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Actual Nephrology

Kinesitherapy for Patients on Hemodialysis

Magdalena Bliznakova, Irina Momcheva, Ivelina Hristova, Eva Hristova, Zhenya Ruseva, Valentina Madjova


Introduction: Chronic kidney disease (CKD) is a huge challenge for GPs and nephrologists. Physiotherapists are increasingly included in the multidisciplinary teams dealing with CKD around the world to improve the quality of life and prevent a number of complications of patients undergoing the most common treatment for CKD, namely hemodialysis.

Aim: The aim of this article is to present the possibilities for optimizing and supporting the motor activity of hemodialysis patients.

Materials and Methods: Review of medical literature from the last 10 years, published in the scientific databases: Pubmed, Google Scholar, PubMed Central, and ScienceDirect, has been conducted.

Results: Numerous independent studies have shown that kinesitherapy is a reliable aid in the prevention of cardiovascular diseases and in improving the overall condition of patients with CKD on hemodialysis. The implementation of specialized devices for kinesitherapy during hemodialysis and the selection of appropriate exercises to practice at home also show a significant improvement in mental health (motivation for a better and more active life) of hemodialysis patients.

Conclusion: The inclusion of kinesitherapy during hemodialysis and acquainting chronically ill patients with the opportunities for improving their physical activities would lead to improved health status and quality of life of these patients.


physiotherapy, kinesitherapy, hemodialysis, chronic kidney disease

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About The Authors

Magdalena Bliznakova
Department of General Medicine, Faculty of Medicine, Medical University of Varna

Irina Momcheva
Department of General Medicine, Faculty of Medicine, Medical University of Varna

Ivelina Hristova
Department of General Medicine, Faculty of Medicine, Medical University of Varna

Eva Hristova
Department of General Medicine, Faculty of Medicine, Medical University of Varna

Zhenya Ruseva
Department of General Medicine, Faculty of Medicine, Medical University of Varna

Valentina Madjova
Department of General Medicine, Faculty of Medicine, Medical University of Varna

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