Abstract

CAMPOS, Nataly Gurgel et al. Effects of respiratory muscle training in chronic hemodialysis patients: a systematic review. Motri. [online]. 2018, vol.14, n.1, pp.232-239. ISSN 1646-107X.

The repercussions of chronic kidney disease (CKD) associated with hemodialysis lead to loss of tissue and muscle strength resulting in reduced functional capacity. This loss affects the muscles of the rib cage reducing respiratory muscle strength, causing a reduction in lung volume and capacity. The respiratory muscle training (RMT) has been inserted, alone or in combination with aerobic or resistance exercise, to improve the physical fitness of these patients. The aim of this study was to conduct a systematic review in databases on the effects of respiratory muscle training in hemodialysis patients. The following BVS databases were used: PeDRO and PubMed as the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses).Original articles were included when they addressed the respiratory muscle training in patients undergoing hemodialysis, clearly described methodology and TMR, published in Portuguese, English or Spanish. Of the 53 articles found, 04 studies have complied with the inclusion criteria. The earliest publication was dated 2008, and the variables in the study included respiratory muscle strength, lung function, functional capacity, Kidney Disease Quality of life questionnaire (SF-KDQOL) and laboratory tests. In all analyzed studies, the respiratory muscle training in hemodialysis patients showed significant improvement in some variables that were assessed, and only one study did not described improvement in respiratory muscle strength. It was concluded that the respiratory muscle training significantly increases respiratory muscle strength in chronic renal failure patients on hemodialysis and increases lung function and functional capacity, with changes in serum levels of hematocrit, hemoglobin, albumin and protein-C reactive. Aspects of quality of life such as sleep, pain and energy point to improvement when compared before and after the intervention.

Keywords : chronic kidney disease; respiratory muscle training; hemodialysis.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )