Immediate Effect Of Chest Mobilization Exercises On Pulmonary Function In Chronic Kidney Disease
Keywords:
Chest mobilization, pulmonary function, IMT, chronic kidney disease
Abstract
It is estimated that between 700 and 840 million people globally suffer from chronic kidney disease (CKD), a serious and progressive disorder with a frequency of 8–14%.
Interestingly, one study found that a lower FEV1/FVC ratio was linked to a higher chance of incident chronic kidney disease.
This study aims to investigate the effects of chest mobilization on comparing with IMT and breathing exercises on pulmonary function. Method- 100 individuals divided into two groups of 50 each irrespective of gender. Group 1 performing chest mobilization exercises, Group 2 performing IMT and breathing exercises. Both the groups were assessed with 6MWT to ensure further exercise capacity. They were pre and post evaluated for it. Further, groups were divided to evaluate pulmonary function and compare the results .
Results- The comparison shows that there were statistically significance comparison between pre test and post test of SBP, DBP, SPO2, HR, 6MWD, PEFR, FEV1, FVC, FEV1/FVC with P<0.05 except no comparison in FEF 25-75% with P>0.05 in chest mobilization exercise group. Post test has greater score than pre test for all pulmonary variables in this group. It shows that there were statistically significance comparison between pre test and post test of SBP, DBP, SPO2, HR, PEFR, FEV1/FVC and FEF 25-75% with P<0.05 except no comparison in FEV1 & FVC with P>0.05 in IMT with breathing exercises group. Post test has greater score than pre test for all pulmonary variables in this group.
Conclusion- Chest mobilization exercises and ; IMT and breathing exercises were seen to be effective. Pre and post pulmonary function were seen to be improved in both cases
References
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16. Zhang, F., Wang, H., Bai, Y., Huang, L., & Zhang, H. (2023). Effect of respiratory muscle training in patients with chronic kidney disease: A systematic review andmeta-analysis of randomized controlled trials. Clinical rehabilitation, 37(3), 348–361. https://doi.org/10.1177/02692155221135729
17. de Medeiros, A. I. C., Fuzari, H. K. B., Rattesa, C., Brandão, D. C., & de Melo Marinho, P. É. (2017). Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. Journal of physiotherapy, 63(2), 76–83. https://doi.org/10.1016/j.jphys.2017.02.016 Bostanci, Ö., Mayda, H., Yılmaz, C., Kabadayı, M., Yılmaz, A. K., & Özdal, M. (2019). Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respiratory physiology & neurobiology, 264, 28–32. https://doi.org/10.1016/j.resp.2019.04.001
18. Arazi, T., Aliasgharpour, M., Mohammadi, S., Mohammadi, N., & Kazemnejad, A. (2021). Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial. The journal of nursing research : JNR, 29(2), e146. https://doi.org/10.1097/JNR.0000000000000423
19. de Medeiros, A. I. C., Fuzari, H. K. B., Rattesa, C., Brandão, D. C., & de Melo Marinho, P. É. (2017). Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. Journal of physiotherapy, 63(2), 76–83. https://doi.org/10.1016/j.jphys.2017.02.016
20. Bush, A., & Gabriel, R. (1985). The lungs in uraemia: a review. Journal of the Royal Society of Medicine, 78(10), 849–855. https://doi.org/10.1177/014107688507801012
21. Reshia, F. A. A., Salameh, B., Alsadaan, N., Alqahtani, M., Ayed, A., Kassabry, M. F., & Abo Seada, A. I. (2023). Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU. The Journal of international medical research, 51(11), 3000605231208600. https://doi.org/10.1177/03000605231208600
2. Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic Kidney Disease Diagnosis and Management: A Review. JAMA, 322(13), 1294–1304. https://doi.org/10.1001/jama.2019.14745
