Amyotrophic lateral sclerosis (ALS) is a devastating disease that affects many parts of patients’ lives, such as the abilities to think, move, and speak. Speech problems in ALS can have a substantial effect on patients’ quality of life. They are also related to faster disease progression and shorter survival time. It may be possible to detect the onset of ALS head and neck muscle problems early using speech recordings, which could improve planning of care for ALS patients. Speech recordings may also be useful measures for ALS clinical trials.