Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis

Detalhes bibliográficos
Autor(a) principal: Carletti, Carla Oliveira
Data de Publicação: 2017
Outros Autores: Rosa, Clara Suemi Da Costa, Souza, Giovana Damasceno E, Ramirez, Ariane Pereira, Daibem, Célio Guilherme Lombardi, Monteiro, Henrique Luiz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/1980-5918.030.002.ao05
http://hdl.handle.net/11449/157633
Resumo: AbstractIntroduction: Exercise promotes physiological improvements that reflect better quality of life and survival among chronic kidney disease patients. However, little is known about the effect of exercise on postural control of hemodialysis patients.Objective: To evaluate the effect of intradialytic aerobic exercise on postural balance in patients on hemodialysis.Methods: a pilot study with seven individuals was conducted at the Hemodialysis Center of Bauru State Hospital. The Berg Balance Scale evaluated balance and postural balance was evaluated by the force platform Advance Mechanical Technology Inc. (AMTI - AccuGait). Trunk mean sway amplitude in the anterior-posterior (AP) and medial-lateral (ML) directions and mean velocity in the AP and ML directions were assessed. Secondary outcomes about functional capacity and body composition (DEXA) were evaluated. The aerobic exercise was performed with a ergometric bicycle during the first two hours of hemodialysis session for 50-60 minutes (BORG >12), three times a week for 12-weeks.Results: Four men and three women, 52.86 ± 11.08 years, participated in the study. There was no difference between pre and post-test of postural balance outcomes. Although the results were not statistically significant, except for the lean body mass and leg lean mass, the presented pilot study suggests improved functional balance and lower limb strength.Conclusion: The 12-weeks of aerobic exercise protocol during hemodialysis despite inducing gains in lean body mass and leg lean mass, was not able to promote improvements in postural control of chronic renal failure patients on hemodialysis.
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spelling Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysisExercício intradialítico e controle postural de doentes renais crônicos em hemodiálisePostural BalanceChronic Kidney DiseaseHemodialysisRehabilitationEquilíbrio PosturalDoença Renal CrônicaHemodiáliseReabilitaçãoAbstractIntroduction: Exercise promotes physiological improvements that reflect better quality of life and survival among chronic kidney disease patients. However, little is known about the effect of exercise on postural control of hemodialysis patients.Objective: To evaluate the effect of intradialytic aerobic exercise on postural balance in patients on hemodialysis.Methods: a pilot study with seven individuals was conducted at the Hemodialysis Center of Bauru State Hospital. The Berg Balance Scale evaluated balance and postural balance was evaluated by the force platform Advance Mechanical Technology Inc. (AMTI - AccuGait). Trunk mean sway amplitude in the anterior-posterior (AP) and medial-lateral (ML) directions and mean velocity in the AP and ML directions were assessed. Secondary outcomes about functional capacity and body composition (DEXA) were evaluated. The aerobic exercise was performed with a ergometric bicycle during the first two hours of hemodialysis session for 50-60 minutes (BORG >12), three times a week for 12-weeks.Results: Four men and three women, 52.86 ± 11.08 years, participated in the study. There was no difference between pre and post-test of postural balance outcomes. Although the results were not statistically significant, except for the lean body mass and leg lean mass, the presented pilot study suggests improved functional balance and lower limb strength.Conclusion: The 12-weeks of aerobic exercise protocol during hemodialysis despite inducing gains in lean body mass and leg lean mass, was not able to promote improvements in postural control of chronic renal failure patients on hemodialysis.ResumoIntrodução: O exercício promove benefícios fisiológicos que reflete em melhor qualidade de vida e sobrevida do doente renal crônico. Contudo, pouco se sabe sobre o efeito do exercício físico sobre o equilíbrio postural destes pacientes em tratamento de hemodiálise.Objetivo: Avaliar o efeito do exercício intradialítico sobre o equilíbrio postural de pacientes renais crônicos submetidos a hemodiálise.Métodos: Sete indivíduos renais crônicos provenientes do Centro de Hemodiálise do Hospital Estadual de Bauru. O equilíbrio foi avaliado pela escala de equilíbrio de Berg e o equilíbrio postural por meio da plataforma de força (AMTI - AccuGait). Para o equilíbrio postural foram consideradas as variáveis amplitude média e velocidade de deslocamento médio ântero-posterior e médio-lateral do centro de pressão. Informações secundárias sobre capacidade funcional e composição corporal (DEXA) também foram avaliadas. O exercício aeróbio foi realizado por 50-60 minutos nas primeiras duas horas da sessão de hemodiálise, três vezes na semana, durante 12 semanas.Resultado: Quatro homens e três mulheres com 52,86 ± 11,08 anos participaram do estudo. Os momentos pré e pós exercício não apresentaram diferença estatisticamente significativa (p > 0,05) para as variáveis do equilíbrio postural. Contudo, houve ganho massa magra total e de perna. Os resultados sugerem também melhora do equilíbrio através da escala de Berg e força de membros inferiores, contudo sem significância estatística.Conclusão: O protocolo de doze semanas de exercício aeróbio durante a hemodiálise