Activities of Daily Living, Liver Transplantation, Resistance Training
Conditions
Keywords
Muscle Wasting, Strengthening, Liver Disease, Transplant
Brief summary
Resistance strengthening exercise will increase strength and functional activity greater than ambulation in subjects post-liver transplantation.
Detailed description
Individuals post liver transplantation are significantly muscle wasted due to chronic liver disease. Current Usual care only involves progressive ambulation. Resistance exercise targeted at the lower extremities are anticipated to increase muscle strength in the muscles that extend the hip, extend the knee, and plantar flex the ankle more than seen with the usual care ambulation. The anticipated increases in strength should improve functional performance of activities such as standing from a chair, walking, and climbing stairs. The improvement in strength and functional performance should improve an individuals quality of life.
Interventions
Home exercise Program. 3-4 days a week. 30 minutes a session. 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Undergone Liver Transplantation a minimum of 6 weeks and a maximum of 12 weeks prior to enrollment * Ambulatory without physical assistance, but permitted to use a cane or walker
Exclusion criteria
* Diagnosis of Hepatocellular Carcinoma * Significant Cardiopulmonary disease * Neurological / Neuromuscular Disorder including cerebral vascular accident (CVA), Parkinson's Disease, Alzheimer's Disease, Dementia unrelated to Hepatic Encephalopathy, dystonia, multiple sclerosis, and polio. * Blindness * Inability to comprehend the English or Spanish Language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Six Minute Walk Test | Baseline |
| Heel Rise Test | Baseline |
| 30-Second Chair-Stand Test | Baseline |
| Bridge Test | Baseline |
Secondary
| Measure | Time frame |
|---|---|
| Short Form (SF-36) Questionnaire | Baseline |
| Chronic Liver Disease Questionnaire (CLDQ) | Baseline |
Countries
United States