Case Series
Year: 2023 | Month: July | Volume: 13 | Issue: 7 | Pages: 217-221
DOI: https://doi.org/10.52403/ijhsr.20230731
Effects of Inspiratory Accessory Muscles Strengthening by Electrical Muscle Stimulation on Lung Function and Inspiratory Muscle Strength on Inter Dialysis Patient with End Stage Renal Diseases: A Case Series
Prapti Rajendra Vaidya1, Dr. Arijit Kumar Das2, Dr. Abhijit D Diwate3
1Intern at DVVPF’s College of Physiotherapy
2Professor of Cardiovascular and Respiratory Physiotherapy at DVVPF’s College of Physiotherapy, Ahmednagar
3Professor and HOD of Cardiovascular and Respiratory Physiotherapy at DVVP’s College of Physiotherapy, Ahmednagar
Corresponding Author: Prapti Rajendra Vaidya
ABSTRACT
Background: Chronic kidney disease is a complicated disease that affects several organs and systems (including the musculoskeletal and cardiorespiratory systems), resulting in decreased functional capability. Chronic kidney disease (CKD) is a global health concern with large economic consequences to health systems, affecting around 11 to 13% of the world's population.
Methodology: Study is based on case series. Study was conducted at DVVPF’s haemodialysis Unit. 6 patients were considered to be the subjects who were suffering through end stage renal disease.
Procedure: At first ethical clearance was obtained from Institutional Ethical Committee (IEC), which is a government registered agency. The patients were screened according to the inclusion and exclusion criteria from the dialysis care unit of a tertiary care medical college hospital. Once the subjects are included, written informed consent will be taken from the patients. A dialysis patient was chosen as a subject for examination. The pulmonary function test (PFT) and maximum inspiratory pressure (MIP) were performed. Following the completion of the dialysis session, post-treatment outcome measures were evaluated. The patient had done exercises under the direction of the therapist. The duration was 15 minutes. The exercise protocol was followed for a month to track the improvement in inspiratory muscle strength.
Result: p values and t values of the outcome measures that were used in the study.
The study shows that there is no significance in MIP as the p value is 0.1647 and t value is 1.499. Besides, the study shows that the relevance of PEFR is considerably significant, the p value is 0.0465 and the t value is 2.271.
Conclusion: According to the above result it is concluded that EMS stimulation that was provided to the subjects improves lung function in CKD patients and also their quality of life.
Key words: Chronic kidney disease, Electrical muscle stimulator, Inspiratory accessory muscles, Dialysis.