Introduction:Studies have demonstrated beneficial effects of exercise in patients with chronic kidney disease, however, based on current scientific literature, more research is needed to increase evidence level of potential effects of physical activity for this population. Objective: To evaluate effects of physical therapy based on the supervised exercise practice on functional capacity and life quality of patients with chronic kidney disease. Material and methods: This quasi-experimental study, with repeated measures design, was conducted in the ambulatory of physical therapy, in a public hospital, located in a city of the state of Pará (north region of Brazil). Functional capacity and life quality were assessed at baseline and after six weeks of aerobic and resistance training performed three times per week on alternate days with hemodialysis. Results: Eight patients (3M / 5F) with a mean age of 60.38 years (SD = 14.75) were evaluated. There was significant increase of 24% in distance walked in six minute walk test (p = 0.007), and of 47% in number of repetitions during sit-to-stand test (p = 0.002); there was also significant improvement in emotional role (p = 0.043) of life quality assessed with SF36 questionnaire. Conclusion: There was a positive impact of only six weeks of rehabilitation with physical exercise on functional capacity and emotional role of life quality of patients with chronic kidney disease. Keywords: Physical Therapy. Exercise. Rehabilitation. Renal insufficiency. Quality of life. Fisioter Mov. 2014 out/dez;27(4):643-51 Tomich GM, Bernardino LS, Ferreira FO. 644Resumo Introdução: Estudos têm demonstrado efeitos benéficos do exercício em pacientes com doença renal crônica, no entanto, com base na literatura científica atual, mais pesquisas são necessárias para aumentar o nível de evidência dos efeitos potenciais de atividade física para esta população. Objetivo: Avaliar os efeitos da fisioterapia baseada na prática de exercício supervisionado sobre a capacidade funcional e a qualidade de vida de pacientes com doença renal crônica. Material e métodos: Este estudo quase-experimental, com repetidas medidas projeto, foi realizado no ambulatório de fisioterapia, em um hospital público, localizado em uma cidade do estado do Pará (região norte do Brasil). A capacidade funcional e qualidade de vida foram avaliadas no início e após seis semanas de treinamento aeróbico e de resistência realizados três vezes por semana em dias alternados com hemodiálise. Resultados: Oito pacientes (3M / 5F), com idade média de 60,38 anos (DP = 14,75) foram avaliados. Houve aumento significativo de 24% da distância percorrida no teste de caminhada de seis minutos (p = 0,007), e de 47% no número de repetições durante o teste sit-to--stand (p = 0,002); também houve melhora significativa nos aspectos emocionais (p = 0,043) da qualidade de vida avaliada com questionário SF-36. Conclusão: Houve um impacto positivo de apenas seis semanas de reabilitação com exercício físico na capacidade funcional e aspectos emocionais da qu...
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