Scientific Online Resource System

Actual Nephrology

Kinesitherapy for Patients on Hemodialysis

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

Abstract

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.

Keywords

physiotherapy, kinesitherapy, hemodialysis, chronic kidney disease

Full Text


References

Bover J, Bailone L, López-Báez V et. al. Osteoporosis, bone mineral density and CKD-MBD: treatment considerations. J Nephrol. 2017 Oct; 30 (5): 677-687. doi: 10.1007/s40620-017-0404-z. Epub 2017 Apr 21. PMID: 28432640.

Fiłon T, Rogowski Ł, Kusztal M et al. Muscle strength and bone mass density in haemodialysis patients. Physiotherapy Quarterly. 2019; 27 (1): 39-45. doi:10.5114/pq.2019.83436.

Gilbert S, Matthews C, Reddy D. ‘Bikes for Dialysis’: A service improvement project introducing intradialytic exercise to a satellite haemodialysis unit. Physiotherapy, Volume 113, Supplement 1. 2021, Page e51. ISSN 0031-9406, https://doi.org/10.1016/j.physio.2021.10.008.

Gołębiowski T, Kusztal M, Weyde et. al. A program of physical rehabilitation during hemodialysis sessions improves the fitness of dialysis patients. Kidney Blood Press Res. 2012; 35 (4): 290-6. doi: 10.1159/000335411. Epub 2012 Feb 22. PMID: 22377500.

Heiwe S, Clyne N, Dahlgren MA. Living with chronic renal failure: patients' experiences of their physical and functional capacity. Physiother Res Int. 2003; 8 (4):167-77. doi: 10.1002/pri.287. PMID: 14730721.

Heiwe S, Tollin. Patients’ perspectives on the implementation of intra-dialytic cycling—a phenomenographic study. Implementation Science 2012, 7:68

Hill NR, Fatoba ST, Oke JL et al. Global prevalence of chronic kidney disease - a systematic review and meta-analysis. PLoS One. 2016; 11: e0158765.

Najar MS, Mir MM, Muzamil M. Prevalence of osteoporosis in patients with chronic kidney disease (stages 3-5) in comparison with age- and sex-matched controls: A study from Kashmir Valley Tertiary Care Center. Saudi J Kidney Dis Transpl. 2017 May-Jun; 28 (3): 538-544. doi: 10.4103/1319-2442.206439. PMID: 28540890.

Nilsson BB, Bunæs-Næss H, Edvardsen E et al. High-intensity interval training in haemodialysis patients: a pilot randomised controlled trial. BMJ Open Sport & Exercise Medicine 2019; 5:e000617. doi:10.1136/ bmjsem-2019-000617

Orcy RB, Dias PS, Seus TL et al. Combined resistance and aerobic exercise is better than resistance training alone to improve functional performance of haemodialysis patients--results of a randomized controlled trial. Physiother Res Int. 2012 Dec; 17 (4): 235-43. doi: 10.1002/pri.1526. Epub 2012 Jun 13. PMID: 22693148.

Polymeris A, Doumouchtsis K, Grapsa E. Bone mineral density and bone metabolism in hemodialysis patients. Correlation with PTH, 25OHD3 and leptin. Nefrologia. 2012; 32(1): 73-8. doi: 10.3265/Nefrologia.pre2011.Jul.10916. Epub 2011 Nov 11. PMID: 22130208.

Rapsomaniki E, Timmis A, George J et al. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1$25 million people. Lancet. 2014; 383: 1899–1911.

Scapini KB, Bohlke M, Moraes OA et al. Combined training is the most effective training modality to improve aerobic capacity and blood pressure control in people requiring haemodialysis for end-stage renal disease: systematic review and network meta-analysis. J Physiother. 2019 Jan; 65(1):4-15. doi: 10.1016/j.jphys.2018.11.008. Epub 2018 Dec 21. PMID: 30581137.

Smith AC, Burton JO. Exercise in kidney disease and diabetes: time for action. J Ren Care. 2012 Feb; 38 Suppl 1:52-8. doi: 10.1111/j.1755-6686.2012.00279.x. PMID: 22348364.

Wakasugi M, Kazama JJ, Taniguchi M, Wada A, Iseki K, Tsubakihara Y, Narita I. Increased risk of hip fracture among Japanese hemodialysis patients. J Bone Miner Metab. 2013 May; 31 (3): 315-21. doi: 10.1007/s00774-012-0411-z. Epub 2013 Jan 6. PMID: 23292163.

Xie X, Atkins E, Lv J et. al. Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis. Lancet. 2016 Jan 30; 387(10017): 435-43. doi: 10.1016/S0140-6736 (15)00805-3. Epub 2015 Nov 7. PMID: 26559744.

Young H, Dungey M, Burton J et al. Haemodialysis-associated cramping: role and implications of exercise. British J of Renal medicine, 2012; Vol 17 No 2




DOI: http://dx.doi.org/10.14748/an.v16i1.8472

Refbacks

About The Authors

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

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

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

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

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

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

Font Size


|