Myasthenia Gravis (MG)

Hello everybody!
Since several weeks I have a patient under treatment diagnosed with Myasthenia Gravis (MG) for a few years. The last two years she is in a wheelchair and according to literature she seems to have an more 'agressive' form of MG. At the moment she has not even enough energy to accomplish her daily activities. For the last weeks she has a continous headache, probably because of her poor posture. I want to train her cervical neck muscles, but i read that excercise is not indicated. Does anyone have experience with MG patients? Or know where to find relevant literature? Many Thanx, Greetings, Morrisio

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Hello guys! As Morrisio I have a patient, woman 72 years old, affected by Myasthenia Gravis from two years. She is able to do all Activity Daily Living, is indipendent to walk on flat surfaces and taking the stairs. I've had her under treatment for 1 week. I want to train her aerobically, but I don't know if the training aerobic can create problems to the heart muscle, because of disease. I've reading the book of Myasthenia Gravis Foundation of America and articles on PubMed, but I found out nothing on aerobic and heart muscle. Does anyone know where to find something about?
Thanks!, Alex

I have no experience with Myasthenia Gravis patient but i came across an article, that said the following exercises could be performed. Neck exercise might include variations of the shoulder shrug using hand weights. You could also perform the dumbbell shrug by standing and placing the feet shoulder-width apart with knees slightly bent. Then carry weights in each hand With arms hanging at sides, move the shoulders upward. Hold the shrug for one count and repeat the exercise eight to 12 times.

Thanks! I will follow the exercises.
Very kind

You're most welcome Alex. Do tell if you feel any better.