Chronic Renal Insufficiency in Hemodialysis.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical diagnosis of chronic renal failure (CRF); Regular hemodialysis for at least 3 months; Do not have diagnostically disabling osteo-myo-articular, respiratory or cardiovascular dysfunctions; Have sufficient level of understanding to understand the exercises to be performed.
Exclusion criteria
Exclusion criteria: Restless Hemodynamics at rest characterized by systolic blood pressure > 180 mmHg or 100 mmHg or 120 bpm or <60 bpm; muscle disorders; hospital internment; change in hemodialysis site; adherence to the protocol less than 70%.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increased heart rate variability after treatment, measured by the analysis of the R-R intervals, captured by a cardiofrequency meter, verified by linear (time and frequency domain) and non-linear (chaos theory) analysis. The evaluation will be done shortly before and after the 8 weeks of intervention.;Improvement of pulmonary function after treatment, measured by spirometry, analysis of the variables of forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC). The evaluation will be done shortly before and after the 8 weeks of intervention.;Increase in respiratory muscle strength after treatment, measured through manovacuometry, analysis of maximal inspiratory and expiratory pressures. The average of these values will be chosen 3 times. The evaluation will be done shortly before and after the 8 weeks of intervention.;Increased overall muscle strength after treatment, measured by palmar grip strength using palmar grip dynamometer to refer to overall muscle strength in kg / f. Increased quadriceps strength after treatment, measured by digital portable dynamometer, considering mean values and standard deviation before and after intervention. The average of these values will be chosen 3 times. The evaluation will be done shortly before and after the 8 weeks of intervention. ;Improvement of functional capacity, measured by the distance covered by the six-minute walk test. The distances traveled will be analyzed in meters, before and after the physiotherapeutic treatment. The evaluation will be done shortly before and after the 8 weeks of intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Increased values of the biochemical parameters, such as hemoglobin, pre and post dialysis urea, potassium, phosphorus and calcium, measured by blood tests performed routinely in the hospital. In addition to an improvement in the quality of life of the individuals after treatment, being verified through the questionnaire of specific quality of life for this population - KDQOL. There will be 2 evaluations, before and after treatment. There will be 2 evaluations, before and after treatment (8 weeks). | — |
Countries
Brazil
Contacts
Universidade Federal do Triângulo Mineiro