Tag: hemodializa

Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail – Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease. Fizjoterapia Polska 2021; 21(3); 44-50

Abstract
Background. Patients undergoing maintenance hemodialysis (HD) suffer from respiratory symptoms, uremic myopathy and protein catabolism leading to reduction of functional capacity and respiratory muscle strength. Objective. To determine the efficacy of intradialytic respiratory training using concurrent flow resistance (CFR) on respiratory muscle strength and functional capacity. Subjects and methods. Forty patients with end stage renal disease on hemodialysis for at least 4 months, with their age ranged from 30 – 40 of both sexes (20 men and 20 women) participated in this study at hemodialysis center of Fayoum University Hospital, Fayoum, Egypt. A Single- interventional study group designed. The study period was 12 weeks. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), selected pulmonary function test, Functional capacity and fatigue severity scale (FSS) were evaluated before and after the study. Results. There was significant improvement in MIP, MEP, FEV1%, FVC%, 6MWT and FSS by 61.37%, 63.01%, 58.26%, 55.12%, 36.48% and 22.35% respectively, while no significant difference was recorded regarding to FEV1/FVC% ratio. Conclusion. It can be concluded that respiratory training using concurrent flow resistance (CFR) device for 12 weeks was effective therapeutic technique to improve respiratory muscle strength and functional capacity in patients with end stage renal disease on hemodialysis.
Key words:
Expand-a-Lung, Respiratory muscle strength, Functional capacity, Hemodialysis
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Effect of Upper Limb Exercises on Blood Flow in Hemodialysis Patients: A Randomized Controlled Trial

Fatma Mahmoud Taha Mohamed, Nesreen Ghareeb Elnahas, Zahra Mohamed Hassan Serry, Sahier Omar El-Khashab

Fatma Mahmoud Taha Mohamed, Nesreen Ghareeb Elnahas, Zahra Mohamed Hassan Serry, Sahier Omar El-Khashab – Effect of Upper Limb Exercises on Blood Flow in Hemodialysis Patients: A Randomized Controlled Trial. Fizjoterapia Polska 2021; 21(1); 140-146

Abstract
Background. Kidney failure patients exhibit a_considerable decline in blood flow (in diameters, end-diastolic velocity & peak systolic velocity of ulnar, radial, brachial arteries & cephalic vein) & also functional capacity (in data of handgrip strength, heart rate, oxygen saturation) that had profound effects on patients’ basic needed activities during the day. Physical exercises might be effective in slowing the rate or even reversing that decline. Aim. To investigate the exercises effect including the upper limb (Wrist flexion-extension, Elbow flexion-extension, & Hand open-close) on blood flow in those patients receiving hemodialysis treatment. Materials and Methods. Sixty men patients who performing hemodialysis were participated in the existing study, collected from Al-Badrashin central hospital in Giza, the age of the patients ranged from 40 to 50 years, CKD. They were randomly allocated into two groups of equal number. The study & control groups, study group who received medications, hemodialysis & breathing& upper limb exercises three times each week for a_duration of six weeks and the other control group who received also medications, hemodialysis but, without training. Assessment of the Patients were done with the aid of by ultrasound machine sonoscape, pulse oximeter & hydraulic hand dynamometer prior & after the study. Results. The results revealed that all evaluated parameters except heart rate were have a_statistical significant that observed as an improvement in the study group if compared to the other control group in terms of oxygen saturation, diameters, end-diastolic velocity & peak systolic velocity of brachial, ulnar, radial arteries & cephalic vein & strength of handgrip (5.87, 11.17, 30.39, 11.11, 19.44, 12.89, 10.14, 16.11, 6.55, 22.32, 10.82, 17.11, 0.75 & 36.32 respectively). There were no observed changes of significant value after treatment between both groups concerning heart rate, the end-diastolic velocity of ulnar& radial arteries. Conclusion. It can be concluded that exercises of upper limb enhance the flow of blood in patients receiving hemodialysis.
Key words:
renal failure, hemodialysis, upper limb exercises, blood flow
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Effect of Buteyko Breathing Technique on Exercise Tolerance in Patients Under Renal Haemodialysis: A Randomized Controlled Trial

