Functional outcomes after inpatient rehabilitation of patients with end-stage renal disease

Cowen, Todd D.; Huang, Chi-Tsou; Lebow, Joan; DeVivo, Michael J.; Hawkins, LaVerne N.

doi:10.1016/s0003-9993(95)80661-x

Cited by 39 publications

(19 citation statements)

References 11 publications

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“…The magnitude of improvement in 6MWT after the exercise program was not large (4%), but it should be stressed that even a small improvement by old patients (average age 64 years) with a significant number of comorbidities could significantly improve self-care and functional independence, as was underlined by Cowen et al [17]. …”

Section: Discussionmentioning

confidence: 94%

A Program of Physical Rehabilitation during Hemodialysis Sessions Improves the Fitness of Dialysis Patients

Gołębiowski¹,

Kusztal²,

Weyde³

et al. 2012

Kidney Blood Press Res

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Aim: The aim of the present study was to evaluate the influence of cycle exercise during hemodialysis (HD) on patients’ physical proficiency, muscle strength, quality of life and selected laboratory parameters. Patients and Methods: In a group of 29 (15 female, 14 male) HD patients (age 64.2 ± 13.1 years), 3 months of cycle training during dialysis sessions was performed. The following data were analyzed: strength of lower extremities (six-minute walk test, isokinetic knee extension, flexion peak torque), nutrition parameters (albumin, BMI), inflammation intensity (CRP, IL-6), and quality of life (SF-36v2). Results: In the six-minute walk test, the increase in walk velocity was 4% (3.56 km/h before and 3.73 km/h after cycle training; p < 0.01). At angular velocity (AV) of 60°/s, extension peak torque in the knee joint rose by 7% and at AV of 300°/s by 4% (p = 0.04). Flexion peak torque at AV of 180°/s increased by 13% (p = 0.0005). The program does not influence nutrition or inflammation parameters. No complications directly related to exercise were observed. Conclusion: Cycle exercise during dialysis is safe even in older HD patients with multiple comorbidities. It results in a significant increase in general patient walking ability and in a gain in lower extremity muscle strength.

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Section: Discussionmentioning

confidence: 94%

A Program of Physical Rehabilitation during Hemodialysis Sessions Improves the Fitness of Dialysis Patients

Gołębiowski¹,

Kusztal²,

Weyde³

et al. 2012

Kidney Blood Press Res

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show abstract

“…Some earlier studies have reported the baseline FIM scores and FIM increase scores after rehabilitation in hemodialysis patients [10][11][12][13][14] . However, all the studies investigated outpatients, and the baseline characteristics of their patients varied greatly.…”

Section: Discussionmentioning

confidence: 99%

“…1). The ethics committee of the Saiyu Soka Hospital provided approval for this study (approval number 14), and informed consent was obtained from each patient.…”

Section: Study Design and Patient Characteristicsmentioning

confidence: 99%

Rehabilitation improves prognosis and activities of daily living in hemodialysis patients with low activities of daily living

et al. 2017

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ABSTRACT. Background: Activities of daily living (ADL) in aged hemodialysis patients decrease by many factors as hemodialysis therapy, various disease-related complications and underlying disease for rehabilitation. But the correlation between low ADL and mortality remains unclear. We assessed the levels of ADL and effects of rehabilitation in hemodialysis patients with low ADL. Moreover, the association between the baseline functional independence measure (FIM) or rehabilitation treatment effects and all-cause mortality were investigated. Methods: This prospective cohort study included 182 inpatients on maintenance hemodialysis, who underwent rehabilitation for a decline in ADL. Before and after initiating rehabilitation, ADL were assessed using FIM. Results: The total baseline FIM was 65.1 26.9 (motor items: 39.5 18.7; cognitive items: 25.6 10.7). After rehabilitation, the total FIM increased to 77.1 33.1 (motor items: 50.9 24.4; cognitive items: 26.1 10.8). The baseline FIM, presence or absence of FIM increase, and albumin were significantly associated with mortality. Moreover, the mortality hazard ratio in patients with FIM ! 67 and no FIM increase was 20-fold significantly higher than that in patients with FIM " 68 and FIM increase. The cognitive items and albumin were significantly associated with the rehabilitation effects in multivariate analysis. Conclusions: Although the FIM decreased by half in hemodialysis patients, rehabilitation improved their FIM (particularly the motor items). The FIM was a novel predictive marker of 3-year mortality in these patients, and an increased FIM after rehabilitation resulted in better prognosis. Moreover, the effectiveness of rehabilitation may depend on maintaining cognitive functions.

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“…Besides improvement in physical capacity (measured by changes in maximal aerobic capacity, VO 2max ), exercise has been shown to positively influence patients' lipid profiles, blood pressure control, and quality of life [37][38][39][40][41]. Data on exercise training in PD patients are limited.…”

Section: Counteracting the Caloric Load From Glucose Absorption: An Ementioning

confidence: 99%

Counteracting the Metabolic Effects of Glucose Load in Peritoneal Dialysis Patients; an Exercise-Based Approach

2019

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Glucose-based peritoneal dialysis (PD) solutions are the predominantly used dialysate in PD patients. Glucose absorption has been shown to be associated with several unfavorable metabolic complications. Several studies have shown positive effects of exercise in end-stage renal disease patients. This paper provides an overview of glucose-associated metabolic complications, and proposed exercise regimens to counteract the caloric load associated with glucose absorption.

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Functional outcomes after inpatient rehabilitation of patients with end-stage renal disease

Cited by 39 publications

References 11 publications

A Program of Physical Rehabilitation during Hemodialysis Sessions Improves the Fitness of Dialysis Patients

A Program of Physical Rehabilitation during Hemodialysis Sessions Improves the Fitness of Dialysis Patients

Rehabilitation improves prognosis and activities of daily living in hemodialysis patients with low activities of daily living

Counteracting the Metabolic Effects of Glucose Load in Peritoneal Dialysis Patients; an Exercise-Based Approach

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