Comparison between two physiotherapy protocols for patients with chronic kidney disease on dialysis.
[Purpose] To compare the effects of two physiotherapy protocols for chronic kidney disease patients on dialysis. [Subjects and Methods] This is a prospective, randomized study, in chronic kidney disease patients 18 years of age or older on dialysis. Sessions for each group (were conducted three times per week for a total of 10 sessions), during hemodialysis. Respiratory muscle strength (maximal inspiratory and expiratory pressure), peak expiratory flow, and peripheral muscle strength were evaluated. The study group received motor and respiratory physiotherapy, and the control group received motor physiotherapy alone. [Results] We observed a significant increase in the maximal inspiratory pressure in the study group in the 5th and 10th sessions and in the maximal expiratory pressure in the 1st session, peak flow in the 1st and 10th sessions, and dynamometry in the 10th session. In the control group, there was a significant decrease in maximal inspiratory pressure in the 5th and 10th sessions, and in maximal expiratory pressure in the 10th session, peak flow in the 5th and 10th sessions, and dynamometry in the 5th session. [Conclusion] Implementation of motor physiotherapy combined with respiratory physiotherapy may have contributed to the improvement of the variables analyzed in the study group.
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil.
José Roberto Sostena
JR
Neto
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil.
Letícia Magalhães
LM
Figueiredo E Castro
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil.
Fernanda
F
Santos de Oliveira
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil.
Andréia Maria
AM
Silva
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil.
Luciana
L
Maria Dos Reis
Hospital Casa da Caridade Alfenas Nossa Senhora do Perpétuo Socorro, Brazil.
Ana Paula Assunção
AP
Quirino
Division of Physiology and Metabology in Surgery, Department of Surgery, Medical Sciences Faculty, State University of Campinas, Brazil.
Desanka
D
Dragosavac
Nursing Department, Federal University of Alfenas, Alfenas-MG, Brazil; Division of Physiology and Metabology in Surgery, Department of Surgery, Medical Sciences Faculty, State University of Campinas, Brazil; Federal University of Alfenas (Unifal), Brazil.
Carolina
C
Kosour
Physiotherapy; Renal dialysis; Renal failure