Effects of intradialytic cycling and respiratory training on exercise endurance,pulmonary function and quality of life in maintenance hemodialysis patients
10.3969/j.issn.1001-1242.2024.05.012
- VernacularTitle:踏车训练和呼吸训练对维持性血液透析患者运动耐力、肺功能及生存质量的影响
- Author:
Shuyue LI
1
;
Wanting SUN
;
Xiang GONG
Author Information
1. 南京医科大学康复医学院,江苏省南京市,210029
- Keywords:
hemodialysis;
intradialytic cycling;
respiratory training;
exercise endurance;
pulmonary function;
quality of life
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(5):687-692
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and compare the effects of intradialytic cycling and respiratory training on exercise en-durance,pulmonary function and quality of life of maintenance hemodialysis(MHD)patients. Method:From July 2022 to July 2023,60 MHD patients in our hospital were randomly divided into control group(n=20),cycling group(n=20),and respiratory group(n=20).The control group was given routine he-modialysis treatment.The cycling group was given moderate-intensity intradialytic cycling training on the basis of routine hemodialysis treatment,for 12 weeks,3 times a week,40 minutes each time.The respiratory group was given respiratory training(abdominal breathing exercise,pursed-lip breathing exercise and diaphrag-matic breathing exercise)on the basis of routine hemodialysis treatment,for 12 weeks,3 times a week,40 minutes each time.VO2peak,AT and VO2/HRpeak were used to evaluate the exercise endurance.FVC,FEV1 and MVV were used to evaluate the pulmonary function,which were expressed as a percentage of the predict-ed values,i.e.FVC％,FEV1％,MVV％.SF-36 was used to assess the quality of life,which includes PCS,MCS and total score. Result:There were no significant difference in VO2peak,AT,VO2/HRpeak,FVC％,FEV1％,MVV％,PCS,MCS and total score among the three groups before intervention(P＞0.05);after 12 weeks of intervention,VO2peak,AT,VO2/HRpeak,PCS,and total score of the cycling group were increased compared with those be-fore intervention and were better than that of the control group(P＜0.05);FVC％,FEV1％,MCS,and total score of the respiratory group were increased compared with those before intervention and were better than that of the control group(P＜0.05). Conclusion:Both intradialytic cycling and respiratory training can improve cardiorespiratory function and quality of life of MHD patients.The intradialytic cycling is more effective in improving exercise endurance and physi-cal health,and respiratory training is more effective in improving lung function and mental health.
