Effects of Respiratory Physiotherapy in individuals with Kidney Disease

INTERVENTION: Inspiratory Muscle Training Group with 15 participants who have Stage V Chronic Kidney Disease (CKD) (five) undergoing HD treatment for at least three months for three times a week will begin training using 50% of MIP and will perform four sets 15 max inspirations with 60 seconds of rest between them; and MIP measurements will be performed every six sessions for load adjustment. The total training program time will be 12 weeks or 36 sessions. Peripheral Physical Training Group with 15 participants who have stage V Chronic Kidney Disease (CKD) (five) undergoing HD treatment for at least three months for three times a week will begin resistance training that will be performed using free weights. They will be performed in two continuous series of 10 repetitions, as the physical training progresses. The rest of 60 seconds between them will be respected. The initial training load will be 50% of 1RM, and will change according to an assessment performed every 4 weeks. This group will also receive the aerobic physical training will be performed by an electric exercise bike, for 30 minutes, distributed as follows: 5 minutes of warm‐up with 40% HRmax load, 20 minutes between 60‐70% of HRmax and 5 minutes of exercise. cooling down, with 30% of HRmax. Control group with 15 participants who have stage V chronic kidney disease (CKD) (five) undergoing HD treatment for at least three months for three times a week will participate in the initial and final evaluation after 12 weeks and 24 weeks. weeks without intervention. Respiratory Muscle Training Group associated with Peripheral Muscle Training with 15 participants with Stage V Chronic Kidney Disease (CKD) (five) undergoing HD treatment for at least three months for three times a week, where they will start the intervention after the 24 week period. This group will be composed of the participants of the control group in order to analyze the associated interventions, where participants will perform aerobic, resistance and Other Physical Therapy Modalities CONDITION: Renal Insufficiency, Chronic Renal Insufficiency, Chronic ; Renal Insufficiency, Chronic PRIMARY OUTCOME: Evaluate improvement of physical fitness determined by physical testing at the beginning and end of the study.; SECONDARY OUTCOME: Evaluate the improvement of quality of life when observed through physical tests at the beginning and end of the study.udy. INCLUSION CRITERIA: Will be included participants from 20 to 69 years, who have stage V (five) CKD; HD treatment for at least three months, three times a week; with hemodynamic stability; able to perform the evaluations and proposed training and agree to participate in the study.