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, Page 5577-5582 PDF (1.85 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2025.356048.2116 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mahmoud Fakhry Mohamed   1; Azza Abdalaziz Abdalhady 2; Nesreen Ghareeb Mohamed Elnahas 2; Lamia Ismail Ahmed* 3
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| 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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