End Stage Renal Failure on Dialysis, Frail Elderly Syndrome
Conditions
Keywords
Intra-Dialytic Exercise, End Stage Renal Disease, Hemodialysis, Therabands, Exercise Physiologist
Brief summary
The investigators intend to recruit 50 patients into an intradialytic exercise study that will measure the impact of resistance bands exercises under the guidance of an exercise physiologist on the physical function of hemodialysis patients.
Detailed description
The primary objective of this study will be to test the feasibility and efficacy of a 3 month exercise physiologist consultation program. Specifically, the investigator's aims will be to: 1. Test the feasibility of a 3-month exercise physiologist led program 2. Measure the effect of an exercise physiologist collaboration and intradialytic exercise on the physical function of HD patients using the 30 second STS test, handgrip strength test \[required for frailty scale\], 8-foot TUG test and patient physical activity based off of the Low Physical Activity Questionnaire.
Interventions
OTHERExercise Plan using resistance bands
Exercise under the guidance of an exercise physiologist using elastic resistance bands and weekly meeting with an exercise physiologist for 12 weeks
DIAGNOSTIC_TESTModified Fried Frailty Scale
Patients will be screened for frailty pre and post with sit-to-stand test, timed up and go test, handgrip strength test and administered the low physical activity questionnaire. These components together consist of the Modified Fried Frailty Index.
Sponsors
Satellite Healthcare
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
No masking, patients and physicians will be aware of their study arm assignment
Intervention model description
The investigators will recruit 25 patients who will receive the exercise plans and once weekly visits from the exercise physiologists. 25 patients will be control. All 50 patients will receive pre and post physical function testing.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 years or greater * Ability to understand and communicate English * Diagnosis of ESRD and currently undergoing in-center hemodialysis * On HD for longer than 6 weeks * Approved by the Satellite Milpitas Medical Director and/or referring physician
Exclusion criteria
* Previous major amputations * Inability to independently ambulate * Known to be pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Patient Adherence to Exercise Regimen | 12 weeks | Adherence calculated as the total number of self-reported exercise sessions attempted by the patient when EP not present divided by the total number of hemodialysis sessions. |
| Rate of Adverse Events Secondary to Exercises | 12 weeks | Adverse events defined as any injury, impairment or medical condition that was directly or suspected to be due to performing the prescribed exercise. This information will be collected from the patient at the weekly meeting with the EPs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Sit-To-Stand Test | 12 weeks | Change in physical function as measured by the 30 second sit to stand test (STS) |
| Change in Handgrip Strength Test | 12 weeks | Change in handgrip strength following the 12 week intervention as measured by a handgrip dynanometer |
| Change in Timed Up and Go Test | 12 weeks | Change in 8 foot timed up and go test (TUG). |
Countries
United States
Outcome results
None listed