Chronic Kidney Diseases
Conditions
Brief summary
Fifty chronic kidney disease patients' ages will range from 40 to 55 years. They will be selected from the dialysis unit. received intra-dialytic combined exercise program for 8 weeks(3 sessions/week), with their medical treatment.
Interventions
PROCEDUREintra-dialytic exercise program associated with medical treatment
* Stretch for pectorals and calf muscles: Two sets - 3 times/ set. * Breathing exercises associated with upper limb movement. * Resistive exercise for hip abductors, hip flexors, and calf muscles by using theraband. * Sit to stand strengthening exercises: -
PROCEDUREinter-dialytic combined exercise program with their medications
receive the inter-dialytic combined exercise program with their medications. Like the study group except for diaphragmatic breathing instead of breathing with upper limb exercise.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
1. Fifty patients with CKD, are on hemodialysis for longer than threemonths 3 sessions/ week. 2. Theirageswillrangefrom40 to 55yearsold. 3. Their body mass index is more than 18.5 and less than 29.9 %. 3-All patients have hemodynamic stability over the month before beginning the program.
Exclusion criteria
* 1\. Severe Chest diseases(either obstructive or restrictive). 2. Clinical signs of a severe cardiac event.(eg, severe atherosclerosis, congestive heart failure), 3. Severepsychiatricorcognitiveimpairment,whounabletofollowcomment. 4. Neurological disorders affecting respiratory muscles or any muscular dystrophies(cervical disc or bulge). 5\. Patients with severe self-limiting illness (e.g., cancer). 6. peripheral artery disease in lower extremities. 7. Systolic blood pressure \< 180 mmHg, diastolic blood pressure more than 105 mmHg, or heart rate above 120 bpm during dialysis. 8\. Patient with uncontrolled- diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measuring quadriceps and cuff muscles power | pre intervention and re assessed after 2 months of treatment | From sitting or lying positions the normal dialytic positions by handheld dynamometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kidney disease quality of life F | pre intervention and re assessed after 2 months of treatment | Kidney disease quality of life questionnaire KDQoL-SF |
| chest expansion | pre intervention and re assessed after 2 months of treatment | From a standing position and comfortable clothes with relaxed shoulders and a straight back, the head will be aligned vertically. Putting the measuring tape around the armpits and closing the ends of the tape measurement not tightly nor loose, asking the patient to take deep breathing. |
| Six-minute walk test | pre intervention and re assessed after 2 months of treatment | Subjects will be instructed to walk from one end to the other of a 30-m hallway at their own pace while attempting to cover as much ground as possible in the allotted 6 min |
Countries
Egypt
Outcome results
None listed