Range of motion exercises
The physiotherapist should progress first from a range of motion exercises to emphasize on joint flexibility. Range of motion exercises are recommended to maintain joint mobility and functionality. Exercises with low to medium intensity are recommended, 3 sets of 5repetitions, and then progressing to 10 repetitions.
The aim is to strengthen the large muscle groups, especially the proximal muscles of the shoulders and hips. Mild to moderate intensity exercises should be started with patients, and progressed first from a simple range of motion exercises to light resistance in the form of resistance bands, progressed to full resistance exercises using machines and free weights. Strengthening exercises are advised and should be done under supervision.
Endurance exercises are taught to the patient with endurance impairment. Throughout the physiotherapy treatment session, the patient can make improvements in strength, endurance, and overall functional mobility of the body.
Aerobic exercises play a vital role in helping with respiratory function and increasing stamina. Exercises are well tolerated in patients with Myasthenia Gravis, but should not be done when feeling tired and experiencing worsening of MG symptoms during exercise.
Smoothness and coordination of activities are taught for the completion of functional tasks and maintenance of independence. Medium intensity exercises are recommended.