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, Ana Karla Vieira Brüggemann, MSc Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) , Porto Alegre, Rio Grande do Sul , Brazil Search for other works by this author on: Oxford Academic Jociane Schardong, PhD Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) , Porto Alegre, Rio Grande do Sul , Brazil Serviço de Fisioterapia, Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA) hospital , Porto Alegre, Rio Grande do Sul , Brazil Address all correspondence to Dr Schardong at: jociane@santacasa.org.br Search for other works by this author on: Oxford Academic Natiele Camponogara Righi, MSc Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) , Porto Alegre, Rio Grande do Sul , Brazil Serviço de Fisioterapia, Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA) hospital , Porto Alegre, Rio Grande do Sul , Brazil Search for other works by this author on: Oxford Academic Rodrigo Della Méa Plentz, PhD Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) , Porto Alegre, Rio Grande do Sul , Brazil Serviço de Fisioterapia, Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA) hospital , Porto Alegre, Rio Grande do Sul , Brazil Search for other works by this author on: Oxford Academic
Physical Therapy, Volume 104, Issue 8, August 2024, pzae065, https://doi.org/10.1093/ptj/pzae065
Published:
25 April 2024
Article history
Received:
03 July 2023
Revision received:
15 January 2024
Accepted:
24 April 2024
Published:
25 April 2024
Corrected and typeset:
06 August 2024
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Ana Karla Vieira Brüggemann, Jociane Schardong, Natiele Camponogara Righi, Rodrigo Della Méa Plentz, Inspiratory Muscle Training in Patients Living With Chronic Kidney Disease and Receiving Hemodialysis: Meta-Analysis of Randomized Controlled Trials, Physical Therapy, Volume 104, Issue 8, August 2024, pzae065, https://doi.org/10.1093/ptj/pzae065
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Abstract
Objective
People living with chronic kidney disease (CKD) and receiving hemodialysis (HD) have impaired respiratory muscle strength and endurance. The objective of this study was to systematically review the effects of inspiratory muscle training (IMT) on respiratory muscle strength, functional capacity, lung function, quality of life, endothelial function, and oxidative stress in people living with CKD and receiving HD.
Methods
An electronic search was conducted from inception to June 2023. Randomized controlled trials that evaluated the effects of IMT on respiratory muscle strength, functional capacity, lung function, endothelial function, quality of life, or oxidative stress in adults living with CKD and receiving HD, compared with control, placebo IMT, or conventional physical therapy, were included.
Results
Eight studies were included, totaling 246 people. The meta-analysis showed that IMT increased the maximum inspiratory pressure (MIP) by 22.53cm H2O, the maximum expiratory pressure (MEP) by 19.54cm H2O, and the distance covered in the 6-minute walk test by 77.63m. Changes in lung function and quality of life were not observed. It was not possible to quantitatively analyze data on endothelial function and oxidative stress.
Conclusion
IMT improves MIP, MEP, and functional capacity in people living with CKD and receiving HD. IMT did not demonstrate significant results for lung function and quality of life. Effects on endothelial function and oxidative capacity remain uncertain.
Impact
Inspiratory muscle training improves MIP, MEP, and functional capacity in people living with CKD and receiving HD, compared with conventional physical therapy or controls or placebo intervention. Increases in functional capacity in this population are extremely important because of the relationship with the survival of these people.
Chronic Renal Failure, Muscle Strength, Renal Dialysis, Respiratory Muscles, Respiratory Training
© The Author(s) 2024. Published by Oxford University Press on behalf of Fellowship of Postgraduate Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Subject
Metabolic
Issue Section:
Review
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