Efficiency of a Whole Body Vibration Training Program in Adult Renal Transplanted Patients

Study Overview
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Brief Summary
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Evaluate the effectiveness of a Whole body vibration training program on quadriceps muscle strength, functional capacity and respiratory muscle strength in adult renal transplant recipients

Detailed Description
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The study will be a randomized controlled clinical trial involving adult renal transplant recipients, who will be recruited through eligibility criteria at Nephrology outpatient clinics of the Kidney Transplantation Centers of the Hospital das Clínicas of the Federal University of Pernambuco (HC-UFPE). Individuals will be randomized and assigned to one of the following groups: Platform Group, which will perform 12-week whole body vibration training or Platform SHAM Group that will receive treatment without the therapeutic effect of the platform. Afterwards, the patients will be submitted to an evaluation, a form with sociodemographic data, the clinical history of the disease and the laboratory tests will be completed, after which the pulmonary function, respiratory muscle strength, quadriceps muscle strength and thickness, postural balance , Functional capacity, quality of life, risk of falls and level of physical activity.

Official Title
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Respiratory and Musculoskeletal Effects After a Whole Body Vibration Training Program in Adult Renal Transplant Recipients: A Randomized Controlled Trial

Conditions
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Kidney Transplantation, Exercise

Intervention / Treatment
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* Other: Platform
* Other: Platform sham


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with more than 1 year of kidney transplant surgery stable graft function (creatinine <1.8 mg / dL) hemoglobin> 8g / dL age range 18 And 59 both sexes Exclusion Criteria: PAS> 160mmHg and PAD> 100mmHg Patients with neurological, diagnosed or pulmonary heart disease Involved in some physiotherapeutic program With hospitalization history for 3 months Pregnant Current or previous smokers That use pacemaker, screws and / or pins in the body Presence of acute migraines, labyrinthitis History of thrombosis Body weight greater than 120Kg Cognitive, visual and / or auditory deficits Osteomioarticular diseases that would impair evaluation procedures and / or training

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 59 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Platform group<br>Group submitted to the whole body vibration training program | Other: Platform<br>* Whole body vibration training will consist of 12 consecutive weeks with two sessions per week on alternate days. Initially, before training with the vibratory platform, stretches lasting 5 to 10 minutes will be performed, with a series of 60 seconds for each of the following muscle groups: pectorals, sternocleidomastoids, scalenes, quadriceps and ischiatibial muscles. Patients will be monitored through vital signs for follow-up.<br>|
| Sham Comparator: Platform sham group<br>Group that will receive the whole body vibration simulation treatment without the therapeutic effect of the platform, but with vibrating platform connected with the display on and a sound device coupled with vibration-generated noise recording, but without therapeutic purposes. | Other: Platform sham<br>* will receive the treatment without the therapeutic effect of the platform, but with vibrating platform connected with the display lit and a sound device coupled with a noise recording generated by the vibration, but without therapeutic purposes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quadriceps muscle strength | Will be performed the examination of the Maximum Voluntary Isometric Contraction | 20 minutes | 
| Functional capacity | The 6-minute walk test will be used | 10 minutes | 
| Respiratory muscle strength | Will be performed through the manocacuometry with the evaluation of the maximum respiratory pressures | 20 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thickness of the quadriceps | This measure will be obtained through the portable Ultrasound | 10 minutes | 
| Postural balance | The static and dynamic postural balance will be evaluated through the Biodex Balance System | 20 minutes | 
| Pulmonary function | Slow and forced spirometry will be used | 15 minutes | 
| Risk of fall | The International Fall Efficiency Scale (FES-I) will be used | 5 minutes | 
| Level of physical activity | It will be evaluated by the International Physical Activity Questionnaire | 5 minutes | 
| Quality of life | Will be applied the Medical Outcomes Study Quality of Life Questionnaire - Short-Form Health Survey | 10 minutes |