Hemodialysis
Conditions
Keywords
Core Exercise, ADL, Balance, Hemodialysis
Brief summary
Finding the effect of core stability exercises with breathing exercises on Activities of daily living (ADLs), fatigue level and balance in maintenance hemodialysis patients.
Detailed description
Sixty patients will be randomly assigned into two equal groups, the experimental (EX) group and the control group (CON). The participants' age will be 50-65 years and undergo hemodialysis. The Ex-group will attend three sessions/week of core stability exercise training (CSE) combined with Deep Breathing (25:30-min) for 8 weeks, the CON will attend 3 sessions/week of Deep Breathing (15-min) for 8 weeks. All the patients received only routine hemodialysis department care.
Interventions
core stability exercise training
Deep breathing and diaphragmatic breathing exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ranging from 55- 70 years old of both genders. * Diagnosed as maintenance hemodialysis for at least 6 months or more. * Free from mental illness, neuromuscular disorders, and serious lung problems and able to implement the interventional exercise.
Exclusion criteria
* Obesity (BMI ≥ 30 kg/m2) * Orthopeadics or neurological problems that interferes with training. * History of pulmonary problems (COPD, pneumonia) * History of Myocardial infarction and/or cardiothoracic surgery * Unstable medical status * Dementia that interferes with the ability to follow instructions. * History Chronic Fatigue Syndrome (CFS).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Activities of Daily Livings (ADLs) | up to 8 weeks | ADLs will be assessed by Barthel Index (BI) |
| Fatigue | up to 8 weeks | Fatigue will be assessed by fatigue assessment scale. The total score ranges from 10 to 50. A total score \< 22 indicates no fatigue, a score ≥ 22 indicates fatigue. |
| Balance | up to 8 weeks | Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid. |
Countries
Egypt