Benefits of intradialytic physiotherapy in quality of life, pain, edema and respiratory function of patients with chronic kidney disease

Abstract

Introduction: Patients with chronic kidney disease suffer from a decline in quality of life and respiratory function, for various reasons related to this condition. Objective: To verify the influence of intradialytic physiotherapy on the quality of life and respiratory function in chronic renal patients. Methods: The sample was non-probabilistic and consisted of 51 individuals, of both sexes, aged between 30 and 60 years. The WHOQOL-Bref, an evaluation form, the Manovacuometer and Peak Flow were used to detect the impact of the physiotherapeutic intervention before and after an eight-week treatment protocol. Results: There was a difference in the comparison of the general QOL before and after (p = 0.006) the intervention, as well as in the improvement of the maximal forced expiratory flow peak (p = 0.001), the PEmax (p = 0.000), peak forced expiratory flow rate (0.017) and pain (p = 0.006). There was also improvement of edema (p = 0.013) and cramps (p = 0.000). Conclusion: The benefits of intradialytic physiotherapy in improving QOL and respiratory function in chronic kidney patients are explicit.

Kidney Disease-Specific Quality of Life among Patients on Hemodialysis

“…There is considerable evidence that ESKD is responsible for high levels of disability in various aspects of people's lives, leading to impaired QoL. The availability of various renal replacement therapies (RRT) is known to reduce the severity of symptoms, thus increasing life expectancy among ESKD patients [ 8 , 9 ]. Unfortunately, hemodialysis therapy is time-intensive, expensive, and requires fluid and dietary restrictions [ 9 – 11 ].…”

Atuação Do Fisioterapeuta Em Pacientes Com Doenças Renais Crônicas Em Tratamento De Hemodiálise: Revisão Literária

“…Almeida et al (2019) também cita que a fisioterapia contribui para um ganho de força muscular, aumento da capacidade funcional e ajuda a qualidade de vida desses pacientes. Sanchez et al (2018) após sua intervenção fisioterapêutica com base nos seus estudos houve uma diminuição de níveis de dor nos candidatos a pesquisa, através do fortalecimento muscular, bem como a melhora da circulação miotendinosa e articular, e no decorrer do fortalecimento muscular gerou maior estabilidade nas articulações. Distribuindo maior fluxo nas estruturas, contribuindo na qualidade do sono, autoestima, por decorrência dos medicamentos.…”