Samy Ahmed Abdou Zaher, Nesreen Ghareeb El Nahas, Zahra Mohamed Serry, Mohamed Mehrez Nageeb

Samy Ahmed Abdou Zaher, Nesreen Ghareeb El Nahas, Zahra Mohamed Serry, Mohamed Mehrez Nageeb – Effect of Buteyko Breathing Technique on Exercise Tolerance in Patients Under Renal Haemodialysis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 180-186

Streszczenie
Background. The aim of this study was to determine the effect of Buteyko breathing on tolerance in patients under renal haemodialysis. Methods. Sixty patients under renal haemodialysis from 1-3 years selected from the outpatient’s clinic of the Mit Ghamer Nephrology and Urology Hospital. The patient’s age ranged between 45 to 55 years. They were assigned into two equal in number groups. Group (A) consist of 30 patients of 22 males and 8 females who received a program of Buteyko Breathing Exercise, Group (B) consist of 30 patients of 22 males and 8 females who received a program of diaphragmatic and localized breathing exercise. The treatment program continued for 12 weeks (3 sessions of exercise per week). Laboratory investigations for Arterial blood gases (pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and 6-minute walking test (Borg scale) are measured at the beginning and after the treatment program for all patients of the two groups. Results. The results of this study revealed that there were significantly decreased in (pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end)within normal range at post treatment compared to pre-treatment within group A and group B. moreover, there were no significant differences in pre-(pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end) and post-(pH, PCO2, PO2, DLCO/total CO2, DLCO/HCO3 and Borg scale at the first & end) between group A and group B. the overall improvement percentages for all measured variables were 22.00% for Buteyko group (group A) vs. 30.43% for diaphragmatic + localized group (group B). Conclusions. The finding indicated that the overall improvement percentage was higher with diaphragmatic + localized group (group B) than Buteyko group (group A).

Słowa kluczowe:
Haemodialysis, Buteyko, Blood gases, Borg scale

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Physical activity in hemodialyzed patients of the hospital in Värnamo

Celina Łupińska

C. Łupińska – Physical activity in hemodialyzed patients of the hospital in Värnamo. Fizjoterapia Polska 2018; 18(2); 12-22

Abstract

Introduction. Patients with kidney failure engage in less physical activity. This leads to reduced muscle strength, exercise tolerance, and hemodynamic activity of the heart and the cardiovascular system. Such patients also experience a decreased sense of well-being. Patients who are qualified for hemodialysis (HD) undergo treatment 3-5 times a week. Due to the lengthy nature of the procedure (each session takes about 3-5 hours), it can be a heavy burden for the patients.
Purpose. The purpose of the study was to demonstrate the positive effects of regular physical activity in hemodialyzed patients.
Materials and methods. 23 adult patients (over 18 years old) were included in the study. Two patients did not give their consent to participate, and 8 were excluded due to comorbid conditions (infections, arrhythmia, fistula complications, lower extremity amputation), as they were unable to undergo all of the tests. The remaining 13 patients (57%) were tested for muscle strength, physical fitness, and balance. The tests were conducted before the start of a regular, individual physical training regimen and were administered before / during hemodialysis.
Results. In patients with chronic kidney failure who were undergoing regular hemodialysis at the time of the study, significant improvement in physical fitness (6 patients, 46%), lower extremity muscle strength (8 patients, 61%), upper extremity muscle strength (6 patients, 46%), and balance (4 patients, 31%) was observed after a six-month long physical training regimen, with training sessions of individually adjusted length and intensity conducted 3 times a week.
Conclusion. An improvement in physical fitness, lower and upper extremity muscle strength, and balance was observed in patients with kidney failure, who were treated regularly at the dialysis ward of the hospital in Värnamo (dialyzed at least 3 times a week), and who participated in a regular physical activity training before/during hemodialysis.

Key words:
kidney failure, hemodialysis, physical activity

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