Effect of Intradialytic Respiratory Muscle Training on Cardiopulmonary Efficiency in Hemodialysis Patients | ||
| International Journal of Medical Arts | ||
| Article 8, Volume 7, Issue 4, April 2025, Pages 5577-5582 PDF (1.85 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2025.356048.2116 | ||
| Authors | ||
| Mahmoud Fakhry Mohamed* 1; Azza Abdalaziz Abdalhady* 2; Nesreen Ghareeb Mohamed Elnahas* 2; Lamia Ismail Ahmed* 3 | ||
| 1Nasser Specialized Hospital, Shubra El Kheima, Qalyubia, Egypt | ||
| 2Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt. | ||
| 3Department of Internal Medicine and Nephrology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: The specific training of respiratory muscles may be a useful alternative for patients with chronic kidney disease because the conditioning and strengthening of respiratory muscles can delay the complications of loss of muscle mass. The aim of the work: The study aim was to examine the effect of intra dialytic respiratory muscle training on cardiopulmonary efficiency in hemodialysis patients. Patients and Methods: From both sexes, sixty patients with chronic kidney disease participated in this study. They were aged 48 to 60 years old. Patients were randomly assigned to two groups; Study and control groups. The study group (n=30) received a daily morning and evening 20-minute diaphragmatic breathing exercise and intra dialytic 10- minute respiratory muscle training (RMT) by Sonmol respiratory trainer device three times per week for 12 weeks. The control group (n=30) received a daily morning and evening 20-minute diaphragmatic breathing exercise alone. The patients' systolic blood pressure (SBP), diastolic blood pressure (DBP), two-minute walk test (2MWT), peak expiratory pressure (PEP), and left ventricular ejection fraction (LVEF) were assessed in both groups twice pre-study and after 12 weeks at the end of the study. Results: A significant improvement in SBP, DBP, 2MWT, PEP, LVEF was documented within both groups, but the improvements of group A were higher than group B. Between-group analysis of post-values of outcomes showed a significant improvement in all outcomes at toward group A: PEP(cmH2O) improved by 29.59 %, LVEF (%) improved by 8.5 %, 2MWT(meter) improved by 19.32 %, SBP (mmHg) improved by 4.79 %, DBP(mmHg) improved by 5.10 %. Conclusion: This trial suggests that adding 12-week RMT to diaphragmatic breathing exercise maximizes the significant improvement of outcomes (PEP, LVEF, 2MWT, SBP, and DBP) gained from diaphragmatic breathing exercise. | ||
| Keywords | ||
| Respiratory Muscle Training; Diaphragmatic Breathing Exercise; Cardiorespiratory Fitness; Hemodialysis | ||
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