Renal Dialysis
Conditions
Interventions
The study will be performed with 68 adult subjects with chronic kidney disease who are attending a regular hemodialysis program during the first and second semester of 2019 at the Governador Celso Ram
20 minutes of motor exercises, such as active and passive stretching for upper limbs (MMSS) and lower limbs (MMII) and paravertebral region. Subsequently, muscle strengthening exercises of MMSS: In th
Other
F01.145.632
E02.190.525.186
Q65.060
E02.779
Sponsors
Universidade do Sul de Santa Catarina
Hospital Governador Celso Ramos
Eligibility
Age
19 Years to 75 Years
Inclusion criteria
Inclusion criteria: Patients of both sexes; age between 19 and 75 years; diagnosis of chronic kidney disease and who have been on a regular hemodialysis program for at least three months.
Exclusion criteria
Exclusion criteria: Carriers of severe respiratory disease; neurological disease; severe heart disease; amputees; wheelchairs; presence of thrombosis; gastrointestinal bleeding; smokers; patients who perform previous regular physical activity or who perform physiotherapeutic intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Quality of Life. Method: To evaluate the quality of life of the study participants, the instrument KDQOL-SFTM will be used, in the Portuguese version validated in Brazil, and its use is authorized. It consists of 80 items, including SF-36 plus 43 items on chronic kidney disease. In the end, to obtain the quality of life score, the numerical values ??of the questionnaire will be transformed from 0% to 100% for each dimension. Afterwards, the scores of the dimensions present in the questionnaire will be distributed in ranges, and the 5th range will indicate good quality of life. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcome 1: Nutritional Assessment Methods: Weight and height data will be collected for Body Mass Index calculation following the standards for anthropometric data collection according to the Ministry of Health. The classification will be performed following the norms of the World Health Organization for adult patients and the following. The Nutitrion Screening Initiative standards for elderly patients. The values for eutrophic classification in adults will be ? 18.5 22 <27. ;Secondary outcome 2: Cardiorespiratory assessment. Methods: -6-minute walk test: This is a test that aims to assess the patient's functional capacity by measuring the largest distance an individual is able to walk during a six-minute interval. A reference equation will be applied to obtain a performance prediction for the test. Predicted for the 6MWT = 356,658 - (2,303 x age) + (36,648 x gender) + (1,704 x height) + (1,365 x ?FC) (where male = 1 and female = 0) - Peak Flow: This is the strongest flow an individual can generate during expiratory effort initiated after maximum inspiration. The values obtained after the evaluation may indicate some alterations such as the presence of airflow resistance in the airways and also the severity of the obstruction. To interpret the test values, a reference table for men and women will be used. - Diaphragmatic Index: Used to assess thoracoabdominal movement determined by changes in the anteroposterior dimensions of the abdomen and chest. It is obtained by measuring with a simple tape measure. And after applying the following formula: ID = ? AB / ? AB + ? CT, where ? refers to the difference between the abdominal (AB) and thoracic (CT) dimensions, measured during inspiration and maximum expiration. The closer to 1 = more diaphragmatic, the less closer to 1 = less diaphragmatic. - Manovacuometry: Consists of a technique used to measure maximal inspiratory muscle strength (MIP) and maximal expiratory muscle strength (MEP), performed using | — |
Countries
Brazil
Contacts
Public ContactAline Schlindwein
Universidade do Sul de Santa Catarina
Outcome results
None listed