| Theme | Exercise Therapy and Rehabilitation for Dialysis Patients | |
|---|---|---|
| Title | Clinical benefits of intradialytic exercise therapy | |
| Publish Date | 2011/09 | |
| Author | Tetsuya Matsushima | Kamo Clinic |
| Author | Akira Ohshima | Ito Clinic |
| Author | Shinji Yamamura | Nishijin Clinic |
| Author | Yoko Hayami | Nishijin Clinic |
| Author | Shoko Matsushima | Kyushu Medical Fitness Institute, Saizenkai |
| [ Summary ] | Background : Many studies have shown that most dialysis patients have low levels of physical fitness. This is particularly true in relation to on exercise tolerance. As a result, they remain in rather poor physical condition and their ADL (activities of daily living) status is also poor. Nevertheless, it has not been recommended dialysis patients any exercise until quite recently. Methods & Results : We studied 30 patients who had undergone intradialytic exercise therapy for over one year. They were all evaluated in terms of general endurance using cardiopulmonary exercise tests (CPX) and maximum strength of knee extensor using grip or back dynamometers before exercise. The same evaluations were repeated one year later. After exercise therapy, there was a significant improvement in VO2 levels at the point of AT (anaerobic threshold), VE/VCO2 and maximum strength of knee extensor. Conclusions : This study exhibits that exercise therapy for dialysis outpatients can improve their overall physical fitness. We also report on methods to introduce exercise therapy to clinics in safe and effective ways. |
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