Physiotherapy during hemodialysis: results of a progressive resistance-training program
Fisioterapia durante la hemodiálisis: resultados de un programa de fuerza-resistencia
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El grupo de intervención realizó un programa de ejercicio durante la hemodiálisis de 6 meses de duración. El grupo control permaneció sedentario. Las pruebas realizadas al inicio y al final del programa en el grupo de intervención fueron una prueba de esfuerzo (protocolo Naughton), medidas funcionales (prueba de 6 minutos marcha y prueba de sentado a de pie y de nuevo a sentado de 10 repeticiones y en 60 segundos) y el cuestionario de SF-36 para evaluar la calidad de vida, mientras que el grupo control completó el cuestionario SF- 36. En los resultados, el grupo de intervención aumentó los metros recorridos en la prueba de marcha (399,57 ± 39,56 metros al inicio; 471,71 ± 70,63 metros al final p < 0,01). Tanto el tiempo de la primera prueba de paso de sentado a de pie (22,52 ± 4,77 segundos al inicio; 17,71 ± 1,79 segundos al final, p < 0,05) como las repeticiones en la segunda prueba (p < 0,05) mejoraron de forma significativa. Tras la realización del programa, el componente mental de la calidad de vida aumentó de forma significativa en el grupo de intervención comparado con el valor inicial (41,74 ± 9,25 al inicio; 50,61 ± 12,13 al final, p < 0,05), mientras que el grupo control mostró un descenso significativo (p < 0,05). La comparación entre grupos también mostró una diferencia significativa en el componente mental tras la intervención (p < 0,05). Se concluye que un programa de reforzamiento muscular durante la hemodiálisis mejora la capacidad funcional y la calidad de vida." ] "en" => array:1 [ "resumen" => "During the last decades, aerobic exercise programs have shown beneficial effects on quality of life of End Stage Renal Disease (ESRD) patients, but there is still little evidence on the benefits of resistance training programmes. The aim of this study was to analyze the effects of a short strengthening exercise program for ESRD during hemodialysis on exercise and functional capacity and on quality of life. Methods: 16 hemodialysis patients were assigned, according to their own election, to exercise (N = 8) or control group (N = 8). The experimental group performed a 6-month duration intradialytic exercise program supervised by a physiotherapist, consisting of a battery of isometric and isotonic exercises for the lower limbs. Control group remained sedentary. A graded exercise test (Naughton protocol), functional measurements («6 mintutes walking test» 6MWT and «sit to stand to sit tests» STS-10 and STS-60), and the SF-36, to assess quality of life were measured pre and post intervention in the experimental group, while the control group only completed the SF- 36 questionnaire. Results: Considering the experimental group, both time and METS increased after the intervention, although it was not significant. Meters measured in the 6MWT significantly increased after the intervention (399,57 ± 39,56 meters pre-intervention; 471,71 ± 70.63 meters post-intervention p < 0,01). Both time on the STS-10 (22,52 ± 4,77 seconds pre-intervention; 17,71 ± 1,79 seconds post-intervention p < 0,05) and repetitions on the STS-60 (28,57 ± 5,12 repetitions pre-intervention; 31,42 ± 2,443 repetitions post-intervention p < 0,05) significantly improved after the intervention. After training, the mental component scale of the SF-36 significantly increased in the experimental group compared to baseline (41,74 ± 9,25 before; 50,61 ± 12,13 after, p < 0,05), while the control group showed a significant decrease (48,19 ± 16,1 before; 33,7 ± 13,8 after, p < 0,05). Comparison between groups also showed a significant difference in the mental component scale after the intervention (p < 0,05). Conclusion: It is concluded that a strengthening exercise program during hemodialysis improves the functional capacity of ESRD patients (walking and standing from a seat) and improves the mental component of quality of life perceived by dialysis patients." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "2- Goldberg AP, Geltman EM, Gavin JR, Carney RM, Hagberg JM, Delmez JA, et al. Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients. Nephron. 1986;42:311-16." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "3- Johansen K, Shubert T, Doyla J, Soher B, Sakkas G, Kent-Braun J. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 6 | 16 |
