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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
38
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
Hacettepe University, Faculty of Physical Therapy and Rehabilitation
Ankara, Turkey (Türkiye)
Respiratory muscle strength
Respiratory muscle strength will be evaluated using mouth pressure device
Time frame: 10 minutes
Respiratory muscle endurance
Respiratory muscle endurance will be evaluated using incremental load test
Time frame: 10 minutes
Pulmonary function
Pulmonary functions will be evaluated using spirometry
Time frame: 5 minutes
Peripheral muscle strength
Peripheral muscle strength will be evaluated using dynamometer
Time frame: 5 minutes
Endurance of trunk muscles
Endurance of trunk muscles will be evaluated using plank, side plank, flexor endurance and pelvic bridge test
Time frame: 10 minutes
Lower extremity muscle endurance
Lower extremity muscle endurance will be evaluated using sit-to-stand test
Time frame: 1 minutes
Functional capacity
Functional capacity will be evaluated using six-minute walk test
Time frame: 10 minutes
Diaphragm thickness and mobility
Diaphragm thickness and mobility will be evaluated using ultrasonography
Time frame: 20 minutes
Balance
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Balance will be evaluated using timed up and go test
Time frame: 5 minutes
Static balance
Balance will be evaluated using one-legged standing test
Time frame: 5 minutes
Posture
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).
Time frame: 5 minutes
Qol
Quality of life will be evaluated using Nottingham Health Profile
Time frame: 10 minutes
Cognitive function
Cognitive function will be evaluated using Standardised Mini-Mental State Examination
Time frame: 5 minutes
Fatigue
Fatigue will be evaluated using Multidimensional Assessment of Fatigue scale
Time frame: 5 minutes
Physical activity
Physical activity level will be evaluated using International Physical Activity Questionnaire-Short Form
Time frame: 5 minutes
Endothelial function
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.
Time frame: 10 minutes
Aortic stiffness
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
Time frame: 10 minutes