End Stage Renal Disease Clinical Trial
Official title:
Comparison of Two Exercise Programs Intradialysis: Virtual Reality Exercise Versus Conventional Exercise
All participants exercised during 16 weeks following a conventional intradialysis exercise program. The last 4 weeks of the study participants were randomized into two different exercise programs intradialysis. One group exercised through a virtual reality exercise adapted specially for patients while receiving hemodialysis treatment. The other group exercised with a conventional exercise program, combining aerobic cycling and strengthening exercises.
The first 16 weeks all participants followed an intradialysis exercise program. The exercise
program consisted of strengthening exercises for lower limbs and for the upper limb free of
fistula. The exercise program included isotonic exercises for quadriceps, triceps surae,
psoas, glutei, and brachial biceps; and isometric exercises for hip adductors and hamstrings.
Elastic bands were used to apply resistance. Progression was achieved from increasing from 1
set of 10 repetitions until 3 sets of 15 repetitions. This first part lasted no more than 30
minutes. The program also included aerobic exercise (cycling) for up to 30 minutes. Intensity
was adapted through the duration of the study so that the participant felt the exercise from
hard to somewhat hard (13 to 15 at the rate of perceived exertion 6 to 20). Time and
resistance were adapted progressively.
The last four weeks of the program participants were randomized into virtual reality exercise
or conventional exercise group. The virtual reality exercise group undertook 30 minutes of
exercise. After warming up, participants had to play to an adapted 'treasure hunt' game.
Their legs movements were the players projected into an individual tv that gave them feedback
regarding their achievements. The aim of the game was to achieve the higher possible
score.They moved to pick up coins and to avoid bombs. An adapted Kinect technology was used
for the game development.
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