physiotherapy interventions include strength, endurance and gait training with graduated increases in mobility, maintenance of posture and alignment as well as joint function. occupational therapy aims to improve everyday function with domestic and community tasks as well as driving and work. home modifications, gait aids, orthotics and splints may be provided. speech-language pathology input may be required in those with speech and swallowing problems, as well as to support communication in those who require ongoing breathing support (often through a tracheostomy). nutritional support may be provided by the team and by dietitians. psychologists may provide counseling and support. psychological interventions may also be required for anxiety, fear and depression.