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Breathing exercises to improve respiratory muscle strength and diaphragm movement in people with advanced chronic kidney disease who are not on dialysis

Effects of an inspiratory muscle training protocol on respiratory muscle strength, thickness and diaphragmatic mobility of patients with Chronic Kidney Disease in the non-dialysis stage: Randomized clinical trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-8y6cvnr
Enrollment
Unknown
Registered
2025-04-02
Start date
2025-01-08
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Kidney Disease-Mineral and Bone Disorder

Interventions

This is a randomized, controlled, and blinded clinical trial with allocation concealment. Five researchers will participate in the study: one will be responsible for randomization and blinding, two wi
however, evaluations and load adjustments will require the patient to attend the facility once a week. Home sessions will be recorded in a diary provided on the first day of training.The protocol will
E02.190.525.186

Sponsors

Centro de Ciências da Saúde (CCS)
Lead Sponsor
Centro de Ciências da Saúde (CCS)
Collaborator

Eligibility

Age
40 Years to 70 Years

Inclusion criteria

Inclusion criteria: Patients with a clinical diagnosis of Chronic Kidney Disease (CKD) in the non-dialytic stage, according to the criteria established by the National Kidney Foundation; aged between 40 and 70 years; male and female patients; clinically stable; without recent episodes of acute decompensation; capable of understanding and performing the maneuvers required for inspiratory muscle training (IMT).

Exclusion criteria

Exclusion criteria: Patients undergoing renal replacement therapy (hemodialysis; peritoneal dialysis; or kidney transplant); those presenting with acute or chronic respiratory diseases; neurological or musculoskeletal conditions that interfere with the performance of respiratory exercises; cognitive or behavioral incapacity that prevents participation in the study or adherence to the protocol instructions; or any other medical condition that renders the patient ineligible to participate in the study

Design outcomes

Primary

MeasureTime frame
It is expected to find an increase in inspiratory muscle strength after the inspiratory muscle training protocol, verified by means of digital manovacuometry, based on the observation of a variation of at least 10% in relation to pre-intervention measurements.

Secondary

MeasureTime frame
An increase in diaphragmatic mobility is expected, as verified by ultrasound of the diaphragm muscle, with a minimum variation of 5 mm in relation to the baseline. ;It is expected to identify an increase in the thickness of the diaphragm muscle during inspiration, verified by ultrasound, considering a variation greater than 10% compared to initial measurements.

Countries

Brazil

Contacts

Public ContactTiago de Macêdo

Universidade Federal de Pernambuco Campus Recife

tiago.tmm@ufpe.br+55(81)2126-7696

Outcome results

None listed

Source: REBEC (via WHO ICTRP)