Publikasi Scopus 2010 s/d 2022

Myasthenia Gravis (MG) causes weakness of many muscle groups including the respiratory muscles. The pulmonary complications of MG depend on the magnitude and location of the affected muscle groups and tend to occur in patients who are severely disabled. This paper reports a case of female with myasthenia gravis who underwent pulmonary rehabilitation, especially breathing exercise. A 19-year-old woman was diagnosed with Myasthenia Gravis since 2.5 years ago. The patient presented to the hospital in early January 2019 with dyspnea when doing daily activities. The Spirometry results showed FEV1 0.85L (Prediction: 30.4%), FVC 1.6L (Prediction 51.44%), FEV1/FVC 53.12% (Prediction 57.7%), interpreted as moderate restriction and severe obstruction. Borg scale was 13-0.5-5 (effort-dyspnea-leg fatigue respectively). Musculosceletal examination showed weakness of proximal muscles in both upper and lower extremities symmetrically. Patient was given active air stacking exercise and breathing exercises as treatment. The breathing exercises were diaphragmatic breathing exercise, pursed-lip breathing and chest expansion. Evaluation completed after three weeks of exercises. The patient reported that the dyspnea was dissipating gradually, and only felt when she did too many activities. Myasthenia Gravis is an autoimmune disease caused by antibodies in the postsynaptic membrane of the neuromuscular junction. It causes abnormal weakness and fatigue (rahbenk). The patient complained shortness of breath at rest and activity. After the 3-weeks intervention, there was a significant improvement in the spirometry results. There was an increase in FEV1 (30.4% to 75%), FVC (51.44% to 71%) and FEV1/FVC (57.7% to 119%), interpreted as restrictive pulmonary disorders only. Breathing exercises with diaphragm breathing, pursed lips breathing, and chest expansion exercise are considered as interventions for myasthenia gravis patient who cannot perform endurance cardiorespiratory training. We believe that this program should be designed for future use in MG and in the other neuromuscular diseases, as they may be easily incorporated into daily routines exercises and help to maintain respiratory muscle strength and healthy respiratory mechanics. © 2020 Nova Science Publishers, Inc..