Comparison of Two Exercise Programmes in Patients Undergoing Hemodialysis

Study Overview
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Brief Summary
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Although exercise training of haemodialysis patients is associated with generally positive outcomes few haemodialysis units routinely offer intradialytic exercise therapy. This is often related to financial cost and/or staffing limitations. Home-based programs could be an alternative means of providing exercise benefits without associated implementation costs The aim of this study was to compare the effects of 4 weeks intradialytic versus home based exercise for haemodialysis patients regarding adherence and strength gains.

Official Title
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Comparison of Intradialytic Versus Home-based Programmes on Adherence and Strength of Stage 5 Chronic Kidney Disease Patients

Conditions
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End Stage Renal Disease

Intervention / Treatment
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* Other: Exercise programmes


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: people under hemodialysis treatment at least 3 months be medicable stable complete all the physical tests Exclusion Criteria: heart stroke in the previous 6 weeks of the study inferior limb amputation without artificial aids cerebral vascular disease (ictus, ischemic) disability to complete functional tests

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Intradialytic exercise<br>Exercise during hemodialysis | Other: Exercise programmes<br> <br> |
| Other: Home-based exercise<br>Exercise at home | Other: Exercise programmes<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Short Physical Performance Battery at 4 months | Assess lower extremity, which includes objective performance-based measure of balance (side-by-side, semi-tandem and tandem), endurance (4m gait speed) and strength (five chair stands). Each component was scored from 0 to 4 and when summed yielded Short Physical Performance Battery scores between 0 (poor) and 12 (best). | At the beginning and after 4 months | 
| Change from Baseline One leg standing test at 4 months | Consist in maintain one leg stance for as long as possible. The test was considered normal if the one leg standing time reached 45 seconds. | At the beginning and after 4 months | 
| Change from Baseline Timed Up and Go test at 4 months | To stand up from a standard arms chair, walk 3 meters, turn back the cone walk back and sit down to the chair. The time in seconds is record. | At the beginning and after 4 months | 
| Change from Baseline Sit to stand to sit 10 and 60 at 4 months | For the Sit To Stand 10 participant has to stand up and sit down 10 times and the time needed is record; while for the Sit to stand to sit 60 the participant consist in measures how many repetition the participant can to stand up and sit down during 60 seconds | At the beginning and after 4 months | 
| Change from Baseline One leg heel rise at 4 months | It measures the strength in the triceps surae in the one leg standing position and has to rise the heel. It measures how many repetitions the participants is can do | At the beginning and after 4 months | 
| Change from Baseline Handgrip Strength at 4 months | To measure the amount of strength developed by each hand in kg | At the beginning and after 4 months | 
| Change from Baseline Six minutes walking test at 4 months | To walk the longest distance possible in 6 minutes by walking continuously the 20 or 30 metres indicated on the floor. It measures the distance in meters | At the beginning and after 4 months |