scholarly journals Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review

2017 ◽  
Vol 63 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Ana Irene Carlos de Medeiros ◽  
Helen Kerlen Bastos Fuzari ◽  
Catarina Rattesa ◽  
Daniella Cunha Brandão ◽  
Patrícia Érika de Melo Marinho
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Muscle Training

scholarly journals Respiratory muscle strength and quality of life in chronic kidney disease patients undergoing hemodialysis

2021 ◽  
Vol 34 ◽  
Author(s):  
Juliana de Souza da Silva ◽  
Tamara Silva de Sousa ◽  
Caroline de Fátima Ribeiro Silva ◽  
Fernanda Siqueira ◽  
Tatiana Onofre
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Physical Limitation ◽  
Sf 36

Abstract Introduction: Hemodialysis (HD) sessions associated with the chronic kidney disease (CKD) repercussions may cause respiratory muscle impairment and limitations of daily living activities, which may compromise the quality of life. Objective: To evaluate respiratory muscle strength and quality of life in HD patients. Methods: A cross-sectional study involving CKD patients of both sexes undergoing HD. All were evaluated during HD, using an evaluation form containing personal and clinical data, presence of comorbidities, lifestyle (including self-reported physical activity) and vital signs. Respiratory muscle strength was analyzed by maximum inspiratory (MIP) and maximum expiratory (MEP) pressures by manovacuometer and quality of life using the SF-36 questionnaire. Results: Sixty-eight patients were evaluated (69.1% men), with a mean age of 54.9 ± 13.6 years. The MEP% was below of predicted (79.5 ± 25.7) and the MIP% was reduced only in women (77.8 ± 38.7). The MIP% was related to CKD time (p = 0.04) in men. The SF-36 domain that showed the most impairment was physical limitation [25.0 (13.0-67.0)], while mental health was the least impaired domain [72.0 (62.0-84.0)]. Those who reported the practice of physical activity obtained better results in vitality domain (p = 0.01). In the analysis stratified by sex, the functional capacity domain was less compromised in men who practiced self-reported physical activity (p = 0.02). Conclusion: CKD patients undergoing HD had a reduction in MEP relative to predicted, in addition to a greater impairment of MIP in men with longer CKD time and in women alone, although the clinical relevance of this finding is uncertain. Quality of life was more compromised in the physical limitation domain, where those who self-reported physical activity achieved better results in the domains of vitality (total sample) and functional capacity (men).

A systematic review of trials investigating the efficacy of exercise training for functional capacity and quality of life in chronic kidney disease patients

2021 ◽  
Author(s):  
Ahmed Abdelmoniem Ibrahim ◽  
Omar Waslallah Althomali ◽  
Mohamed Raafat Atyia ◽  
Hisham Mohamed Hussein ◽  
Walid Kamal Abdelbasset ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Exercise Training ◽  
Functional Capacity

scholarly journals The Role of Inspiratory Muscle Training in Sickle Cell Anemia Related Pulmonary Damage due to Recurrent Acute Chest Syndrome Attacks

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Burcu Camcıoğlu ◽  
Meral Boşnak-Güçlü ◽  
Müşerrefe Nur Karadallı ◽  
Şahika Zeynep Akı ◽  
Gülsan Türköz-Sucak
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Exercise Capacity ◽  
Respiratory Muscle ◽  
Acute Chest Syndrome ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Functional Exercise ◽  
Functional Exercise Capacity

Background. The sickling of red blood cells causes a constellation of musculoskeletal, cardiovascular, and pulmonary manifestations. A 32-year-old gentleman with sickle cell anemia (SCA) had been suffering from recurrent acute chest syndrome (ACS).Aim. To examine the effects of inspiratory muscle training (IMT) on pulmonary functions, respiratory and peripheral muscle strength, functional exercise capacity, and quality of life in this patient with SCA.Methods. Functional exercise capacity was evaluated using six-minute walk test, respiratory muscle strength using mouth pressure device, hand grip strength using hand-held dynamometer, pain using Visual Analogue Scale, fatigue using Fatigue Severity Scale, dyspnea using Modified Medical Research Council Scale, and health related quality of life using European Organization for Research and Treatment of Cancer QOL measurement.Results. A significant improvement has been demonstrated in respiratory muscle strength, functional exercise capacity, pain, fatigue, dyspnea, and quality of life. There was no admission to emergency department due to acute chest syndrome in the following 12 months after commencing regular erythrocytapheresis.Conclusion. This is the first report demonstrating the beneficial effects of inspiratory muscle training on functional exercise capacity, respiratory muscle strength, pain, fatigue, dyspnea, and quality of life in a patient with recurrent ACS.

