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European Journal of Physical and Rehabilitation Medicine 2021 Apr 07

DOI: 10.23736/S1973-9087.21.06694-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis. A randomized controlled trial

Borja PEREZ-DOMINGUEZ 1, Jose CASAÑA-GRANELL 1 , Rafael GARCIA-MASET 2, Alicia GARCIA-TESTAL 2, Erika MELENDEZ-OLIVA 3, Eva SEGURA-ORTI 3

1 Department of Physiotherapy, University of Valencia, Valencia, Spain; 2 Department of Nephrology, Hospital of Manises, Manises, Spain; 3 Department of Physiotherapy, University CEU Cardenal Herrera, Moncada, Spain


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BACKGROUND: There are still many barriers when implementing exercise routines within daily dialysis care, even though benefits are well-known. Developing cost-effective strategies is necessary to overcome these barriers and include exercise as a complementary therapy in dialysis.
AIM: To compare several exercise programs on hemodialysis patient’s functional capacity and health-related quality of life.
DESIGN: This study was a 16-week follow-up, two-parallel group trial with balanced randomization.
SETTING: Participants in this study belonged to a private hospitalized care center.
POPULATION: Referred sample of 71 patients that suffered end-stage chronic kidney disease who underwent hemodialysis for at least 3 months and had a medical stable condition.
METHODS: 36 participants performed during 16 weeks an intradialytic exercise program lead by the nursing staff of the hemodialysis unit and 35 a home-based program supervised by physical therapists of the hospital.
RESULTS: The main researcher and the data analyst were both blinded to participant allocation. There was a significant effect in time for both groups. Participants improved significantly in the Short Performance Physical Battery (SPPB), One-Leg Heel-Rise (OLHR) and 6 Minute-Walk Test (6MWT), and in the Physical Activity Scale for the Elderly (PASE) and Short Survey Form 36 (SF-36) questionnaires.
CONCLUSIONS: Nurse-led and home-based exercise interventions produce beneficial effects involving physical function, activity levels and health-related quality of life in patients undergoing hemodialysis.
CLINICAL REHABILITATION IMPACT: The study emphasizes the importance of exercise rehabilitation routines in fragile populations such as dialysis patients, and the potential to overcome barriers for its daily implementation.


KEY WORDS: Dialysis; Exercise; Rehabilitation

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