| Theme |
Rehabilitation in Hemodialysis Patients |
| Title |
Therapeutic exercise for hemodialysis patients -- effects of exercise on hemodialysis patients |
| Author |
Arata Akaike |
Registered Physical Therapist, Oyokyo Kidney Research Institute, Hirosaki Hospital / Chigasaki Rehabilitation College |
| Author |
Ikuko Yanagi |
Registered Physical Therapist, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Megumi Nishioka |
Registered Physical Therapist, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Kumiko Satoh |
Registered Occupational Therapist, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Shizue Mikami |
Registered Occupational Therapist, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Ikuko Kimura |
Department of Nursing, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Akishi Momose |
Department of Medicine, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| Author |
Tomihisa Funyu |
Department of Medicine, Oyokyo Kidney Research Institute, Hirosaki Hospital |
| [ Summary ] |
In our hospital, patients have received a physical exercise, termed "exercise for hemodialysis". This is an enjoyable and safe therapeutic exercise, which is very effective for many chronic hemodialysis patients. We studied this valuable exercise in relation to serum creatinine (Scr), relating to total body muscle volume. 30 hospitalized patients were studied in relation to creatinine values over a month long period. We divided them into three groups. Group 1 received no exercise. Group 2 practiced exercise for hemodialysis. Group 3 practiced aerobic exercise. The rating of perceived exertion (RPE) of exercise for hemodialysis was from 9 to 11, and that of aerobic exercise in group 3 was from 11 to 13. In group 1, Scr was reduced from 7.1+-1.8mg/dl to 6.4+-1.9mg/dl indicating a significant difference. In group 2, Scr increased from 7.8+-1.8mg/dl to 8.3+-2.0mg/dl with no significant difference. In group 3, Scr increased from 7.1+-1.4mg/dl to 8.5+-2.1mg/dl and a significant difference was indicated. This result suggests that exercise for hemodialysis patients is an effective therapeutic exercise in maintaining muscle volume without undesirable increase in Scr values. When we use this exercise as a therapeutic and clinically effective method of treatment, proper movements and weight loading should be carried out. Additionally, in cases where movement capability of patient is low, any exercise performed should be aerobic. For these reasons, exercise for hemodialysis patients should be continued, based on the principle of it being "not too weak, not too strong". |