Electrical neuromuscular stimulation had a positive impact on pulmonary function and functional capacity, leading to better physical performance in patients on hemodialysis.

Purpose Exercise is recommended for patients undergoing hemodialysis, to reduce the decrease in functional capacity secondary to the progression of chronic kidney disease. A cycle ergometer can be easily added to an exercise routine during hemodialysis sessions. The purpose of this article was to assess the results of a training protocol with the cycle ergometer during hemodialysis sessions on the respiratory function and functional capacity of patients with chronic kidney disease on hemodialysis. Method In this randomized clinical trial (NCT no. 02834026), 39 patients undergoing hemodialysis were randomly allocated into two groups: the treatment group (TG, n = 20), who underwent a cycle ergometer protocol training, and the control group (GC, n = 19), not trained. The TG attended 24 training sessions, three times a week, during the intradialytic period. Training intensity was aimed at keeping the heart rate between 50 and 70% of its maximum. All participants were evaluated before and after the eight consecutive weeks of follow-up and had biochemicals data, anthropometric, functional, and respiratory outcomes evaluated. Results A significant difference was observed between groups in forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, maximal inspiratory and expiratory pressure, and Borg score and distance covered in the six-minute walk test. Improvement was also observed in biochemical and Kt/V test results for the TG. Conclusion The systematic training regimen with a cycle ergometer resulted in benefits in the respiratory function and functional capacity in patients with chronic kidney disease undergoing hemodialysis.

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O treinamento físico vem se mostrando efetivo para minimizar as consequências deletérias do processo de envelhecimento, porém o Pilates, ainda não foi foco de estudos controlados em idosos, assim, objetivamos avaliar o impacto do método Pilates na qualidade de vida de indivíduos na terceira idade. Participaram deste estudo prospectivo e randomizado, 44 voluntários, acima de 60 anos, de ambos os sexos, divididos em dois grupos: controle (22 idosos que não realizaram exercícios) e intervenção (22 idosos que realizaram um protocolo constituído por exercícios com o método Pilates). O protocolo no grupo intervenção foi aplicado por um fisioterapeuta, duas vezes por semana, com sessões de 60 minutos mantidas por dois meses. Para análise da qualidade de vida foi aplicado antes e após o protocolo os questionários WHOQOL-BREF e OLD em ambos os grupos. Após a realização dos dois meses de protocolo podemos observar o aumento da pontuação de todos os domínios dos questionários de qualidade de vida no grupo de intervenção concluindo que o protocolo pode ser um produto importante influenciando positivamente a qualidade de vida da população idosa submetida ao método Pilates.

The introduction of a CPAP protocol during hemodialysis sessions had a positive impact on pulmonary function and physical capacity in CKD patients.