Physical exercise modifies the functional capacity of elderly patients on hemodialysis

Abstract Introduction Patients on hemodialysis (HD) improve functional capacity after physical training. However, little is discussed about these effects in elderly patients, since these are usually excluded of studies, due to their physical disabilities and other deficits. Objective To analyze the effects of aerobic and resistance training in the functional capacity of elderly patients submitted to HD. Methods Studied participants were 15 patients, of both genders, and aged over 60 years. Aerobic and resistance training was carried out during the hemodialysis session, three times per week, during four months. Patients were distributed into control (CG) and experimental (EG) groups. Functional capacity was assessed by six-minute walk (6MW), sit-to-stand (STS) and respiratory muscle strength tests. Results After the physical training, EG presented a significant increase in the distance covered in 6MW (Z = 2.521, p < .012), respiratory muscle strength (inspiratory pressure: Z = 2.533, p < .011; expiratory pressure: Z = 2.536, p < .011); and in number of STS repetitions (2.54; p <.001). Conclusion The training modified the functional capacity of the HD patients, contributing to their rehabilitation.

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Inspiratory muscle training in pulmonary hypertension: TREMMI protocol

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2018.16.569 ◽

2020 ◽

pp. 1-5

Author(s):

Marília Souza Leão ◽

Lucas Mellaci Bergamascki ◽

Vivian Bertoni Xavier ◽

Rodrigo Boemo Jaenisch ◽

Roberto Stirbulov ◽

...

Keyword(s):

Pulmonary Hypertension ◽

Muscle Strength ◽

Functional Capacity ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Walk Test ◽

Muscle Training ◽

Six Minute Walk Test ◽

Minute Walk ◽

Training Protocol

Background: Although the progressive nature of pulmonary hypertension (PH), including the impairment of respiratory muscle function, studies have demonstrated beneficial effects of physical exercise on the functional limitations caused by the disease in this population, being an important ally to the conventional drug therapy. There is no training protocol focused exclusively on respiratory musculature that is performed without supervision, since these patients have low adherence to the rehabilitation programs performed in an outpatient setting. Respiratory muscle training (RMT) improves functional capacity and quality of life (QoL) in patients with chronic diseases such as heart failure and COPD. However, the effects of an unsupervised RMT protocol on PH are not yet known. Objective: To developed an unsupervised, home-based RMT protocol for patients with PH. Methods: A double-blind, controlled, randomized clinical trial to evaluate the effectiveness of this protocol on respiratory muscle strength and endurance, functional capacity, by the six-minute walk test and QoL with the questionnaire The Medical Outcomes Study 36- item Short Form Health Survey (Sf-36) before and after an unsupervised training protocol and performed in a home environment with POWERbreathe. Two groups (IMT and SHAM) will be followed for 12 weeks with training performed 30 minutes daily. Results: We hope the intervention idealized by the protocol may will increase the respiratory muscle strength and endurance, the walk distance in six-minute walk test and QoL. Conclusions: Patients with PH who perform the intervention with inspiratory muscle training protocol may will be increase the respiratory muscle strength, functional capacity and QoL.

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The Comparison Between Respiratory Muscle Strength, Functional Capacity And Sleep Quality In Adult Controlled Asthmatics And Health Controls

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000487501.59233.4a ◽

2016 ◽

Vol 48 ◽

pp. 835

Author(s):

RENATA TRIMER ◽

Katyane Lopes Zangrando ◽

Paula Angelica Ricci ◽

Humberto Lanzotti ◽

Daniela K. Andaku ◽

...

Keyword(s):

Muscle Strength ◽

Sleep Quality ◽

Functional Capacity ◽

Respiratory Muscle ◽

Respiratory Muscle Strength

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Functional capacity, pulmonary and respiratory muscle strength in individuals undergoing hemodialysis

Fisioterapia em Movimento ◽

10.1590/0103-5150.029.002.ao13 ◽

2016 ◽

Vol 29 (2) ◽

pp. 343-350 ◽

Cited By ~ 2

Author(s):

Simone Regina Posser ◽

Sheila Cristina Cecagno-Zanini ◽

Fabiana Piovesan ◽

Camila Pereira Leguisamo

Keyword(s):

Muscle Strength ◽

Functional Capacity ◽

Respiratory Muscle ◽

Respiratory Muscles ◽

Cross Sectional Study ◽

Respiratory Muscle Strength ◽

Cross Sectional ◽

Mean Values ◽

Pressure Meter ◽

And Gender

Abstract Introduction: Individuals with chronic kidney disease (CKD) undergoing hemodialysis (HD) present low cardiorespiratory fitness and functional capacity. Metabolic changes, due to the disease, can result in a variety of pathophysiological conditions that favor the development of respiratory muscle weakness. However, very little is known about the performance of the respiratory muscles and the influence of HD on them. Aim: To evaluate and correlate pulmonary function, functional capacity and respiratory muscle strength in patients with CKD undergoing HD. Methods: Cross-sectional study comprising 23 patients with CKD, that met the following inclusion criteria: patients of both genders, who perform HD three times a week for a minimum period of three months. Respiratory muscle strength was evaluated using a respiratory pressure meter, lung function through spirometry and functional capacity through the 6-minute walk test (6MWT) before the HD session. Results: All patients were male and mean age was 50.2 ± 15.8 years. The median duration of HD was 3 (1.5 to 6.0) years. The mean values obtained in comparison to those predicted were MIP% 36.0 ± 13.6, MEP% 49.5 ± 15.8, FVC% 93.8 ± 21.1, FEV1% 93.7 ± 21.1, FVC/VEF1% 104.1 ± 10.3, and 6MWT% 66.33 ± 20.53. A statistically significant positive correlation was observed between the 6MWT and MIP (r = .63, p =.001) and MEP (r = .67, p < .001), between the MIP and MEP (r =.79, p < .001) and between the FEV1 and FVC (r = .91, p < .001). Conclusion: Patients with CKD undergoing HD present changes in respiratory muscle strength, with the predicted values decreasing for age and gender, as well as the distance covered in the 6MWT, although, with normal spirometric values. Functional capacity was dependent on respiratory muscle strength, as well as the values of MIP and MEP, and the values of FVC and FEV1.

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