[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.