Patients diagnosed with chronic hepatitis, cirrhosis, or liver cancer chronic liver disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 20 or older 2. Patients diagnosed with chronic hepatitis, cirrhosis, or liver cancer by histological or clinical criteria (regardless of etiology) 3. Patients with exercise tolerance
Exclusion criteria
Exclusion criteria: 1. Patients with reduced liver reserve function (Child-Pugh class C and/or MELD score 20 or higher) 2. Patients with esophageal-gastric varices that require treatment 3. Patients with hepatic encephalopathy 4. Patients with refractory ascites 5. Anemia or thrombocytopenia 6. Mental or physical disabilities that prevent safe exercise therapy 7. Uncontrolled systemic diseases (infections, electrolyte abnormalities, thyroid dysfunction, etc.) 8. Signs or symptoms (chest discomfort, dyspnea, dizziness, syncope, palpitations, heart murmur, etc.) during exertion 9. Past or present medical conditions (history of myocardial infarction, pacemaker/implantable cardioverter-defibrillator/rhythm disorder, valvular heart disease, heart failure, heart transplant, congenital heart disease) 10 Heart rate (>100 mmHg or 160 mmHg or 110 mmHg or <50 mmHg), percutaneous oxygen saturation (SpO2<92%) 11. Specific musculoskeletal limitations (arthritis, joint swelling, or conditions that limit walking or daily activities) 12. Three or more falls in the past year: risk level II or higher in the Gifu University Fall Assessment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To clarify the effect of liver rehabilitation on physical function assessment measurements [six-minute walk test (6MWT), Short physical performance battery (SPPB), balance function test, knee extension muscle strength measurement, grip strength measurement, frailty (Liver Frailty Index: LFI), muscle mass measurement, sarcopenia, average number of steps, activity level. 2. To confirm the safety of liver rehabilitation (presence or absence of adverse events) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Improvement of readmission rate by liver rehabilitation 2. Improvement of liver disease-specific QOL assessment 3. Impact of liver rehabilitation on liver reserve function 4. Association of liver rehabilitation with liver-related events (ascites, encephalopathy, variceal rupture) | — |
Contacts
Gifu University Hospital