Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative motor neuron disease, which has symptoms of bulbar origin as dysphagia. Dysphagia can be slow and barely noticeable beginning; however, the presence of speech-language therapy in the team that meets this patient, early diagnosis can generate. The immediate onset of therapy has the goal of maintaining standards of breathing and swallowing for longer.