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Fifty chronic kidney disease patients' ages will range from 40 to 55 years. They will be selected from the dialysis unit. received intra-dialytic combined exercise program for 8 weeks(3 sessions/week), with their medical treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | twenty-five patients with CKD will receive intra-dialytic combined exercise program for8 weeks(3 sessions/week), with their medical treatment. |
|
| Group B | Placebo Comparator | twenty-five patients with CKD will receive the inter-dialytic combined exercise program with their medications. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intra-dialytic exercise program associated with medical treatment | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measuring quadriceps and cuff muscles power | From sitting or lying positions the normal dialytic positions by handheld dynamometer | pre intervention and re assessed after 2 months of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Kidney disease quality of life F | Kidney disease quality of life questionnaire KDQoL-SF | pre intervention and re assessed after 2 months of treatment |
| chest expansion | From a standing position and comfortable clothes with relaxed shoulders and a straight back, the head will be aligned vertically. Putting the measuring tape around the armpits and closing the ends of the tape measurement not tightly nor loose, asking the patient to take deep breathing. |
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Inclusion Criteria:
3-All patients have hemodynamic stability over the month before beginning the program.
Exclusion Criteria:
1. Severe Chest diseases(either obstructive or restrictive). 2. Clinical signs of a severe cardiac event.(eg, severe atherosclerosis, congestive heart failure), 3. Severepsychiatricorcognitiveimpairment,whounabletofollowcomment. 4. Neurological disorders affecting respiratory muscles or any muscular dystrophies(cervical disc or bulge).
5. Patients with severe self-limiting illness (e.g., cancer). 6. peripheral artery disease in lower extremities. 7. Systolic blood pressure < 180 mmHg, diastolic blood pressure more than 105 mmHg, or heart rate above 120 bpm during dialysis.
8. Patient with uncontrolled- diabetes.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Giza | Egypt |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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|
| inter-dialytic combined exercise program with their medications | Procedure | receive the inter-dialytic combined exercise program with their medications. Like the study group except for diaphragmatic breathing instead of breathing with upper limb exercise. |
|
| pre intervention and re assessed after 2 months of treatment |
| Six-minute walk test | Subjects will be instructed to walk from one end to the other of a 30-m hallway at their own pace while attempting to cover as much ground as possible in the allotted 6 min | pre intervention and re assessed after 2 months of treatment |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |