Repercussão de um protocolo fisioterapêutico intradialítico na funcionalidade pulmonar, força de preensão manual e qualidade de vida de pacientes renais crônicos

Abstract

Introduction: Chronic kidney disease consists in the slow, progressive and irreversible loss in renal function and it is considered a social and economic problem worldwide, since it is linked to numerous diseases, as well as to higher public health spending. It is known that dialysis patients undergo a long period of restricted physical activity reflects in dysfunctions in various organical systems and in the quality of their lives. Objective: To verify the results of physical therapy intervention in patients on hemodialysis, for respiratory muscle function, grip strength and quality of life. Methodology: Experimental, nonrandomized, quantitative and qualitative of a sample of 13 patients, 43.69 ± 9.28 years, on hemodialysis in the hospital Santa Casa de Diamantina/MG, selected by convenience. All patients were evaluated for maximal respiratory pressures (PI max e PE max ) and peak expiratory flow (PFE), before and after physiotherapy, which consisted of 3 sessions per week for a period of 2 months weeks: exercises for upper limbs, with technique PNF and breathing diaphragmatic; strengthening exercises for lower limbs and use of exerciser ball. Statistical analysis was performed using the student-t test and significance value at p < 0.05.

Comparison between two physiotherapy protocols for patients with chronic kidney disease on dialysis

“…Motor physiotherapy consisting of resistance exercises of the ULs and LLs was conducted, but it did not result in significant improvements in the MIP and MEP. However, the peak flow values were increased compared to pre- and post-physiotherapy values 7 ) .…”

“…but this did not result in significant improvements in the MIP and MEP. However, the PeakFlow values were increased compared the pre and post physiotherapeutic assistance values 7 ) .…”

“…The literature shows that physiotherapy, during the intradialytic period and during the intermission between sessions in CRF patients produces better functional literature shows that physiotherapy, during the intradialytic period and during, the intermission between sessions in CRF capacity, blood pressure control, cardiac function, and muscular strength and resistance, in addition to being a motivational factor and providing a break from the monotony of treatment, which can be an effective psychosocial intervention. The practice of regular physical exercise decreases the prevalence of associated diseases and systemic complications 7 ) .…”

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

“…In the Rocha et al study [32], it was observed the significant improvement of the PEF, EPmax and IPmax after the physiotherapy performance, justified by the balance between the removal of fluids during the dialysis and the bronchoconstriction due to the biocompatibility of dialysis membrane and by the lung expansion capacity through simple and effective techniques of diaphragmatic breathing.…”

Atuação Fisioterapêutica Em Pacientes Com Doença Renal Crônica

“…Em virtude dessas alterações, têm sido propostos terapias com exercício físico que almejam não somente o tratamento dos sinais clínicos da doença, mas de suas repercussões na função e na QV. A presença do fisioterapeuta nos centros de diálise é de suma importância devido à diversidade de alterações musculoesqueléticas dos pacientes, sendo este capaz de contribuir significativamente na prevenção, no retardo da evolução e na melhoria de várias complicações apresentadas pelo paciente renal (14) .…”