Effects of 12 Months of Kettlebell Training on an Individual with Myasthenia Gravis

Myasthenia gravis (MG) is an autoimmune disease that affects skeletal muscles and results in impaired acetylcholine receptor function and neuromuscular transmission (1,2). Hallmark symptoms linked to MG include chronic muscle weakness and fatigue coupled with limited physical function and exercise tolerance, collectively making it challenging for patients and clinicians to understand whether regular exercise training is safe and beneficial (2). A more contemporary view is that patients with MG can safely participate in exercise training programs that can lead to improvements in functional and psychological outcomes, although the supporting body of evidence is limited in size, and researchers have yet to exhaustively test the merits of exercise training as a therapeutic intervention for this population (1,3,4). Among the studies in which authors have demonstrated that patients with MG benefit from routine exercise training, none have tested whether free-weight...