| 2024 October | 48 | 48 | 96 |
| 2024 September | 46 | 31 | 77 |
| 2024 August | 69 | 64 | 133 |
| 2024 July | 37 | 29 | 66 |
| 2024 June | 52 | 38 | 90 |
| 2024 May | 81 | 37 | 118 |
| 2024 April | 43 | 36 | 79 |
| 2024 March | 44 | 34 | 78 |
| 2024 February | 55 | 37 | 92 |
| 2024 January | 49 | 31 | 80 |
| 2023 December | 44 | 33 | 77 |
| 2023 November | 64 | 28 | 92 |
| 2023 October | 56 | 51 | 107 |
| 2023 September | 71 | 27 | 98 |
| 2023 August | 71 | 32 | 103 |
| 2023 July | 59 | 32 | 91 |
| 2023 June | 41 | 22 | 63 |
| 2023 May | 77 | 39 | 116 |
| 2023 April | 94 | 25 | 119 |
| 2023 March | 103 | 30 | 133 |
| 2023 February | 66 | 26 | 92 |
| 2023 January | 27 | 23 | 50 |
| 2022 December | 62 | 41 | 103 |
| 2022 November | 43 | 34 | 77 |
| 2022 October | 39 | 53 | 92 |
| 2022 September | 50 | 39 | 89 |
| 2022 August | 46 | 47 | 93 |
| 2022 July | 28 | 42 | 70 |
| 2022 June | 38 | 24 | 62 |
| 2022 May | 33 | 33 | 66 |
| 2022 April | 39 | 34 | 73 |
| 2022 March | 44 | 38 | 82 |
| 2022 February | 27 | 39 | 66 |
| 2022 January | 33 | 31 | 64 |
| 2021 December | 39 | 43 | 82 |
| 2021 November | 32 | 35 | 67 |
| 2021 October | 42 | 45 | 87 |
| 2021 September | 37 | 35 | 72 |
| 2021 August | 40 | 44 | 84 |
| 2021 July | 36 | 42 | 78 |
| 2021 June | 42 | 33 | 75 |
| 2021 May | 38 | 38 | 76 |
| 2021 April | 77 | 50 | 127 |
| 2021 March | 62 | 42 | 104 |
| 2021 February | 33 | 30 | 63 |
| 2021 January | 25 | 17 | 42 |
| 2020 December | 21 | 18 | 39 |
| 2020 November | 44 | 20 | 64 |
| 2020 October | 15 | 24 | 39 |
| 2020 September | 23 | 12 | 35 |
| 2020 August | 40 | 16 | 56 |
| 2020 July | 48 | 19 | 67 |
| 2020 June | 42 | 25 | 67 |
| 2020 May | 54 | 33 | 87 |
| 2020 April | 41 | 28 | 69 |
| 2020 March | 50 | 14 | 64 |
| 2020 February | 56 | 20 | 76 |
| 2020 January | 50 | 21 | 71 |
| 2019 December | 50 | 25 | 75 |
| 2019 November | 55 | 20 | 75 |
| 2019 October | 27 | 21 | 48 |
| 2019 September | 29 | 16 | 45 |
| 2019 August | 26 | 11 | 37 |
| 2019 July | 34 | 17 | 51 |
| 2019 June | 38 | 16 | 54 |
| 2019 May | 45 | 29 | 74 |
| 2019 April | 63 | 41 | 104 |
| 2019 March | 17 | 14 | 31 |
| 2019 February | 23 | 16 | 39 |
| 2019 January | 34 | 28 | 62 |
| 2018 December | 47 | 31 | 78 |
| 2018 November | 84 | 19 | 103 |
| 2018 October | 71 | 13 | 84 |
| 2018 September | 57 | 17 | 74 |
| 2018 August | 38 | 23 | 61 |
| 2018 July | 52 | 21 | 73 |
| 2018 June | 40 | 21 | 61 |
| 2018 May | 50 | 12 | 62 |
| 2018 April | 40 | 11 | 51 |
| 2018 March | 41 | 15 | 56 |
| 2018 February | 47 | 2 | 49 |
| 2018 January | 65 | 15 | 80 |
| 2017 December | 53 | 13 | 66 |
| 2017 November | 37 | 7 | 44 |
| 2017 October | 27 | 8 | 35 |
| 2017 September | 42 | 8 | 50 |
| 2017 August | 59 | 13 | 72 |
| 2017 July | 41 | 11 | 52 |
| 2017 June | 38 | 25 | 63 |
| 2017 May | 43 | 36 | 79 |
| 2017 April | 33 | 8 | 41 |
| 2017 March | 30 | 11 | 41 |
| 2017 February | 20 | 8 | 28 |
| 2017 January | 21 | 7 | 28 |
| 2016 December | 59 | 16 | 75 |
| 2016 November | 73 | 9 | 82 |
| 2016 October | 84 | 17 | 101 |
| 2016 September | 139 | 8 | 147 |
| 2016 August | 217 | 5 | 222 |
| 2016 July | 234 | 8 | 242 |
| 2016 June | 135 | 0 | 135 |
| 2016 May | 137 | 0 | 137 |
| 2016 April | 87 | 0 | 87 |
| 2016 March | 68 | 0 | 68 |
| 2016 February | 96 | 0 | 96 |
| 2016 January | 81 | 0 | 81 |
| 2015 December | 100 | 0 | 100 |
| 2015 November | 77 | 0 | 77 |
| 2015 October | 91 | 0 | 91 |
| 2015 September | 65 | 0 | 65 |
| 2015 August | 78 | 0 | 78 |
| 2015 July | 59 | 0 | 59 |
| 2015 June | 49 | 0 | 49 |
| 2015 May | 62 | 0 | 62 |
| 2015 April | 6 | 0 | 6 |
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