Functional Inspiratory Muscle Training in Chronic Kidney Disease

Not Applicable

Completed

• Conditions: Chronic Kidney Diseases
• Interventions: Other: Inspiratory Muscle Training; Other: Functional Inspiratory Muscle Training; Other: Breathing exercises

• Registration Number: NCT04958759
• Lead Sponsor: Hacettepe University

Brief Summary

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.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2021-03-01
• Study First Submitted: 2021-05-12
• Study First Submitted QC: 2021-07-01
• Study First Posted: 2021-07-12
• Primary Completion: 2022-09-09
• Study Completion: 2023-05-03
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-11
• Last Update Posted: 2023-08-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Patients with chronic kidney disease not receiving dialysis
• Access to the online program
• Volunteering to participate in the research

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Exclusion Criteria

• Having a musculoskeletal problem
• Having decompensated diabetes
• Having uncontrolled hypertension

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Inspiratory Muscle Training Group	Inspiratory Muscle Training	Inspiratory muscle training in patients with chronic kidney disease
Functional Inspiratory Muscle Training Group	Functional Inspiratory Muscle Training	Functional inspiratory muscle training in patients with chronic kidney disease
Functional Inspiratory Muscle Training Group	Inspiratory Muscle Training	Functional inspiratory muscle training in patients with chronic kidney disease
Control Group	Breathing exercises	Breathing exercises in patients with chronic kidney disease

Primary Outcome Measures

Name	Time	Method
Respiratory muscle strength	10 minutes	Respiratory muscle strength will be evaluated using mouth pressure device
Functional capacity	10 minutes	Functional capacity will be evaluated using six-minute walk test
Respiratory muscle endurance	10 minutes	Respiratory muscle endurance will be evaluated using incremental load test
Peripheral muscle strength	5 minutes	Peripheral muscle strength will be evaluated using dynamometer
Endurance of trunk muscles	10 minutes	Endurance of trunk muscles will be evaluated using plank, side plank, flexor endurance and pelvic bridge test
Lower extremity muscle endurance	1 minutes	Lower extremity muscle endurance will be evaluated using sit-to-stand test
Diaphragm thickness and mobility	20 minutes	Diaphragm thickness and mobility will be evaluated using ultrasonography
Pulmonary function	5 minutes	Pulmonary functions will be evaluated using spirometry

Secondary Outcome Measures

Name	Time	Method
Balance	5 minutes	Balance will be evaluated using timed up and go test
Cognitive function	5 minutes	Cognitive function will be evaluated using Standardised Mini-Mental State Examination
Posture	5 minutes	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).
Qol	10 minutes	Quality of life will be evaluated using Nottingham Health Profile
Physical activity	5 minutes	Physical activity level will be evaluated using International Physical Activity Questionnaire-Short Form
Static balance	5 minutes	Balance will be evaluated using one-legged standing test
Aortic stiffness	10 minutes	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
Fatigue	5 minutes	Fatigue will be evaluated using Multidimensional Assessment of Fatigue scale
Endothelial function	10 minutes	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.

Trial Locations

Locations (1)

Hacettepe University, Faculty of Physical Therapy and Rehabilitation; 🇹🇷 Ankara, Turkey