Effect of exercise based renal rehabilitation training in improving the quality and exercise capacity in haemodialysis patients - A systematic review

2021 ◽  
Vol 19 (3) ◽  
pp. 144-149
Author(s):  
Muralidharan C K ◽  

Background: The end-stage renal disease patient receives hemodialysis. The objective was to provide physical therapy interventions to the patients receiving hemodialysis. This study aimed to briefly review the evaluation and exercise based renal rehabilitation training in hemodialysis patients. Methods: In this study, the library research method was used, which took online and offline data sources referring to book, journals and articles related to the topic evaluation and exercise based renal rehabilitation training in hemodialysis patients as a data source to answer the research objective. Results: Some researchers commonly assess the risk of mortality, kidney and physical functioning, aerobic capacity, exercise capacity, vo2 max, blood pressure and quality of life. As a regular treatment some authors suggest that general therapeutic exercises helps to release the risk of mortality and improve the exercise capacity and quality of life in hemodialysis patients. Conclusion: Physiotherapist can evaluate the hemodialysis patients based on their complaints like decreasing aerobic capacity, exercise capacity and functional disability. Physiotherapist can use any methods of therapeutic exercise to improve the exercise capacity and quality of life in hemodialysis patient. The study has designed a structured exercise program for hemodialysis patients in improving the exercise capacity and quality of life.

2002 ◽  
Vol 13 (3) ◽  
pp. 708-714
Author(s):  
Jean-Marc Hurot ◽  
Michel Cucherat ◽  
Margaret Haugh ◽  
Denis Fouque

ABSTRACT. There are many causes for carnitine depletion during maintenance hemodialysis. Supplementation with l-carnitine in animals has been associated with improvement in some abnormalities also present in chronic renal failure. However, it is still controversial whether restoring plasma or tissue carnitine will correct clinical or biologic symptoms observed in maintenance hemodialysis. A systematic review is here performed to determine the effects of l-carnitine in maintenance hemodialysis patients. Eighty-three prospective trials were identified from 1978 to 1999 in which l-carnitine was randomly allocated in 21 trials. Change in serum triglycerides, cholesterol fractions, hemoglobin levels, erythropoietin dose, and other symptoms (muscle function, exercise capacity, and quality of life) were examined. A total of 482 patients in 18 trials were considered for analysis. There was no effect of l-carnitine on triglycerides, total cholesterol, or any of its fractions. Before the erythropoietin (EPO) era, l-carnitine treatment was associated with improved hemoglobin (P < 0.01) and with a decreased EPO dose (P < 0.01) and improved resistance to EPO when patients routinely received EPO. Muscle function, exercise capacity, and quality of life could not be reliably assessed because of the noncombinable nature of end points and the limited number of trials. In conclusion, l-carnitine cannot be recommended for treating the dyslipidemia of maintenance hemodialysis patients. By contrast, this review suggests a promising effect of l-carnitine on anemia management. The route of l-carnitine administration should be evaluated because there is no evidence as to the most efficient method of administration in maintenance hemodialysis.


2019 ◽  
Vol 70 (2) ◽  
pp. 679-684
Author(s):  
Mihaela-Dora Donciu ◽  
Laura Florea ◽  
Luanda-Irina Mititiuc ◽  
Elena-Rodica Popescu ◽  
Roxana Chirita

In hemodialysis patients malnutrition-inflammation syndrome, evaluated by biochemical laboratory analysis and through bioimpedance spectroscopy, was associated to impaired quality of life and with an increased risk of mortality. The present study goal was to investigate, in a cross-sectional analysis, performed in 122 hemodialysis patients, the association between biochemical parameters and bioimpedance-derived measurements the association of undernutrition with quality of life and illness perception. The results showed that our cohort perceived an impaired quality of life and illness perception and that these psychometric evaluation was associated with malnutrition markers.


2012 ◽  
Vol 9 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Gina G Mentzer ◽  
Alex J Auseon

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.


Pulmonology ◽  
2021 ◽  
Author(s):  
Jhonatan Betancourt-Peña ◽  
Juan Carlos Ávila-Valencia ◽  
Diana Milena Diaz-Vidal ◽  
Vicente Benavides-Córdoba

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Laurent Truffaut ◽  
Lucas Demey ◽  
Anne Violette Bruyneel ◽  
Alain Roman ◽  
Stephane Alard ◽  
...  

AbstractLung function impairment persists in 55% of critical COVID-19 patients three months after ICU discharge. Patient lung function, exercise capacity, radiologic, and quality of life data suggest impairment is related to radiologic lung involvement at admission.


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