the timing of assistive devices, and the introduction of wheelchairs are issues we face daily, but there has been little research or evidence collected to support and guide our practice. There are very few physical and occupational therapists who specialize in motor neuron disease, so we must rely on the community-based therapists to provide rehabilitation. Evidence based guidelines on management of mobility and function would help optimize patient care . So besides learning what’s on the cutting edge, attending this meeting also provides an opportunity to see what needs to be done.