Despite the limited number of studies, evidence consistently supports the safety and benefits of exercise for individuals with MG, with multiple review papers reinforcing this finding in recent years (Birnbaum et al., 2023, Gilhus, 2021, Naumes et al., 2016, O’Connor et al., 2020, Peng et al., 2024).

The first interventional exercise training study was published by Lohi et al. in 1993, and it was not until nearly two decades later, in 2017, that additional studies were published (Birnbaum et