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Effect of renal rehabilitation intervention on activity in dialysis patients aged over 60 years with a dialysis vintage of over 10 years.

Renal rehabilitation in long-term dialysis patients

Yamagata Kunihiro

University of Tsukuba

1-1-1 Tennodai, Tsukuba-city, Ibaraki, Japan

k-yamaga@md.tsukuba.ac.jp

Saito Chie

University of Tsukuba

1-1-1 Tennodai, Tsukuba-city, Ibaraki, Japan

+81-29-853-3202

chie.saito@md.tsukuba.ac.jp

Recruiting

April. 01, 2023

Interventional

single arm study

open(masking not used)

uncontrolled control

single assignment

treatment purpose

(1) Subjects with dialysis history of 10 years or more.
(2) Subjects aged 60 years or older.
(3) Subjects walking less than 4,000 steps per day.
(4)Subjects who have given written informed consent.

(1) Subjects for whom exercise therapy is contraindicated or for whom the attending physician judges that it should be avoided
(2) History of limb amputation
(3) Subjects whose daily physical activity is significantly reduced, such as requiring a wheelchair for mobility
(4) Subjects with pathological conditions that may affect the amount of activity, such as markedly reduced daily physical activity, and patients who have difficulty in self-management due to a decline in cognitive function, etc.
(5) Other subjects considered to be excluded by the attending physician.

Both

Dialysis patients

Self-exercise rehabilitation with an emphasis on safety and convenience.
Basically, the movement should be in the standing position, and when performing it in a standing position, put your hands on a handrail, wall, or a stable chair.
The basic movement is a series of movements of stretching -> upper and lower limb exercise -> half squat -> stepping exercise -> hand grip -> walking.
The number of times of each item will be adjusted for each subject according to the target exercise intensity (old Borg scale 11-13), and the program will be completed in about 20 minutes. Allows for up to 3 repetition sets.

Amount of change from baseline in activity amount (MVPA: Moderate to Vigorous Physical Activity (3.0METS or more min/day) hours) in rehabilitation intervention/non-intervention

SB: Sedentary Behavior (1.0-1.5METS min/day), LLPA: Low-Light Intensity Physical Activity (1.6-1.9METS min/day), HLPA: High-Light Intensity Physical Activity (2.0-2.9METS min/day) Time, daily steps, SF-36 (subscale scores), Gait efficacy scale, VAS joint pain assessment, kt/V, albumin, creatinine production rate, sodium intake, hospitalization events, Pittsburgh Rehabilitation Participation Scale

+81-29-853-3308

May. 16, 2022

No

none