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Exercise and Physical Therapy for Myasthenia Gravis

Medically reviewed by John Sammis, D.O.
An older woman with grey hair in a ponytail stretches by sitting on the ground, extending one leg and touching her foot. She wears a blue tank top, blue leggings, and white sneakers.
3 min read

Exercise and physical therapy play vital roles in managing Myasthenia Gravis, helping individuals maintain strength, flexibility, and independence. While physical activity requires careful consideration due to muscle weakness and fatigue, a well-planned exercise program can significantly improve quality of life and daily functioning.

Benefits of Exercise in Myasthenia Gravis

Regular, appropriate exercise offers numerous advantages for people with Myasthenia Gravis. Physical activity helps maintain muscle strength, improves cardiovascular health, and enhances overall endurance. Exercise also supports mental well-being, reduces stress, and may help manage symptoms when performed correctly under professional guidance.

Working with a Physical Therapist

Physical therapists experienced in neuromuscular conditions create personalized exercise programs that account for individual symptoms, strength levels, and daily energy patterns. These professionals help determine safe activity levels and teach proper techniques for exercise and daily movements.

  • Initial assessment to evaluate muscle strength and endurance
  • Development of customized exercise programs
  • Regular monitoring and program adjustment
  • Education about energy conservation techniques
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The most beneficial exercises for Myasthenia Gravis focus on gentle strengthening and maintaining range of motion. These activities should be performed when energy levels are highest, typically in the morning or after rest periods.

Aerobic Exercise

Low-impact aerobic activities help build endurance without overtaxing muscles. Walking, swimming, and stationary cycling represent excellent options. These exercises should start at low intensity and duration, gradually increasing as tolerated.

Strength Training

Resistance exercises using light weights or body weight help maintain muscle strength. These exercises should focus on major muscle groups and be performed with proper form to prevent fatigue and injury.

Flexibility Exercises

Gentle stretching helps maintain joint mobility and prevent muscle stiffness. These exercises can be performed daily, even during periods of increased weakness.

Safety Guidelines and Precautions

Exercise safety remains paramount for individuals with Myasthenia Gravis. Following these guidelines helps prevent overexertion and ensures maximum benefit from physical activity.

  • Stop exercise if experiencing increased weakness or fatigue
  • Allow adequate rest periods between exercises
  • Avoid exercising in extreme temperatures
  • Stay hydrated during activity

Adapting Daily Activities

Physical therapists also teach strategies for conserving energy during daily activities. These techniques help maintain independence while preventing excessive fatigue.

  • Proper body mechanics for routine tasks
  • Use of assistive devices when necessary
  • Planning activities around energy levels
  • Implementing rest periods throughout the day
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Monitoring Progress and Adjusting Programs

Regular assessment of exercise tolerance and symptom response helps ensure the effectiveness of physical therapy programs. Changes in medication, stress levels, or overall health may require program modifications. Working closely with healthcare providers allows for timely adjustments to maintain optimal benefit from exercise and physical therapy.

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