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Exercise in myasthenia gravis: A feasibility study of aerobic and resistance training
Rahbek MA1, Mikkelsen EE1, Overgaard K1, Vinge L2, Andersen H2, Dalgas U1.
Muscle Nerve. 2017 Jan 13. doi: 10.1002/mus.25552. [Epub ahead of print]
It has not been established whether progressive resistance training (PRT) and aerobic training (AT) are feasible and efficient in myasthenia gravis (MG).
Fifteen subjects with generalized MG (MGFA II - IV) were randomly assigned to 20 training sessions during 8 weeks of either progressive resistance training or aerobic training. Feasibility was evaluated based on adherence, drop-out rate, adverse events, and Quantitative MG score.
Twelve subjects (MGFA II, n=11; MGFA III, n=1) completed the intervention with a mean adherence of 95% ± 8. One dropout (PRT) could potentially be related to PRT. Both groups reported adverse events, including bulbar symptoms (n=2) and increased fatigue (n=3), but no change in QMG-score was observed in either group. The PRT group showed increases in maximal strength and functional capacity.
Eight weeks of moderate to high intensity AT and PRT were feasible for most patients with mild MG. Maximal strength and functional capacity increased in the PRT group.