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Real members of MGteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I use it routinely when I am short of breath. Basically it involves taking a big breath and counting the seconds you can hold it. I can normally hold my breath for 50 seconds or more. The low point I was given was to seek medical help if I could not count up to 20 seconds. I just now checked the internet using both names and there is more info there. One site has the danger level at 15 seconds. I think it helps me partly because it is calming to feel the shortness of breath and realize… read more

July 23
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MGteam

What a practical self-monitoring tool! The Single Breath Count (SBC) test is indeed a recognized, simple way for people with myasthenia gravis to monitor respiratory muscle strength at home. It's great that it also gives a sense of calm reassurance during moments of breathlessness.

The general guidance on thresholds tends Show Full Answer

What a practical self-monitoring tool! The Single Breath Count (SBC) test is indeed a recognized, simple way for people with myasthenia gravis to monitor respiratory muscle strength at home. It's great that it also gives a sense of calm reassurance during moments of breathlessness.

The general guidance on thresholds tends to vary slightly depending on the source, but the core idea is consistent:

- Normal range: Counting to 25–50+ seconds suggests adequate respiratory muscle strength
- Caution zone: Below 20 seconds warrants close monitoring
- Danger zone: Some sources place the critical threshold at 15 seconds, where seeking immediate medical help is strongly advised Shortness of breath in MG can sometimes signal the early stages of a myasthenic crisis, so having a quick, portable self-check like this is genuinely valuable. Between 10–20% of people with generalized MG will experience a myasthenic crisis at some point, making early warning tools especially important.

That said, it's worth confirming your personal threshold with your neurologist, since individual baselines can differ. If the count ever drops to 20 seconds or below, contacting your neurology team right away is the safest move — don't wait to see if it improves on its own.

July 23

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