Comparıson of the effectıveness of ıntradıalıtıc Core stabılızatıon and aerobıc exercıse ın hemodıalysıs patıents

Study Overview
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Brief Summary
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Purpose: To examine the effects of core stabilization and aerobic exercises on dialysis adequacy, functionality level, and quality of life in hemodialysis (HD) patients. The secondary aim of the study is to compare the effectiveness of intradialytic core stabilization and aerobic exercises in HD patients. Materials and Methods: Patients who received hemodialysis treatment for 4 hours, 3 days a week were planned to be included in this randomized controlled study. Patients participating in the study will be randomly divided into 2 groups. Grup 1 was planned to be given core stabilization exercises during hemodialysis three times a week for eight weeks; Group 2 was planned to be given aerobic exercise during hemodialysis three times a week for eight weeks. It aimed to evaluate the patients in the weeks before the start of the treatment and the week after the end of the treatment. Personal information form for evaluation, dialysis adequacy, quality of life questionnaire-kidney disease quality of life-36, piper fatigue scale, hospital anxiety and depression scale (hads), Pittsburgh sleep scale, five times sit and stand test, 10 m walking test , tinetti balance and walking test, and 2-minute step test were planned to be used.

Official Title
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Comparıson of the effectıveness of ıntradıalıtıc Core stabılızatıon and aerobıc exercıse ın hemodıalysıs patıents

Conditions
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Hemodialysis Complication

Intervention / Treatment
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* Other: exercıse


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To receive HD treatment for a minimum of 6 months, for 4 hours per day, three days per week Being 18 years or older A score of 3 and/or below in the Sarcopenia Screening Test (SARC-F) Exclusion Criteria: Having a history of myocardial infarction in the last 3 months Having angina pectoris, arrhythmia, or uncontrolled hypertension Having communication and/or cognitive issues that prevent them from meeting the requirements of the tests Becoming pregnant or going through infertility treatment Having a psychiatric diagnosis

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: core stabılızatıon<br>use of ıntradıalıtıc core stabılızatıon ın hemodıalysıs patıents | Other: exercıse<br>* ıntradıalıtıc core stabılızatıon<br>|
| Active Comparator: aerobıc exercıse<br>use of ıntradıalıtıc aerobıc exercıse ın hemodıalysıs patıents | Other: exercıse<br>* ıntradıalıtıc core stabılızatıon<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dialysis adequacy | Dialysis adequacy is determined as the urea reduction rate (URR) and unitless Kt/V value. In calculating the Kt/V value; K-is the urea clearance coefficient of the dialyzer (ml/min), t refers to dialysis time (min), and V signifies the urea distribution volume (ml). | one month | 
| Kidney Disease Quality of Life-36 (KDQOL-36) | The KDQOL-36 is a measure of kidney disease-related quality of life that comprises four subscales: generic core [Physical Component Summary (PCS, 12 items) and Mental Component Summary (MCS, 12 items)]; Symptoms/Problems (12 items); Burden of Kidney Disease (4 items), and Effects of Kidney Disease (8 items). | Two months | 
| Five times sit-to-stand test | The Five-Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements. | Two months | 
| 2 Minute Step Test | The test, known as the 2-minute step test (TMST), simply requires that tested individuals march in place as fast as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing. | Two months | 
| 10 Metre Walk Test | The 10 meter walk test is a performance measure used to assess walking speed in meters per second over a short distance. It can be employed to determine functional mobility, gait, and vestibular function. | Two months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Piper Fatigue Scale | The Piper Fatigue Scale (PFS) is one of the commonly used multidimensional fatigue measures and includes subdomains of behavioral, affective, sensory, and cognitive/mood attributes of fatigue. | Two months | 
| Hospital Anxiety and Depression Scale (HADS) | The HADS was developed to detect states of anxiety and depression in hospitalized patients. The measure was designed to exclude items that might conflate anxiety or depression with physical health problems. | Two months | 
| Pittsburgh Sleep Quality Index (PSQI) | PSQI is a self-rated questionnaire that assesses sleep quality and disturbances over a 1-month time interval. | Two months | 
| Tinetti Gait and Balance Test | The Tinetti assessment tool is an easily administered, task-oriented test that measures an adult's gait and balance abilities. To assess balance, the patient is seated in a firm, armless chair. stand next to the patient to evaluate the gait. The patient is asked to walk normally and then speed up. | Two months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hemodialysis, dialysis efficiency, fatigue, quality of life, sleep, functionality