Rehabilitacja ruchowa chorych przewlekle hemodializowanych – wyniki badań własnych

Title: Physical rehabilitation of hemodialysis patients – the results of the study.
Purpose: The purpose of this study was to evaluate the effects of exercise training during hemodialysis treatment in patients with end-stage renal disease.
Methods: Fourteen maintenance hemodialysis patients participated in six-month program of exercise training. The exercise was performed during the hemodialysis treatment on a stationary bicycle three times per week. Compliance of exercise program was 80% of the possible sessions. Exercise capacity was assessed on treadmill test according to Bruce’s protocol at the beginning and the end of intervention. Sit-to-stand-to-sit test was used to evaluate legs muscle strength at the baseline, after 3 and 6 months of exercise training. The health related quality of life was evaluated using Kidney Disease Quality of Life – Short Form instrument (KDQOLä-SF version 1.3) at the baseline and after 6 months of exercise training.
Results: After the six-months of exercise program patients showed: a significant increase in treadmill test time from 6.69 to 10.20 min; a significant increase in exercise capacity in treadmill test from 4 to 6.21 METs; a significant increase in the number of repetition performed in sit-to-stand-to-sit test after 3 months from 23.46 to 31.67 and increase after 6 months of exercise program from 23.46 to 36.50; better quality of life but non-significant (with the exception of self-perceived general health status).
Conclusion: Exercise training during the hemodialysis treatment using stationery bicycle is technically feasible and safe for screened patients and can increase exercise capacity, leg muscle strength and quality of life. The physical exercise therapy should be an important part of treatment of hemodilysis patients.