Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics Disorders

Hemodialysis is a protien catabolic procedure that mainly causes skeletal muscle weakness including the diaphragm which is the main muscle of respiration. To determine the effect of inspiratory trainer on diaphragmatic excursion (DE) prior hemodialysis session. Thirty patients of both sexes (10men and 20women) with mean age 35.47(± 6.51), undergoing hemodialysis from at least 2 years had participated in this study. The practical work was recruited from nephrology department, dialysis unit At Elsahel teaching hospital. They received inspiratory muscle training by using inspiratory muscle trainer for 20 minutes, 3 days per week for Three months. Ultrasonography was used to evaluate the changes in DE before and after training program. Statistical analysis revealed a significant increase in DE in the study group (65.74%) after using inspiratory muscle trainer for 3 months prior hemodialysis session. The percentage of improvement in DE in men is 65.29% and in women is 66.08%. It is beneficial to use inspiratory muscle trainer as a method of to improve strength of inspiratory muscles mainly the diaphragm

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