Independence in activities of daily living was achieved using aerobic exercise without overwork weakness during rehabilitation: a case report of Lambert-Eaton myasthenic syndrome.

This is a case report of one person, so it cannot show that any treatment works. She received multiple medical treatments and physical therapy together, so the contribution of any single part cannot be separated. The electrophysiological examination during diagnosis showed a negative repetitive stimulation test, and high-frequency stimulation was not completed because of pain. Sarcopenia was not evaluated, although it may affect muscle strength improvement. Trunk ataxia and balance impairment persisted at discharge. The participant had atrial fibrillation, hypertension, diabetes, and dyslipidemia, so her course may not match other patients.

The authors declared no funding and no conflict of interest relevant to the article.

Do not read the improved scores as proof that aerobic exercise alone caused recovery. The participant also received cholinesterase inhibitor, IVIg, plasma exchange, prednisolone, tacrolimus and 3,4-DAP, and this is one case report.