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J Phys Ther Sci. 2015 Jun;27(6):2013-8. doi: 10.1589/jpts.27.2013. Epub 2015 Jun 30.

Sleep disorders in patients with myasthenia gravis: a systematic review.

Journal of physical therapy science

Ezequiel Fernandes Oliveira, Sergio R Nacif, Nixon Alves Pereira, Nina Teixeira Fonseca, Jéssica Julioti Urbano, Eduardo Araújo Perez, Valéria Cavalcante, Claudia Santos Oliveira, Giuseppe Insalaco, Acary Sousa Bulle Oliveira, Luis Vicente Franco Oliveira

Affiliations

  1. Sleep Laboratory, Rehabilitation Sciences Master's and PhD Degree Program, Nove de Julho University, Brazil.
  2. Division of Neuromuscular Disorders, Department of Neurology and Neurosurgery, Federal University of Sao Paulo (UNIFESP), Brazil.
  3. National Research Council of Italy, Institute of Biomedicine and Molecular Immunology "A. Monroy", Italy.

PMID: 26180370 PMCID: PMC4500033 DOI: 10.1589/jpts.27.2013

Abstract

[Purpose] This systematic review evaluated the presence of sleep-disordered breathing in patients with myasthenia gravis and clarified the role of physiotherapy. [Subjects and Methods] We followed the PRISMA declaration criteria. The evaluation was performed in accordance with the STROBE statement for observational and cross-sectional studies and the CONSORT checklist for clinical trials. Searches were followed by hand on MEDLINE, EMBASE, SciELO, PubMed Central, and the Cochrane Central Register of Controlled Trials. [Results] Our searches yielded a total of 36 studies published between 1970 and 2014. The number of patients involved ranged from 9-490. Of the 36 studies, 19 articles were excluded because they did not meet the inclusion criteria. Therefore, 17 observational, cross-sectional, or clinical studies assessing the quality of sleep and prevalence of sleep disorders in patients with myasthenia gravis were eligible for our review. [Conclusion] Some studies of patients with MG show that patients with MG are associated with poor sleep quality, excessive daytime sleepiness, presence of restless syndrome, and a higher incidence of SDB, while other studies do not report such associations. Therefore, given the current inconclusive evidence and limited literature, further study of sleep disturbances in patients with MG is needed.

Keywords: Myasthenia gravis; Neuromuscular disorders; Obstructive sleep apnea

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