Motor Activity Clinical Trial
Official title:
Adapted Physical Activity Effect on Aerobic Function and in Patients in Pre Liver Transplantation
Physical exercise has been identified as a major beneficial factor in the management of
patients suffering from many chronic diseases especially cancer and in the context of cardiac
or pulmonary transplantation. It contributes to an improvement of the quality of life and
decreases treatment side effects and mortality. Aerobic fitness is constantly altered in
cirrhotic patients and correlated to the severity of the hepatic disease. Moreover, in this
setting, other etiological factors may be added like chronic obstructive bronchitis and
alcoholic cardiomyopathy. In this population, muscle abnormalities with fatigue and cramps
have been described. Muscle weakness in this condition may be comparable to that described in
patients with chronic obstructive bronchitis and contributes to the decrease of aerobic
fitness. Different causes such as muscle deconditioning, hypoxemia, denutrition,
anti-rejection drugs increase this phenomenon after liver transplantation. Finally, the
aerobic capacity or VO2max is a prognostic factor for survival and is linked to the number
and the length of hospitalizations after liver transplantation (LT).
Therefore, physical activity is a valid and relevant way to improve quality of life, increase
survival, and limit costs of hospitalizations. The aim of this study is to assess the effects
of a personalized physical activity retraining program on aerobic capacity, strength and
fatigue, in a population awaiting liver transplantation.
Purpose: The hypothesis is that an at home adapted retraining program conducted before LT,
and including physical activity (aerobic and strength training), will improve aerobic
fitness, peripheral strength, quality of life and decrease the hospitalization length in
intensive care unit after LT.
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