{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:41:34Z","timestamp":1789591294158,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T00:00:00Z","timestamp":1386720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Introduction<\/jats:italic>\n                    : Studies of exercise in patients with myasthenia gravis (MG) are sparse. Balance strategy training (BST) multimodal exercise has proven efficacy in adults for enhancing balance and functional mobility. This prospective study aims to determine if BST improves functional ability and balance in people with MG.\n                    <jats:italic>Methods<\/jats:italic>\n                    : Seven individuals with MG participated in a 16\u2010session workstation intervention. Repeated measures (pre\/post\u2010intervention and 4\u2010week follow\u2010up) consisting of quantitative myasthenia gravis score (QMG), 6\u2010minute walk test (6MWT), timed up and go (TUG) with dual task (TUG\n                    <jats:sub>manual<\/jats:sub>\n                    and TUG\n                    <jats:sub>cognitive<\/jats:sub>\n                    ), and standing stability on foam with eyes closed (foamEC) were assessed.\n                    <jats:italic>Results<\/jats:italic>\n                    : Most measurements showed sustained improvement at follow\u2010up. QMG, TUG\n                    <jats:sub>cognitive<\/jats:sub>\n                    , and foam EC achieved clinically significant improvements (&gt;15%). No adverse effects were reported.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    : BST was effective in improving balance and QMG scores in subjects with MG. A multimodal BST approach is thus suggested to target different aspects of balance and functional mobility.\n                    <jats:italic>Muscle Nerve<\/jats:italic>\n                    <jats:bold>49<\/jats:bold>\n                    : 654\u2013660, 2014\n                  <\/jats:p>","DOI":"10.1002\/mus.24054","type":"journal-article","created":{"date-parts":[[2013,8,22]],"date-time":"2013-08-22T06:18:41Z","timestamp":1377152321000},"page":"654-660","source":"Crossref","is-referenced-by-count":31,"title":["Effects of balance strategy training in myasthenia gravis: A case study series"],"prefix":"10.1002","volume":"49","author":[{"given":"Shi Hui","family":"Wong","sequence":"first","affiliation":[{"name":"Division of Physiotherapy School of Health &amp; Rehabilitation Sciences University of Queensland, St. Lucia Brisbane Queensland 4072 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer C.","family":"Nitz","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy School of Health &amp; Rehabilitation Sciences University of Queensland, St. Lucia Brisbane Queensland 4072 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy School of Health &amp; Rehabilitation Sciences University of Queensland, St. Lucia Brisbane Queensland 4072 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra G.","family":"Brauer","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy School of Health &amp; Rehabilitation Sciences University of Queensland, St. Lucia Brisbane Queensland 4072 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199406233302507"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20950"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21555"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2165\/11584740-000000000-00000"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.40.5.786"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-4580(89)90010-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20030"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.1034"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.3.1524"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2007.01.001"},{"key":"e_1_2_6_12_1","first-page":"808607","article-title":"Long\u2010term respiratory muscle endurance training in patients with myasthenia gravis: first results after four months of training. autoimmune diseases","volume":"2011","author":"Rassler B","journal-title":"Autoimmune Dis"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100034077"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.07.024"},{"key":"e_1_2_6_15_1","first-page":"13","article-title":"Exercise prescription in the physiotherapeutic management of myasthenia gravis: a case report","volume":"33","author":"Davidson L","year":"2005","journal-title":"NZ J Physiother"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-199806000-00007"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1016\/S0003-9993(23)00011-4","article-title":"Physical training effects in myasthenia gravis","volume":"74","author":"Lohi EL","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh029"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/77.1.46"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-007-0541-7"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697130802506614"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507077602"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00131402-200309000-00004"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215511423946"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh028"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000163988.28892.79"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1998.tb11015.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01595-2"},{"key":"e_1_2_6_29_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1164\/ajrccm.166.1.at1102","article-title":"ATS statement: Guidelines for the six\u2010minute walk test","volume":"166","author":"ATS Committee","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"key":"e_1_2_6_30_1","first-page":"919","article-title":"The 6\u2010minute walk: a new measure of exercise capacity in patients with chronic heart failure","volume":"132","author":"Guyatt GH","year":"1985","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/82.2.128"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2007.08.003"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2008.06.379"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.1.256"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2011.11.003"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.118468"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/80.1.8"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-116-7-529"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.47.10.781"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1519\/00139143-200404000-00002"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/80.9.896"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/66.10.1548"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/83.4.328"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-012-2004-z"},{"key":"e_1_2_6_46_1","first-page":"391","volume-title":"Design and analysis of single\u2010case research","author":"Franklin RD","year":"1996"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593980590911525"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.3109\/09593980903147384"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.1.16"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200211001-00012"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0066-782X2011005000024"},{"key":"e_1_2_6_52_1","first-page":"783","article-title":"The six\u2010minute walk test","volume":"48","author":"Enright PL","year":"2003","journal-title":"Respir Care"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4598(200009)23:9<1402::AID-MUS11>3.0.CO;2-B"},{"key":"e_1_2_6_54_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.6.M258"},{"key":"e_1_2_6_55_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/70.12.799"},{"key":"e_1_2_6_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200106000-00003"},{"key":"e_1_2_6_57_1","first-page":"125","article-title":"Endurance and strength exercise intensity in patients with myasthenia gravis","volume":"62","author":"Wolfsegger T","year":"2011","journal-title":"Deutsche Zeitschrift Sportmedizin"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-200304000-00004"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280310001599998"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199903000-00022"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.24054","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.24054","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.24054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T11:15:13Z","timestamp":1696331713000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.24054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,11]]},"references-count":59,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1002\/mus.24054"],"URL":"https:\/\/doi.org\/10.1002\/mus.24054","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,11]]}}}