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Wednesday, April 16, 2014
A patient has myasthenia gravis with dysphagia. Have you seen or heard whether swallowing exercises are beneficial to the patient? It seems repetitive exercises would be contraindicative. What have you observed?
I agree with you that repetitive exercises are inadvisable. (They would only serve to weaken already fatigued muscles.) It may be, however, that certain techniques could be taught that would improve swallowing safety. I have not ordered for nor seen results of swallowing exercises in MG.
John G Quinlan, MD
Professor of Neurology
College of Medicine
University of Cincinnati