3. Vaidya, S. R., & Aeddula, N. R. (2024). Chronic Kidney Disease. In StatPearls. StatPearls Publishing.
4. Gembillo, G., Calimeri, S., Tranchida, V., Silipigni, S., Vella, D., Ferrara, D., Spinella, C., Santoro, D., & Visconti, L. (2023). Lung Dysfunction and Chronic Kidney Disease: A Complex Network of Multiple Interactions. Journal of personalized medicine, 13(2), 286. https://doi.org/10.3390/jpm13020286
5. DeVrieze BW, Modi P, Giwa AO. Peak Flow Rate Measurement. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459325/
6. Han, S., Xu, Y., & Wang, Y. (2024). Association between pulmonary function and rapid kidney function decline: a longitudinal cohort study from CHARLS. BMJ open respiratory research, 11(1), e002107. https://doi.org/10.1136/bmjresp-2023-002107
7. Perez-Padilla, R., Wehrmeister, F. C., Celli, B. R., Lopez-Varela, M. V., Montes de Oca, M., Muiño, A., Talamo, C., Jardim, J. R., Valdivia, G., Lisboa, C., Menezes, A. M., & PLATINO Team (2013). Reliability of FEV1/FEV6 to diagnose airflow obstruction compared with FEV1/FVC: the PLATINO longitudinal study. PloS one, 8(8), e67960. https://doi.org/10.1371/journal.pone.0067960
8. Neto, J. R., Figueiredo E Castro, L. M., Santos de Oliveira, F., Silva, A. M., Maria Dos Reis, L., Quirino, A. P., Dragosavac, D., & Kosour, C. (2016). Comparison between two physiotherapy protocols for patients with chronic kidney disease on 17 dialysis. Journal of physical therapy science, 28(5), 1644–1650. https://doi.org/10.1589/jpts.28.1644
9. Takken, T., Engelbert, R., van Bergen, M., Groothoff, J., Nauta, J., van Hoeck, K., Lilien, M., & Helders, P. (2009). Six-minute walking test in children with ESRD: discrimination validity and construct validity. Pediatric nephrology (Berlin, Germany), 24(11), 2217–2223. https://doi.org/10.1007/s00467-009-1259-x
10. Nadiya Garnis Sallyfan, Endro Yulianto, & Torib Hamzah. (2020). Peak Flow Meter Equipped with Inspection Results Indicator. Journal of Electronics, Electromedical Engineering, and Medical Informatics, 2(1), 7-12. https://doi.org/10.35882/jeeemi.v2i1.2
11. Neto, J. R., Figueiredo E Castro, L. M., Santos de Oliveira, F., Silva, A. M., Maria Dos Reis, L., Quirino, A. P., Dragosavac, D., & Kosour, C. (2016). Comparison between two physiotherapy protocols for patients with chronic kidney disease on dialysis. Journal of physical therapy science, 28(5), 1644–1650. https://doi.org/10.1589/jpts.28.1644
12. Park, S. J., Lee, J. H., & Min, K. O. (2017). Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients. Journal of physical therapy science, 29(7), 1144–1147. https://doi.org/10.1589/jpts.29.1144
13. Sharma, A., Sharma, A., Gahlot, S., & Prasher, P. K. (2017). A study of pulmonary function in end-stage renal disease patients on hemodialysis: a cross-sectional study. Sao Paulo medical journal = Revista paulista de medicina, 135(6), 568–572. https://doi.org/10.1590/1516-3180.2017.0179150817
14. Mukai, H., Ming, P., Lindholm, B., Heimbürger, O., Barany, P., Stenvinkel, P., & Qureshi, A. R. (2018). Lung Dysfunction and Mortality in Patients with Chronic Kidney Disease. Kidney & blood pressure research, 43(2), 522–535. https://doi.org/10.1159/000488699
15. Lima, I. S., Florêncio de Moura Filho, O., Cunha, F. V., Ribeiro, J. L., Valenti, V. E., & Carlos de Abreu, L. (2011). Chest and neck mobilization effects on spirometric responses in healthy subjects. Journal of manipulative and physiological therapeutics, 34(9), 622–626. https://doi.org/10.1016/j.jmpt.2011.08.004
16. Zhang, F., Wang, H., Bai, Y., Huang, L., & Zhang, H. (2023). Effect of respiratory muscle training in patients with chronic kidney disease: A systematic review andmeta-analysis of randomized controlled trials. Clinical rehabilitation, 37(3), 348–361. https://doi.org/10.1177/02692155221135729
17. de Medeiros, A. I. C., Fuzari, H. K. B., Rattesa, C., Brandão, D. C., & de Melo Marinho, P. É. (2017). Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. Journal of physiotherapy, 63(2), 76–83. https://doi.org/10.1016/j.jphys.2017.02.016 Bostanci, Ö., Mayda, H., Yılmaz, C., Kabadayı, M., Yılmaz, A. K., & Özdal, M. (2019). Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers. Respiratory physiology & neurobiology, 264, 28–32. https://doi.org/10.1016/j.resp.2019.04.001
18. Arazi, T., Aliasgharpour, M., Mohammadi, S., Mohammadi, N., & Kazemnejad, A. (2021). Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial. The journal of nursing research : JNR, 29(2), e146. https://doi.org/10.1097/JNR.0000000000000423
19. de Medeiros, A. I. C., Fuzari, H. K. B., Rattesa, C., Brandão, D. C., & de Melo Marinho, P. É. (2017). Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. Journal of physiotherapy, 63(2), 76–83. https://doi.org/10.1016/j.jphys.2017.02.016
20. Bush, A., & Gabriel, R. (1985). The lungs in uraemia: a review. Journal of the Royal Society of Medicine, 78(10), 849–855. https://doi.org/10.1177/014107688507801012
21. Reshia, F. A. A., Salameh, B., Alsadaan, N., Alqahtani, M., Ayed, A., Kassabry, M. F., & Abo Seada, A. I. (2023). Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU. The Journal of international medical research, 51(11), 3000605231208600. https://doi.org/10.1177/03000605231208600
Published
2024-09-05
How to Cite
Indu, R Deepak, & Bhawna. (2024). Immediate Effect Of Chest Mobilization Exercises On Pulmonary Function In Chronic Kidney Disease. Revista Electronica De Veterinaria, 25(2), 769 - 774. https://doi.org/10.69980/redvet.v25i2.1525
Section
Articles
