There is a need for long-term sustainable studies that will increase the potential health benefits in hemodialysis patients. Inspiratory muscle training, one of the recommended treatments to increase exercise capacity and quality of life during dialysis treatment in people with chronic renal failure, is a method that can be applied intradialytically, in addition to being easy to apply, cheap and sustainable. It improves functional capacity by increasing respiratory muscle strength. In this context, our study aims to investigate the effects of inspiratory muscle training on functional parameters and on hemodialysis patients with a personalized portable device and to add it to the literature.
Being on hemodialysis for at least 6 months
Being on hemodialysis for 4 hours, 3 days a week
Not having had a transplant
Being able to continue sitting and standing
Individuals with communication and/or cognitive problems that are unable to fulfill the assessment and treatment requirements
Patients with uncontrolled cardiac, pulmonary or other systemic diseases
Parallel
inspiratory muscle training
DevicePowerbreathe® threshold resistance loading device (POWERbreathe, HaB International) will be used for this training program that strengthens the inspiratory muscles. The PowerBreathe® device is a threshold device that creates resistance to inspiration. This resistance is created by the spring tension in the device mechanism. The device has a mechanism that is adjusted according to 9 different levels in its mechanism specific to the individuals using it.
Inspiratory muscle strength
The respiratory muscle strength measuring device Power Breathe (Power Breathe, K5, HaB International Ltd England) will be used to assess inspiratory muscle strength. During the assessment, the patient will be asked to sit in a chair with back support and no arm support, with shoulders relaxed, and a nose clip will be used. Patients will be asked to take a deep breath through the device placed in their mouth. The inspiratory force index (S-index) obtained as a result of the measurement will be recorded.
Exercise Capacity Assessment
The 6-minute walk test (6MWT), which is clinically easy to apply and reliable, will be used to assess the functional capacity of individuals.The 6-minute walk test (6MWT), which is clinically easy to apply and reliable, will be used to assess the functional capacity of individuals. At the end of 6 minutes, the distance walked in meters (m) will be recorded.
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