Physiotherapy in Patients With Chronic Kidney Disease

NCT02074618 | Completed

• 1 other identifier: GMT2013
• Study Type: interventional
• Target: 8
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study was to evaluate the effects of physiotherapy based on the practice of supervised exercise on functional capacity and life quality of patients with chronic kidney disease.

Conditions

Chronic Kidney Disease.

Keywords

Physical Therapy.; Exercise.; Rehabilitation.; Renal Insufficiency.; Quality of life.

Outcome Measures

Primary Outcomes (2)

• Effect of physiotherapy on distance obtained with six-minute walk test as a measurement of functional capacity in patients with chronic kidney disease.

  Six-minute walk test is a measurement of functional capacity, which was carried out following the recommendations from the American Thoracic Society. This test has already been used in patients with chronic kidney disease in different studies found in literature.

  Six weeks.

• Effect of physiotherapy on number of repetitions obtained with sit-to-stand test as a measurement of functional capacity in patients with chronic kidney disease.

  Sit-to-stand test is test initially described as a measure of strength of lower extremity, it is currently also considered a balancing test and has already been validated in patients with chronic kidney disease.

  Six weeks.

Secondary Outcomes (1)

• Effect of physiotherapy on life quality of patients with chronic kidney disease.

  Six weeks.

Study Arms (1)

Physical Exercise

EXPERIMENTAL

The program of physical exercise was a resistance and aerobic training, initiated at low intensity and with a slow progressing according to the patient's tolerance. In aerobic exercise, for greater effectiveness of the training, the literature recommends moderate intensity, which corresponds with 50 to 70% of the maximum heart rate. Patients were instructed to keep the most constant as possible the speed during exercise on treadmill or cycle ergometer. For muscle strengthening exercises, the number of repetitions varied from 1 to 4 sets of 10 to 15 repetitions.

Other: Physical exercise.

Interventions

Physical exercise. OTHER

Physical exercises were held three times a week on alternate days to hemodialysis sessions, with duration of 45 to 90 minute, supervised by a physiotherapist. In all the sessions the following measurements were performed: body weight and blood pressure, heart rate and peripheral oxygen saturation in the pre, during and post session. The exercises were: heating and stretching during 5 minutes, followed by aerobic physical exercise on treadmill and/or bike (about 30 minutes), muscle strengthening exercises (15 to 20 minutes), cooling and stretching (5 minutes). The time for aerobic and strengthening varied according to the tolerance of the patient. The resistance exercises have been conducted for the major muscle groups of the lower limbs.

Physical Exercise

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To be age over 18 years.
• To make part of the hospital's hemodialysis program.
• To receive medical prescription for practice of physical activity and sign an informed consent.

You may not qualify if:

• Recent myocardial infarction.
• Uncontrolled arrhythmias.
• Uncontrolled hypertension (systolic blood pressure \> 200mmHg and diastolic blood pressure \> 120mmHg).
• Unstable angina.
• Severe decompensate diabetes (blood glucose \> 300 mg/dL).
• Left ventricle dysfunction.
• Presence of neurological or motor dysfunction that was impeditive for implementation of the protocol of physical activity.
• Tumor.
• Pregnancy.
• Stopping treatment in the first 6 weeks for more than 3 consecutive sessions.

Sponsors & Collaborators

• Hospital Regional Publico do Araguaia: lead

MeSH Terms

Conditions

Renal Insufficiency, Chronic; Motor Activity; Renal Insufficiency

Interventions

Exercise

Condition Hierarchy (Ancestors)

Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Georgia M Tomich, Master

  Hospital Regional Publico do Araguaia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: 1- Physiotherapist, Master in Rehabilitation Sciences, Coordinator of the Center for Study and Research of the Hospital Regional Publico do Araguaia, Redenção, PA, Brazil

Study Record Dates

• First Submitted: February 25, 2014
• First Posted: February 28, 2014
• Study Start: May 1, 2011
• Primary Completion: April 1, 2012
• Study Completion: May 1, 2012
• Last Updated: March 17, 2014

Record last verified: 2014-03