apesar de promover ganhos na massa magra total e de membros inferiores, não foi capaz de promover melhoras no controle postural de doentes renais crônicos em hemodiálise.Universidade Estadual PaulistaFaculdades Integradas de BauruUniversidade Estadual PaulistaPontifícia Universidade Católica do ParanáUniversidade Estadual Paulista (Unesp)Faculdades Integradas de BauruCarletti, Carla OliveiraRosa, Clara Suemi Da CostaSouza, Giovana Damasceno ERamirez, Ariane PereiraDaibem, Célio Guilherme LombardiMonteiro, Henrique Luiz2018-11-12T17:26:16Z2018-11-12T17:26:16Z2017-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article247-254application/pdfhttp://dx.doi.org/10.1590/1980-5918.030.002.ao05Fisioterapia em Movimento. Pontifícia Universidade Católica do Paraná, v. 30, n. 2, p. 247-254, 2017.0103-5150http://hdl.handle.net/11449/15763310.1590/1980-5918.030.002.ao05S0103-51502017000200247S0103-51502017000200247.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengFisioterapia em Movimentoinfo:eu-repo/semantics/openAccess2023-11-20T06:15:48Zoai:repositorio.unesp.br:11449/157633Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:15:56.142886Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
Exercício intradialítico e controle postural de doentes renais crônicos em hemodiálise
title Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
spellingShingle Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
Carletti, Carla Oliveira
Postural Balance
Chronic Kidney Disease
Hemodialysis
Rehabilitation
Equilíbrio Postural
Doença Renal Crônica
Hemodiálise
Reabilitação
title_short Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
title_full Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
title_fullStr Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
title_full_unstemmed Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
title_sort Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
author Carletti, Carla Oliveira
author_facet Carletti, Carla Oliveira
Rosa, Clara Suemi Da Costa
Souza, Giovana Damasceno E
Ramirez, Ariane Pereira
Daibem, Célio Guilherme Lombardi
Monteiro, Henrique Luiz
author_role author
author2 Rosa, Clara Suemi Da Costa
Souza, Giovana Damasceno E
Ramirez, Ariane Pereira
Daibem, Célio Guilherme Lombardi
Monteiro, Henrique Luiz
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Faculdades Integradas de Bauru
dc.contributor.author.fl_str_mv Carletti, Carla Oliveira
Rosa, Clara Suemi Da Costa
Souza, Giovana Damasceno E
Ramirez, Ariane Pereira
Daibem, Célio Guilherme Lombardi
Monteiro, Henrique Luiz
dc.subject.por.fl_str_mv Postural Balance
Chronic Kidney Disease
Hemodialysis
Rehabilitation
Equilíbrio Postural
Doença Renal Crônica
Hemodiálise
Reabilitação
topic Postural Balance
Chronic Kidney Disease
Hemodialysis
Rehabilitation
Equilíbrio Postural
Doença Renal Crônica
Hemodiálise
Reabilitação
description AbstractIntroduction: Exercise promotes physiological improvements that reflect better quality of life and survival among chronic kidney disease patients. However, little is known about the effect of exercise on postural control of hemodialysis patients.Objective: To evaluate the effect of intradialytic aerobic exercise on postural balance in patients on hemodialysis.Methods: a pilot study with seven individuals was conducted at the Hemodialysis Center of Bauru State Hospital. The Berg Balance Scale evaluated balance and postural balance was evaluated by the force platform Advance Mechanical Technology Inc. (AMTI - AccuGait). Trunk mean sway amplitude in the anterior-posterior (AP) and medial-lateral (ML) directions and mean velocity in the AP and ML directions were assessed. Secondary outcomes about functional capacity and body composition (DEXA) were evaluated. The aerobic exercise was performed with a ergometric bicycle during the first two hours of hemodialysis session for 50-60 minutes (BORG >12), three times a week for 12-weeks.Results: Four men and three women, 52.86 ± 11.08 years, participated in the study. There was no difference between pre and post-test of postural balance outcomes. Although the results were not statistically significant, except for the lean body mass and leg lean mass, the presented pilot study suggests improved functional balance and lower limb strength.Conclusion: The 12-weeks of aerobic exercise protocol during hemodialysis despite inducing gains in lean body mass and leg lean mass, was not able to promote improvements in postural control of chronic renal failure patients on hemodialysis.
publishDate 2017
dc.date.none.fl_str_mv 2017-04-01
2018-11-12T17:26:16Z
2018-11-12T17:26:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/1980-5918.030.002.ao05
Fisioterapia em Movimento. Pontifícia Universidade Católica do Paraná, v. 30, n. 2, p. 247-254, 2017.
0103-5150
http://hdl.handle.net/11449/157633
10.1590/1980-5918.030.002.ao05
S0103-51502017000200247
S0103-51502017000200247.pdf
url http://dx.doi.org/10.1590/1980-5918.030.002.ao05
http://hdl.handle.net/11449/157633
identifier_str_mv Fisioterapia em Movimento. Pontifícia Universidade Católica do Paraná, v. 30, n. 2, p. 247-254, 2017.
0103-5150
10.1590/1980-5918.030.002.ao05
S0103-51502017000200247
S0103-51502017000200247.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Fisioterapia em Movimento
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 247-254
application/pdf
dc.publisher.none.fl_str_mv Pontifícia Universidade Católica do Paraná
publisher.none.fl_str_mv Pontifícia Universidade Católica do Paraná
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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