Functional Inspiratory Muscle Training in Chronic Kidney Disease

Respiratory muscle strength will be evaluated using mouth pressure device

Respiratory muscle endurance will be evaluated using incremental load test

Pulmonary functions will be evaluated using spirometry

Peripheral muscle strength will be evaluated using dynamometer

Endurance of trunk muscles will be evaluated using plank, side plank, flexor endurance and pelvic bridge test

Lower extremity muscle endurance will be evaluated using sit-to-stand test

Functional capacity will be evaluated using six-minute walk test

Diaphragm thickness and mobility will be evaluated using ultrasonography

Balance will be evaluated using timed up and go test

Balance will be evaluated using one-legged standing test

Posture will be evaluated using Corbin Postural Assessment scale. Lateral and posterior views will be assessed (0 = absent, 1 = mild, 2 = moderate, 3 = severe) and posture score will be determined as excellent (0-2), very good (3-4), good (5-7), fair (8-11) and poor (>12).

Quality of life will be evaluated using Nottingham Health Profile

Cognitive function will be evaluated using Standardised Mini-Mental State Examination

Fatigue will be evaluated using Multidimensional Assessment of Fatigue scale

Physical activity level will be evaluated using International Physical Activity Questionnaire-Short Form

Endothelial function will be evaluated using echocardiography. After a resting baseline Brachial artery diameter will be recorded, the cuff used in blood pressure measurement will be inflated 25-50 mmHg above the systolic blood pressure value and maintaining that pressure for 5 min. The brachial artery diameter will be measured again after the cuff is deflated.

Aortic stiffness will be evaluated using transthoracic echocardiography. Aortic diameters can be measured by M-mode tracing of the level of 3-4 cms above the aortic valve during diastole and systole