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adolescents with chronic renal failure going on hemodialysis usually complain many problems including compromised ventilation, early fatigue, early physical intolerance, and bad life quality. incentive spirometer is highly recommended to improve these problems. also, walking program, especially walking with dog, can increase the benefits of incentive spirometer
End stage renal diseased adolescents (numbering forty) will be grouped randomly to two random groups, twenty adolescents in group I or group II. Both groups will trained by incentive spirometer 30 min during the sessions of dialysis three applications weekly for 12 weeks. Group I will additionally walked freely with a dog 30 min three times weekly (in opposite days of hemodialysis). The duration of this trial will be 12 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group number 1 | Experimental | End stage renal diseased adolescents (numbering twenty) will trained by incentive spirometer 30 min during the sessions of dialysis three applications weekly for 12 weeks. they will additionally walked freely with a dog 30 min three times weekly (in opposite days of hemodialysis). The duration of this trial will be 12 weeks. |
|
| group number 2 | Active Comparator | End stage renal diseased adolescents (numbering twenty) will trained by incentive spirometer 30 min during the sessions of dialysis three applications weekly for 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| incentive spirometer and walking with dog | Other | End stage renal diseased adolescents (numbering twenty) will trained by incentive spirometer 30 min during the sessions of dialysis three applications weekly for 12 weeks. they will additionally walked freely with a dog 30 min three times weekly (in opposite days of hemodialysis). The duration of this trial will be 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| six minute walk testing | it is a physical capacity measure | it will be measured after 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| forced vital capacity | it is a pulmonary function test | it will be measured after 12 weeks |
| forced expiratory volume at first second | it is a pulmonary function test |
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Inclusion Criteria:
Exclusion Criteria:
based on self-representation of gender identity.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ali MA Ismail, lecturer | Contact | 01005154209 | ali.mohamed@pt.cu.edu.eg | |
| shymaa bondok, lecturer | Contact | 0201223749627 | dr.shaimaa.bondok@dtu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Ali MA Ismail, lecturer | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of physical therapy Cairo university | Recruiting | Dokki | Giza Governorate | 11432 | Egypt |
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| ID | Term |
|---|---|
| D007676 | Kidney Failure, Chronic |
| D006461 | Hemolysis |
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| ID | Term |
|---|---|
| D016138 | Walking |
| ID | Term |
|---|---|
| D008124 | Locomotion |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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|
| training by incentive spirometer only | Other | End stage renal diseased adolescents (numbering twenty) will trained by incentive spirometer 30 min during the sessions of dialysis three applications weekly for 12 weeks. |
|
| it will be measured after 12 weeks |
| maximal inspiratory pressure | it is a test measures strength of inspiratory muscles | it will be measured after 12 weeks |
| child health questionnaire (physical summary) | the parent form (50 questions) will used to measure quality of life | it will be measured after 12 weeks |
| child health questionnaire (mental summary) | the parent form (50 questions) will used to measure quality of life | it will be measured after 12 weeks |
| fatigue symptoms inventory | it is a questionnaire assesses fatigue | it will be measured after 12 weeks |
| D052776 |
| Female Urogenital Diseases |
| 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 |
| D015444 | Exercise |
| D009043 | Motor Activity |