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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Functional Inspiratory Muscle Training Group | Experimental | Functional inspiratory muscle training in patients with chronic kidney disease |
|
| Inspiratory Muscle Training Group | Experimental | Inspiratory muscle training in patients with chronic kidney disease |
|
| Control Group | Experimental | Breathing exercises in patients with chronic kidney disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Functional Inspiratory Muscle Training | Other | The inspiratory muscle training program will be consist of 4 weeks of foundation inspiratory muscle training and 6 weeks of functional inspiratory muscle training |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory muscle strength | Respiratory muscle strength will be evaluated using mouth pressure device | 10 minutes |
| Respiratory muscle endurance | Respiratory muscle endurance will be evaluated using incremental load test | 10 minutes |
| Pulmonary function | Pulmonary functions will be evaluated using spirometry | 5 minutes |
| Peripheral muscle strength | Peripheral muscle strength will be evaluated using dynamometer | 5 minutes |
| Endurance of trunk muscles | Endurance of trunk muscles will be evaluated using plank, side plank, flexor endurance and pelvic bridge test | 10 minutes |
| Lower extremity muscle endurance | Lower extremity muscle endurance will be evaluated using sit-to-stand test | 1 minutes |
| Functional capacity | Functional capacity will be evaluated using six-minute walk test | 10 minutes |
| Diaphragm thickness and mobility | Diaphragm thickness and mobility will be evaluated using ultrasonography |
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Balance will be evaluated using timed up and go test | 5 minutes |
| Static balance | Balance will be evaluated using one-legged standing test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Merve Firat, MSc | Hacettepe University | Principal Investigator |
| Naciye Vardar-Yagli, PhD | Hacettepe University | Study Director |
| Tolga Yildirim, MD | Hacettepe University | Study Director |
| Deniz Ä°nal-Ä°nce, Professor | Hacettepe University | Study Chair |
| Melda Saglam, PhD | Hacettepe University | Study Chair |
| Ebru Calik-Kutukcu, PhD | Hacettepe University | Study Chair |
| Ahmet Hakan Ates, MD | Hacettepe University | Study Chair |
| Selin Ardali-Duzgun, MD | Hacettepe University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University, Faculty of Physical Therapy and Rehabilitation | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| D001945 | Breathing Exercises |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
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| Inspiratory Muscle Training | Other | The inspiratory muscle training program will be consist of 10 weeks of foundation inspiratory muscle training |
|
| Breathing exercises | Other | The program will be consist of 10 weeks of breathing exercises |
|
| 20 minutes |
| 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). | 5 minutes |
| Qol | Quality of life will be evaluated using Nottingham Health Profile | 10 minutes |
| Cognitive function | Cognitive function will be evaluated using Standardised Mini-Mental State Examination | 5 minutes |
| Fatigue | Fatigue will be evaluated using Multidimensional Assessment of Fatigue scale | 5 minutes |
| Physical activity | Physical activity level will be evaluated using International Physical Activity Questionnaire-Short Form | 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. | 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 | 10 minutes |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D026741 |
| Physical Therapy Modalities |