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

Autor:	Perez-Dominguez B; Department of Physiotherapy, University of Valencia, Valencia, Spain., Casaña-Granell J; Department of Physiotherapy, University of Valencia, Valencia, Spain - jose.casana@uv.es., Garcia-Maset R; Department of Nephrology, Hospital of Manises, Manises, Spain., Garcia-Testal A; Department of Nephrology, Hospital of Manises, Manises, Spain., Melendez-Oliva E; Department of Physiotherapy, University CEU Cardenal Herrera, Moncada, Spain., Segura-Orti E; Department of Physiotherapy, University CEU Cardenal Herrera, Moncada, Spain.
Jazyk:	angličtina
Zdroj:	European journal of physical and rehabilitation medicine [Eur J Phys Rehabil Med] 2021 Dec; Vol. 57 (6), pp. 994-1001. Date of Electronic Publication: 2021 Apr 07.
DOI:	10.23736/S1973-9087.21.06694-6
Abstrakt:	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: Thirty-six participants performed for 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.
Databáze:	MEDLINE
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