Conclusions : Compared to age-matched population s , people with ESKD/HD had significantly slower GS and reduced walk distances ; with intervention , the change in the distance walked was significant .
Background : People with end-stage kidney disease ( ESKD ) on hemodialysis ( HD )  commonly have functional impairments .
The purpose of this systematic review was to evaluate the effect of HD on spatio-temporal characteristics of gait , and effect of exercise on these parameters .
Comparison of the effectiveness of two programmes on older adults at risk of falling: unsupervised home exercise and supervised group exercise
Objective : To compare the effectiveness of unsupervised home and supervised group exercise on parameters related to risk of falling among older adults . Design : Prospect i ve , single-blind , r and omized and controlled trial . Setting : Nursing home . Subjects : The subjects were selected from 535 independent individuals who resided in a nursing home . Forty-two older adults , aged > 65 years , with risk of falling were recruited , and 32 of them completed the study . Intervention : The 42 subjects were divided into two groups ( unsupervised home exercise and supervised exercise group ) r and omly . Exercise sessions were performed three times a week for a period of eight weeks . Main measures : Measurements were taken at baseline and after the completion of the exercise programme . The fear of falling was evaluated using a visual analogue scale , quadriceps muscle strength was measured with a dynamometer , flexibility was assessed with the sit and reach test , functional mobility was determined using the Timed Up and Go Test , balance was evaluated using one-leg and t and em st and ing , and Berg Balance Scale and proprioception was assessed with knee position sense . Results : Thirty-two subjects ( unsupervised home exercise n = 15 , supervised group exercise n = 17 ) completed the exercise programme and all of the measurements . The unsupervised home exercise group showed significant improvement in balance , functional mobility and flexibility ( P > 0.05 ) . In addition to balance , functional mobility and flexibility , the supervised exercise group also showed significant improvements in both strength and proprioception ( P > 0.05 ) . Conclusions : Supervised group exercise is more effective at reducing the risk factors related to falling among older adults living in a nursing home than is unsupervised home exercise
Conclusions : Compared to age-matched population s , people with ESKD/HD had significantly slower GS and reduced walk distances ; with intervention , the change in the distance walked was significant .
Background : People with end-stage kidney disease ( ESKD ) on hemodialysis ( HD )  commonly have functional impairments .
The purpose of this systematic review was to evaluate the effect of HD on spatio-temporal characteristics of gait , and effect of exercise on these parameters .