Effects of balance strategy training in myasthenia gravis: a case study series

Wong, Shi Hui, Nitz, Jennifer C., Williams, Katrina and Brauer, Sandra G. (2014) Effects of balance strategy training in myasthenia gravis: a case study series. Muscle and Nerve, 49 5: 654-660. doi:10.1002/mus.24054


Author Wong, Shi Hui
Nitz, Jennifer C.
Williams, Katrina
Brauer, Sandra G.
Title Effects of balance strategy training in myasthenia gravis: a case study series
Journal name Muscle and Nerve   Check publisher's open access policy
ISSN 1097-4598
0148-639X
Publication date 2014-05-01
Year available 2013
Sub-type Article (original research)
DOI 10.1002/mus.24054
Volume 49
Issue 5
Start page 654
End page 660
Total pages 7
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Language eng
Formatted abstract
Introduction: Studies of exercise in patients with myasthenia gravis (MG) are sparse. Balance strategy training (BST) multimodal exercise has proven efficacy in adults for enhancing balance and functional mobility. This prospective study aims to determine if BST improves functional ability and balance in people with MG.

Methods: Seven individuals with MG participated in a 16-session workstation intervention. Repeated measures (pre/post-intervention and 4-week follow-up) consisting of quantitative myasthenia gravis score (QMG), 6-minute walk test (6MWT), timed up and go (TUG) with dual task (TUGmanual and TUGcognitive), and standing stability on foam with eyes closed (foamEC) were assessed.

Results: Most measurements showed sustained improvement at follow-up. QMG, TUGcognitive, and foam EC achieved clinically significant improvements (>15%). No adverse effects were reported.

Conclusions: BST was effective in improving balance and QMG scores in subjects with MG. A multimodal BST approach is thus suggested to target different aspects of balance and functional mobility.
Keyword Balance
Exercise
Functional mobility
Myasthenia gravis
Strength
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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