Source: Annual Congress 2010 - Exercise training: new groups, new methods and outcomes
Disease area: Airway diseases

Abstract

Introduction: Chronic kidney disease (CKD) affects different body systems, it is necessary to enhance the importance of cardiorespiratory and musculoskeletal changes. Aims: Evaluate the impact of a rehabilitation protocol during hemodialysis on the respiratory and cardiovascular system and check for any changes in quality of life. Methods: Personal data, vital signs, weight, measurements of maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), peak expiratory flow (PEF), ventilometry were collected in the initial assessment and the SF – 36 was applied. The protocol consisted of twenty sessions of physiotherapy performed during hemodialysis, in which diaphragm reeducation, maximum sustained inspiration, incentive spirometry and inspiratory muscle training with threshold were performed. The measurements were taken before and after each session. The review consisted of the same items from the initial assessment. Results: Six patients were included in the study, and the initial assessment showed all MEP and PEF below predicted and tidal volume (VT) normal. Four patients presented MIP lower than expected. After the intervention, significant improvement was found in MIP (p = 0.02), MEP (p = 0.03) and PEF (p = 0.04), the VC remained unchanged. The SF-36 General State of Health and Functional Capacity domains improved, both with p = 0.02. Conclusion: The role of physiotherapy in patients with CKD on hemodialysis promotes improvement of respiratory parameters and respiratory pressures and peak expiratory flow and does not interfere negatively in hemodynamic factors, proving to be a safe exercise. In addition, it generates a positive impact on the quality of life of these patients

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Citations should be made in the following way:
I. Saad, A. Lisboa, A. Castro, L. Ortega, R. Quagliato, Jr., A. Alves (Campinas, Brazil). Effects of physiotherapy intervention in chronic renal failure patients during hemodialysis. Eur Respir J 2010; 36: Suppl. 54, 4875

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