Chronic Kidney Diseases
Conditions
Keywords
Respiratory muscle
Brief summary
Effects of functional inspiratory muscle training by telerehabilitation on respiratory and peripheral functions, functional capacity, diaphragm thickness and mobility, posture, quality of life, cognitive function, fatigue, physical activity, endothelial function and aortic stiffness in patients with chronic kidney disease will be investigated.
Interventions
The inspiratory muscle training program will be consist of 4 weeks of foundation inspiratory muscle training and 6 weeks of functional inspiratory muscle training
The inspiratory muscle training program will be consist of 10 weeks of foundation inspiratory muscle training
The program will be consist of 10 weeks of breathing exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with chronic kidney disease not receiving dialysis * Access to the online program * Volunteering to participate in the research
Exclusion criteria
* Having a musculoskeletal problem * Having decompensated diabetes * Having uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory muscle strength | 10 minutes | Respiratory muscle strength will be evaluated using mouth pressure device |
| Respiratory muscle endurance | 10 minutes | Respiratory muscle endurance will be evaluated using incremental load test |
| Pulmonary function | 5 minutes | Pulmonary functions will be evaluated using spirometry |
| Peripheral muscle strength | 5 minutes | Peripheral muscle strength will be evaluated using dynamometer |
| Endurance of trunk muscles | 10 minutes | Endurance of trunk muscles will be evaluated using plank, side plank, flexor endurance and pelvic bridge test |
| Lower extremity muscle endurance | 1 minutes | Lower extremity muscle endurance will be evaluated using sit-to-stand test |
| Functional capacity | 10 minutes | Functional capacity will be evaluated using six-minute walk test |
| Diaphragm thickness and mobility | 20 minutes | Diaphragm thickness and mobility will be evaluated using ultrasonography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | 5 minutes | Physical activity level will be evaluated using International Physical Activity Questionnaire-Short Form |
| Aortic stiffness | 10 minutes | Aortic stiffness will be evaluated using transthoracic echocardiography. Aortic diameters can be measured by M-mode tracing of the level of 3-4 cms above the aortic valve during diastole and systole |
| Fatigue | 5 minutes | Fatigue will be evaluated using Multidimensional Assessment of Fatigue scale |
| Balance | 5 minutes | Balance will be evaluated using timed up and go test |
| Static balance | 5 minutes | Balance will be evaluated using one-legged standing test |
| Posture | 5 minutes | Posture will be evaluated using Corbin Postural Assessment scale. Lateral and posterior views will be assessed (0 = absent, 1 = mild, 2 = moderate, 3 = severe) and posture score will be determined as excellent (0-2), very good (3-4), good (5-7), fair (8-11) and poor (\>12). |
| Qol | 10 minutes | Quality of life will be evaluated using Nottingham Health Profile |
| Cognitive function | 5 minutes | Cognitive function will be evaluated using Standardised Mini-Mental State Examination |
| Endothelial function | 10 minutes | Endothelial function will be evaluated using echocardiography. After a resting baseline Brachial artery diameter will be recorded, the cuff used in blood pressure measurement will be inflated 25-50 mmHg above the systolic blood pressure value and maintaining that pressure for 5 min. The brachial artery diameter will be measured again after the cuff is deflated. |
Countries
Turkey (Türkiye)