Physical and Occupational Therapy for Myasthenia Gravis: Improving Strength, Energy Conservation, and Independence

Physical Therapy (PT)

• Individualized exercise program: low-resistance, high-repetition for proximal limb and respiratory muscles.
• Interval training to build endurance without precipitating fatigue.
• Breathing exercises (diaphragmatic, incentive spirometry) for respiratory muscle support.
• Balance and gait training to reduce fall risk.

Occupational Therapy (OT)

• Energy conservation techniques: pacing, prioritizing, work simplification.
• Adaptive equipment: reachers, long-handled sponges, button hooks, raised toilet seats.
• Assistive mobility: cane, walker, wheelchair assessment and training.
• Home/workplace ergonomic modifications.
• Activity analysis for safe performance of ADLs/IADLs.

Goals

• Maximize functional independence.
• Minimize fatigue-related exacerbations.
• Enhance quality of life and participation.

Referral to PT/OT experienced in neuromuscular disorders is recommended. Coordinate with neurologist for medication timing (e.g., pyridostigmine) relative to therapy sessions.