Training impact with inspiratory muscle trainer versus pranayama on breathing and quality of life in hemodialysis patients / Marwa Mahmoud Elsayed ; Supervised Zahra Mohamed Hassan Serry , Sahier Omar Elkhashab , Hany Farid Eid Morsy Elsisi

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

Background: Exercise is often recommended for patients with chronic kidney diseases to improve physical conditioning and reduce complications of diseases. Objective: The purpose of this study was to evaluate the effect of inspiratory muscle trainer (IMT) versus pranayama on breathing and quality of life (QOL) in hemodialysis (HD) patients. Subjects and methods: Forty HD patients (22 men and 18 women) participated in the study, their ages ranged from 40-55years from september 2015 to November 2015. They were assigned randomly into two groups; 20 patients each: Group (A) received IMT and resistive exercises for 12 weeks, 3 sessions per week. Group (B) received pranayama and resistance exercises 12 weeks, 3 sessions per week with. Pre and post 12 weeks pulmonary function include (Forced vital capacity(FVC) in, ( forced expiratory volume in one second (FEV1), Forced expiratory flow (FEF) 25-75%, and peak expiratory flow (PEF) and blood pressure (BP) ( systolic blood pressure (SBP), and diastolic blood pressure (DBP) and O2 saturation and QOL questionnaire. Results: IMT and pranayama had a significant improvement in pulmonary function increase in (FVC p was 0.0001*) group A, (FEV1, PEF, and FEF 25-75% in favor to group B and in males) and BP decrease (SBP,DBP equally in both sexes) in favor of group (B) and increase O2 saturation in favor to group A equally in both sexes and improve in QOL questionnaire and in males.Conclusions: supervised program of IMT, pranayama, and resistance exercises 12 weeks in HD men and women results in an improvement of pulmonary functions, BP, O2 saturation, and QOL

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