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Effects of daily inspiratory muscle training on respiratory muscle strength and chest wall regional volumes in haemodialysis patients: a randomised clinical trial.
Disabil Rehabil 2019; 41(26):3173-3180DR

Abstract

Purpose:

Evaluating the effects of interdialytic daily inspiratory muscle training (IMT) on respiratory muscle strength, chest wall regional volumes, diaphragmatic mobility and thickness, pulmonary function, functional capacity, and quality of life (QoL) in haemodialysis (HD) patients.Method: A randomised, and double-blind clinical trial composed of 24 chronic kidney disease patients undergoing HD. Patients were allocated into the IMT group (n = 12) or sham group (n = 12) and performed daily IMT twice per day with a load of 50% inspiratory muscle strength for the IMT group and 5 cmH2O for the sham group during 8 weeks. Respiratory muscle strength, diaphragm thickness and mobility, chest wall regional volumes, functional capacity, and QoL were measured.

Results:

At the end of the study, an increase in inspiratory and expiratory muscle strength was observed for both groups, but no significant difference was found between them. Changed volume distribution was also observed in the IMT group, with significantly increased inspiratory capacity in the pulmonary compartment compared to the sham group.

Conclusions:

Daily interdialytic IMT promoted a change in chest wall regional volumes, with an increase in the inspiratory capacity of the pulmonary rib cage. Both groups had increased inspiratory and expiratory muscle strength with daily respiratory exercise.Trial registration: www.ClinicalTrials.gov; study number: NCT02599987; name of trial registry: IMT in Patients with End-stage Renal Disease.Implications for rehabilitationMuscular impairment in chronic kidney disease patients results from a series of common alterations, affecting respiratory muscles.Patients with chronic kidney disease have low values of diaphragmatic thickness.The daily inspiratory muscle training (IMT) or breathing exercise over a period of 8 weeks provided increased respiratory muscle strength.The daily inspiratory muscle training presented a change in tri-compartment distribution of lung volume compared to the sham group, with increased inspiratory capacity of the pulmonary rib cage.

Authors+Show Affiliations

Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Unit of Nephrology, Real Hospital Português de Beneficência em Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30052475

Citation

Medeiros, Ana Irene Carlos de, et al. "Effects of Daily Inspiratory Muscle Training On Respiratory Muscle Strength and Chest Wall Regional Volumes in Haemodialysis Patients: a Randomised Clinical Trial." Disability and Rehabilitation, vol. 41, no. 26, 2019, pp. 3173-3180.
Medeiros AIC, Brandão DC, Souza RJP, et al. Effects of daily inspiratory muscle training on respiratory muscle strength and chest wall regional volumes in haemodialysis patients: a randomised clinical trial. Disabil Rehabil. 2019;41(26):3173-3180.
Medeiros, A. I. C., Brandão, D. C., Souza, R. J. P., Fuzari, H. K. B., Barros, C. E. S. R., Barbosa, J. B. N., ... de Melo Marinho, P. É. (2019). Effects of daily inspiratory muscle training on respiratory muscle strength and chest wall regional volumes in haemodialysis patients: a randomised clinical trial. Disability and Rehabilitation, 41(26), pp. 3173-3180. doi:10.1080/09638288.2018.1485181.
Medeiros AIC, et al. Effects of Daily Inspiratory Muscle Training On Respiratory Muscle Strength and Chest Wall Regional Volumes in Haemodialysis Patients: a Randomised Clinical Trial. Disabil Rehabil. 2019;41(26):3173-3180. PubMed PMID: 30052475.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of daily inspiratory muscle training on respiratory muscle strength and chest wall regional volumes in haemodialysis patients: a randomised clinical trial. AU - Medeiros,Ana Irene Carlos de, AU - Brandão,Daniella Cunha, AU - Souza,Renata Janaína Pereira de, AU - Fuzari,Helen Kerlen Bastos, AU - Barros,Carlos Eduardo Santos Rêgo, AU - Barbosa,Jefferson Belarmino Nunes, AU - Leite,Jéssica Costa, AU - Cavalcanti,Frederico Castelo Branco, AU - Dornelas de Andrade,Arméle, AU - de Melo Marinho,Patrícia Érika, Y1 - 2018/07/27/ PY - 2018/7/28/pubmed PY - 2018/7/28/medline PY - 2018/7/28/entrez KW - Renal Insufficiency KW - chronic KW - renal dialysis KW - respiratory muscle training KW - respiratory muscles SP - 3173 EP - 3180 JF - Disability and rehabilitation JO - Disabil Rehabil VL - 41 IS - 26 N2 - Purpose: Evaluating the effects of interdialytic daily inspiratory muscle training (IMT) on respiratory muscle strength, chest wall regional volumes, diaphragmatic mobility and thickness, pulmonary function, functional capacity, and quality of life (QoL) in haemodialysis (HD) patients.Method: A randomised, and double-blind clinical trial composed of 24 chronic kidney disease patients undergoing HD. Patients were allocated into the IMT group (n = 12) or sham group (n = 12) and performed daily IMT twice per day with a load of 50% inspiratory muscle strength for the IMT group and 5 cmH2O for the sham group during 8 weeks. Respiratory muscle strength, diaphragm thickness and mobility, chest wall regional volumes, functional capacity, and QoL were measured.Results: At the end of the study, an increase in inspiratory and expiratory muscle strength was observed for both groups, but no significant difference was found between them. Changed volume distribution was also observed in the IMT group, with significantly increased inspiratory capacity in the pulmonary compartment compared to the sham group.Conclusions: Daily interdialytic IMT promoted a change in chest wall regional volumes, with an increase in the inspiratory capacity of the pulmonary rib cage. Both groups had increased inspiratory and expiratory muscle strength with daily respiratory exercise.Trial registration: www.ClinicalTrials.gov; study number: NCT02599987; name of trial registry: IMT in Patients with End-stage Renal Disease.Implications for rehabilitationMuscular impairment in chronic kidney disease patients results from a series of common alterations, affecting respiratory muscles.Patients with chronic kidney disease have low values of diaphragmatic thickness.The daily inspiratory muscle training (IMT) or breathing exercise over a period of 8 weeks provided increased respiratory muscle strength.The daily inspiratory muscle training presented a change in tri-compartment distribution of lung volume compared to the sham group, with increased inspiratory capacity of the pulmonary rib cage. SN - 1464-5165 UR - https://www.unboundmedicine.com/medline/citation/30052475/Effects_of_daily_inspiratory_muscle_training_on_respiratory_muscle_strength_and_chest_wall_regional_volumes_in_haemodialysis_patients:_a_randomised_clinical_trial_ L2 - http://www.tandfonline.com/doi/abs/10.1080/09638288.2018.1485181 DB - PRIME DP - Unbound Medicine ER -