scholarly journals Funcionalidade, força muscular respiratória e qualidade de vida em pacientes pré-transplante de fígado / Functionality, respiratory muscle strength and quality of life in patients before liver transplantation

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Marilia Martins de Oliveira Pupim ◽  
Odete Mauad Cavenaghi ◽  
Murilo José Fernandes ◽  
Juliana Rodrigues Correia Mello ◽  
Marcus Vinicius Camargo de Brito ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Transplant Candidates ◽  
Systemic Symptoms ◽  
Chronic Liver Disease Questionnaire ◽  
Virus C

Introdução: As doenças hepáticas causam alterações metabólicas, diminuição de massa e função muscular que prejudicam a funcionalidade e a qualidade de vida (QV). Objetivo: Comparar capacidade funcional, força muscular respiratória e QV de candidatos a transplante de fígado segundo etiologia da doença. Método: Estudo transversal com cirróticos em protocolo para transplante. Foram analisados a capacidade funcional pelo teste de caminhada de seis minutos (TC6), a QV pelo questionário Chronic Liver Disease Questionnaire (CLDQ) e a força muscular respiratória pela manovacuometria para obtenção da pressão inspiratória máxima (PImáx) e pressão expiratória máxima (PEmáx). Os pacientes foram divididos em cinco grupos: cirrose por vírus B (VHB), vírus C (VHC), esteato-hepatite não alcoólica (NASH), álcool (ALD) e outros tipos de cirroses (OTC). Resultados: A comparação da distância do TC6 demonstrou que os pacientes do grupo NASH obtiveram distância predita significativamente maior (p=0,02) que o grupo OTC. Não houve diferença significativa (p>0,05) para força muscular respiratória entre os grupos. Na QV o grupo ALD apresentou escore significativamente menor (p=0,03) que o grupo VHB no domínio sintomas sistêmicos. Conclusão: Candidatos a transplante de fígado de etiologia NASH demonstraram pior capacidade funcional que os pacientes de outras etiologias de cirrose e os com cirrose por álcool demonstraram pior QV relacionada aos sintomas sistêmicos na comparação com os pacientes com cirrose por vírus B. Estes achados demonstram que esses pacientes podem apresentar pior prognóstico pós-transplante devido os comprometimentos prévios apresentados.Palavras Chave: Qualidade de vida, Músculos respiratórios, Transplante de fígado, Cirrose hepática, Teste de esforçoABSTRACTIntroduction: Liver diseases cause metabolic changes, decreased muscle mass and function that impair functionality and quality of life (QOL). Objective: To compare functional capacity, respiratory muscle strength and QoL of liver transplant candidates according to the disease etiology. Methods: Cross-sectional study with cirrhotics in a transplant protocol. The following were analyzed: functional capacity by the six-minute walk test (6MWT), QOL by the Chronic Liver Disease Questionnaire (CLDQ) and respiratory muscle strength by manovacuometry to obtain the maximum inspiratory pressure (PImax) and maximum expiratory pressure (MEP). The patients were divided into five groups: cirrhosis by virus B (HBV), virus C (HCV), non-alcoholic steatohepatitis (NASH), alcohol (ALD) and other types of cirrhosis (OTC). Results: The comparison of the 6MWT distance showed that patients in the NASH group had a significantly greater predicted distance (p=0.02) than the OTC group. There was no significant difference (p>0.05) for respiratory muscle strength between groups. In QOL, the ALD group had a significantly lower score (p=0.03) than the HBV group in the systemic symptoms domain. Conclusion: Liver transplant candidates of NASH etiology showed worse functional capacity than patients of other cirrhosis etiologies and patients with alcohol cirrhosis demonstrated worse QOL related to systemic symptoms in comparison with patients with cirrhosis by virus B. These findings demonstrate that these patients may have a worse post-transplant prognosis due to previous impairments.Keywords: Quality of life, Respiratory muscles, Liver transplantation, Liver cirrhosis, Exercise test

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