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 .
A nurse-led case management program on home exercise training for hemodialysis patients: A randomized controlled trial.
BACKGROUND Patients on maintenance hemodialysis suffer from diminished physical health . Directly supervised exercise programs have been shown to be effective at improving physical function and optimizing well-being . However , nurses seldom include an exercise intervention in the care plan for hemodialysis patients . OBJECTIVES The purpose of this study was to examine the effects of a 12-week nurse-led case management program on home exercise training for hemodialysis patients . DESIGN The study was a r and omized , two-parallel group trial . SETTING S Hemodialysis units in two tertiary hospitals in Nanjing , mainl and China . PARTICIPANTS One hundred and thirteen adult patients who have been in stable condition while on dialysis treatment for more than 3 months were recruited and r and omly assigned to either the study group ( n=57 ) or the control group ( n=56 ) . METHODS Both groups underwent a brief weekly in-center exercise training session before their dialysis sessions for the first 6 weeks . The study group received additional nurse case management weekly for the first 6 weeks and biweekly for the following 6 weeks . The intervention was to facilitate patients in performing regular exercise at home . Outcome measures , including gait speed , 10-repetition sit-to-st and performance , and quality of life were collected at baseline , and at 6 and 12 weeks into the program . RESULTS The results revealed that patients in the study group demonstrated greater increases in normal gait speed [ F(1,111)=4.42 , p=0.038 ] than the control group . For the study group , a mean increase of 12.02 (±3.03)centimeters/second from baseline to week 12 was found . With regard to the fast gait speed , there was a marginally significant between-group effect [ F(1,111)=3.93 , p=0.050 ] . The study group showed a mean improvement of 11.08 (±3.32)cm/s , from baseline to week 12 . Patients from both groups showed improvements in their 10-repetition sit-to-st and performance . The between-group differences approached significance [ F(1,111)=3.92 , p=0.050 ] , with the study group showed greater improvement than the control group . The time taken by the patients in the study group to complete the 10-STS test increased by 5.75 (±3.88)s from baseline to week 12 . Significant improvements in quality of life across three time points were found only in the study group . CONCLUSIONS Home exercise using a nurse-led case management approach is practical and effective in improving the physical function and self-perceived health of stable hemodialysis patients
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 .