| Theme | Updates on hemodialysis technologies | |
|---|---|---|
| Title | Clinical benefits of intradialytic exercise therapy | |
| Publish Date | 2014/05 | |
| Author | Tetsuya Matsushima | Saizenkai Kamo Clinic |
| Author | Shinji Yamamura | Saizenkai Nishijin Clinic |
| Author | Yoko Hayami | Saizenkai Nishijin Clinic |
| Author | Akira Ohshima | Saizenkai Ito Clinic |
| Author | Shoko Matsushima | Kyusyu Medical Fitness Research Institute |
| [ Summary ] | We studied 38 patients who had undergone intradialytic exercise therapy for over three years. 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 every six months. After exercise therapy, there was a significant improvement in V4O2 levels measured at AT, V4E/V4CO2 and maximum strength of knee extensors. This study indicates that exercise therapy for dialysis outpatients can improve their overall physical fitness. We also report on methods to introduce exercise therapy to medical institution in safe and effective ways, and new problems in regard to patients' high bed rest levels. | |