Assessment and Monitoring of Physical Function for People With CKD

Assessing Physical Function and Physical Activity in Patients with CKD

“…The type of test used depends on the goal of the assessment, the characteristics of the population, and operational considerations (i.e., patient burden, inclusiveness, and costs) (25,26). Given that many tests (e.g., gait speed) have ceiling effects in healthier and more physically fit populations, assessment of physical function as a primary research endpoint may require a more precise measure and one that measures a wide range of levels of function (i.e., intermittent shuttle walk test).…”

“…Assessment of physical function is valuable in clinical practice to (1) identify patients who may benefit from preventive interventions (2) identify patients at high risk of early death who may be targeted for more extensive evaluation (cardiopulmonary, neurologic, and musculoskeletal systems) for potential modifiable risks to health and survival; (3) better characterize patients as likely to be in poor health and function; (4) monitor over time to identify a decline in function that may indicate a new health problem; (5) stratify risks for surgery, chemotherapy, or other complex clinical interventions and (6) monitor the effectiveness of clinical and behavioral (i.e., physical activity) interventions (25,26).…”

Relationship Between Renal Function and Physical Performance in Elderly Hospitalized Patients

“…Furthermore, functional limitation frequently precedes disability and could in itself negatively affect quality of life, morbidity, and ultimately survival. 22,23 Nevertheless, the assessment of physical performance does not yet form part of the routine clinical monitoring of CKD patients. 23 Objective measures of lower extremity physical performance have shown to be effective predictors of overall health status, functional trajectories, and death in different settings and populations.…”

“…22,23 Nevertheless, the assessment of physical performance does not yet form part of the routine clinical monitoring of CKD patients. 23 Objective measures of lower extremity physical performance have shown to be effective predictors of overall health status, functional trajectories, and death in different settings and populations. 21,[24][25][26][27][28][29] These instruments measure a performance that depends variably upon muscle and nonmuscular factors.…”

Η Επίδραση Της Άσκησης Στην Ευρωστία Ασθενών Με Χρόνια Νεφρική Ανεπάρκεια Που Πάσχουν Από Το Σύνδρομο Των Ανήσυχων Ποδιών

“…Αυτά εκδηλώνονται ως μυϊκή αδυναμία (14), σαν συνέπεια της σημαντικής μείωσης του μεγέθους των μυϊκών ινών σε σχέση με των γενικό πληθυσμό (13), όπως επίσης και σημαντικά μειωμένη αεροβική ικανότητα (15). Μειωμένα επίπεδα φυσικής κατάστασης και λειτουργικής ικανότητας επιφέρουν σημαντικό περιορισμό στην ικανότητα του ασθενή (ειδικά του ηλικιωμένου) να ζει ανεξάρτητος και να λειτουργά επαρκώς μέσα στα πλαίσια των καθημερινών του αναγκών (16). Έχει ακόμα δειχθεί ότι η εφαρμογή σωματικής άσκησης έχει σημαντικά αποτελέσματα στην βελτίωση της φυσικής κατάστασης και της ποιότητας ζωής των ασθενών, χωρίς φυσικά αυτή η βελτίωση να επιφέρει ολική αποκατάσταση των προβλημάτων (17).…”