Inspiratory Muscle Trainer Versus Diaphragmatic Breathing Exercise on 6-Minute Walk Test in Adolescent Girls with End-Stage Renal Disease
Abstract
Objective: Inspiratory muscle weakness (IMW) is very common among adolescents with end-stage renal disease (ESRD). Untreated IMW in ESRD adolescents induces acute and chronic pulmonary complications, low physical performance, and impairment in quality of life (QoL). This was a 12-week breathing-retraining trial that compared the effects of threshold inspiratory muscle trainer (TIMT) versus the diaphragmatic breathing exercise procedure (DBEP), on ESRD adolescent girls’ maximal inspiratory pressure (MIP) and QoL, which was assessed by the Child Health Questionnaire (50-item parent form) (CHQ/PF50), pulmonary functions, and six-minute walk test (6MWT).
Material and Methods: This breathing-retraining trial enrolled forty adolescent girls with ESRD. The girls were randomly divided into two groups: one group contained twenty girls that were trained by TIMT, while the other group contained 20 girls whom were trained by DBEP. The 20-minute rehabilitation of IMW by TIMT or DBEP was applied 3 times weekly. Adolescent girls’ forced vital capacity (FVC), CHQ/PF50-related score of physical summary, MIP, 6MWT, CHQ/PF50-related score of psychosocial summary, forced expiratory volume in the first second of girls’ expiration (FEV1), and 6MWT-associated physiological data (blood pressure, heart rate, and rate of perceived exertion) were assessed.
Results: All outcomes of adolescent girls with ESRD in the first group that were trained by TIMT showed significant improvements, whereas the other group’s girls did not show the same reported significant improvements.
Conclusion: Compared to DBEP, the 12-week training by TIMT significantly improved ESRD adolescent girls’ FVC, CHQ/PF50-related score of physical summary, MIP, 6MWT, CHQ/PF50-related score of psychosocial summary, FEV1, and 6MWT-associated physiological data.
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Abu-El-Goud RG, Hegab AM, A. Yousef FM, Mohamed EA. Health-related quality of life in children and adolescents with chronic kidney diseases at Sohag, Egypt: a case–control study. J Med Sci Res 2021;4:320-7.
El Shafei AM, Soliman Hegazy I, Fadel FI, Nagy EM. Assessment of quality of life among children with end-stage renal disease: a cross-sectional study. J Environ Public Health 2018;2018:8565498. doi: 10.1155/2018/8565498.
Ali Ismail A, Abdelhay MI, Draz RS. Response of salivary flow rate to transcutaneous electrical nerve stimulation in haemodialysis patients. Physiother Quarter 2023;31:23-7.
Nicholas DB, Picone G, Selkirk EK. The lived experiences of children and adolescents with end-stage renal disease. Qual Health Res 2011;-21:162-73. doi: 10.1177/1049732310382789
Andrade FP, Ribeiro HS, Benvenutti H, de Oliveira SG, Thomé FS, Veronese FV, et al. Six-minute walk test may be a reliable predictor of peak oxygen uptake in patients undergoing hemodialysis. Ren Replace Ther 2023;9:6.
Aji YGT, Yetti K, Sukmarini L. The six-minute walking exercise on the fatigue levels in hemodialysis patients. PUINOVAKESMAS 2020;1:25-31.
Wilkinson TJ, O’Mahoney LL, Highton P, Viana JL, Ribeiro HS, Lightfoot CJ, et al. Physical activity and the ‘pediatric inactivity triad’ in children living with chronic kidney disease: a narrative review. Ther Adv Chronic Dis 2022;13:20406223221109971
El-Gamasy MA. Study of some pulmonary function tests in Egyptian children with end-stage renal disease under regular hemodialysis in correlation with dialysis duration. Saudi J Kidney Dis Transpl 2019;30:119-28.
Aboelmagd F, Ismail SM. Impact of inspiratory muscle training on diaphragmatic mobility and arterial blood gases in patients undergoing haemodialysis. Int J Ther Rehabil 2021;28:1-8.
Zhang F, Wang H, Bai Y, Huang L, Zhang H. Effect of respiratory muscle training in patients with chronic kidney disease: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 2023;37:348-61.
Alaparthi GK, Augustine AJ, Anand R, Mahale A. Comparison of diaphragmatic breathing exercise, volume and flow incentive spirometry, on diaphragm excursion and pulmonary function in patients undergoing laparoscopic surgery: a randomized controlled trial. Minim Invasive Surg 2016;2016:1967532.
Dipp T, Macagnan FE, Schardong J, Fernandes RO, Lemos LC, Plentz RDM. Short period of high-intensity inspiratory muscle training improves inspiratory muscle strength in patients with chronic kidney disease on hemodialysis: a randomized controlled trial. Braz J Phys Ther 2020;24:280-6. doi: 10.1016/j.bjpt.2019.04.003.
Carbonera RP, Barbosa APO, Normann TC, Lago PD, Garcia CD, Lukrafka JL. Home-based inspiratory muscle training in pediatric patients after kidney transplantation: a randomized clinical trial. Pediatr Nephrol 2020;35:1507-16.
Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1428-46.
Ferro MA, Landgraf JM, Speechley KN. Factor structure of the child health questionnaire parent form-50 and predictors of health-related quality of life in children with epilepsy. Qual Life Res 2013;22:2201-11.
Silva VG, Amaral C, Monteiro MB, Nascimento DM, Boschetti JR. Effects of inspiratory muscle training in hemodialysis patients. J Bras Nefrol 2011;33:62-8.
Figueiredo PH, Lima MM, Costa HS, Gomes RT, Neves CD, Oliveira ES, et al. The role of the inspiratory muscle weakness in functional capacity in hemodialysis patients. PLoS One 2017;12:e0173159.
de Medeiros AIC, Fuzari HKB, Rattesa C, Brandão DC, de Melo Marinho PÉ. Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. J Physiother 2017;63:76-83.
Elsisi HFE, Elkhashab SO, Mahmoud MME. Training impact with inspiratory muscle trainer versus pranayama on pulmonary functions of hemodialysis patients. Int J ChemTech Res 2017;10:417-24.
Ismail AMA, Ali SM, Ghuiba K, Elfahl AMA, Tolba AMN, Ghaleb HAM. Autonomic functions, tinnitus annoyance and lou-dness, and quality of life: Randomized-controlled responses to bee-humming (vibrational) respiratory training in tinnitus elderly. Complement Ther Clin Pract 2022;48:101611.
El-Deen HAB, Alanazi FS, Ahmed KT. Effects of inspiratory muscle training on pulmonary functions and muscle strength in sedentary hemodialysis patients. J Phys Ther Sci 2018;30:424–7.
EL-Deen HAB, Zahra MH, Yusuf HA, Sahier O. Effect of combined aerobic training and inspiratory muscle trainer on ventilatory functions in hemodialysis patients. Med J Cairo Univ 2019;87:1179-85.
Tolba NE, El Nahas NG, Kaddah S, Ismail SM. Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease. Fizjoterapia Polska 2021;21:44-50.
Pellizzaro CO, Thomé FS, Veronese FV. Effect of peripheral and respiratory muscle training on the functional capacity of hemodialysis patients. Ren Fail 2013;35:189-97.
Medeiros AIC, Brandão DC, Souza RJP, Fuzari HKB, Barros CESR, Barbosa JBN, et al. Effects of daily inspiratory muscle training on respiratory muscle strength and chest wall regional volumes in haemodialysis patients: a randomised clinical trial. Disabil Rehabil 2019;41:3173-80.
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