Physical Activity Clinical Trial
Official title:
Effects of Exercise and Exercise Counselling in Hemodialysis Patients: a Randomized Controlled Trial.
The aim of the study is to determine the effect of functional exercise and training counseling by kinesiotherapist in addition to the basic exercise program of cycling during dialysis on physical performance of dialysis patients.
Study will include 86 dialysis patients. Investigators will first test the strength of lower
limbs with sit-to-stand test, handgrip strength, flexibility, balance, submaximal aerobic
capacity, physical characteristics and clinical parameters. After that randomization of
patients in two groups will be made - one experimental and one active control group. Patients
who will refuse to exercise will be invited to a non-randomized inactive control group
(without exercise).
The experimental group will attend 3 times weekly a guided functional exercise before the
dialysis procedure for 20 minutes and perform a cycling session during dialysis in the first
phase of the study, which will last for 8 weeks. During this time experimental group will
receive exercise counselling; instructions how to practice at home will be given by examples
and training during functional exercise predialysis sessions.
In the second phase of the study for additional eight weeks participants will be instructed
to exercise at home using the skills mastered during the first study phase on non-dialysis
days, and continue with the program of intradialysis cycling. Investigators will give them
advice, monitor and motivate them.
The active control group will perform intradialytic exercise (intradialysis cycling equal to
cycling program of experimental group) during dialysis procedure for four months.
The primary end-point of the study is a change in the 10-repetition sit-to-stand test time as
a measure of strength of lower extremities.
Exercise program will be run by a kinesiologist. Main hypothesis is that the guided
functional exercise under the surveillance of a kinesiologist added to intradialysis cycling
program statistically significantly improves patient's physical performance as compared to
the program of intradialysis cycling alone.
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