COMBINED EFFECT OF UPPER EXTREMITY PNF AND ELASTIC RESISTANCE BAND TRAINING ON INSPIRATORY MUSCLE STRENGTH IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS.

Abstract

Aim: The study aims to evaluate the effect of unilateral upper extremity proprioceptive neuromuscular facilitation using an elastic resistance band on inspiratory muscle strength in chronic kidney disease patients undergoing hemodialysis. 7 patients (4 male; 3 female) were assessed for demogr Materials and Methodology: aphic data (age, weight, height, BMI) and Maximal Inspiratory Pressure (MIP) at baseline. All 7 patients underwent 8-week resistance training for the unilateral upper extremity. The intervention used was unilateral upper extremity proprioceptive neuromuscular facilitation (PNF) exercises combined with an elastic resistance band (ERB). Upper extremity PNF patterns (D1 exion, extension & D2 exion, extension) were used in the training protocol. All the exercises were carried out on the dialysis bed during an intradialytic period. 2 sessions per week for 8 weeks; a total of 16 sessions were held. 3 sets of 6 repetitions were given. After completion of the training protocol, MIP was re-evaluated. In pre-and post-training comp Results: arison, there was statistically signicant improvement (p < 0.0056) in the post-training Maximal Inspiratory Pressure (i.e., 62.71±27.85 cmH2O) compared to pre-training maximal inspiratory pressure (i.e.,55.71±24.39 cmH2O). Intradialytic unilateral upper Conclusion: extremity resistance training can improve the inspiratory muscle strength in chronic kidney disease patients undergoing hemodialysis.