Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study evaluated whether a rehabilitation program performed during hemodialysis sessions could improve daily functioning and mobility in adults receiving maintenance hemodialysis. Participants took part in either exercise-based rehabilitation, breathing muscle training, or usual care. The study compared changes in functional independence and mobility before and after the rehabilitation period.
This academic clinical study was conducted in two dialysis centers in Istanbul between June 2016 and March 2017. Adults undergoing maintenance hemodialysis were allocated to one of three groups: dynamic lumbar stabilization exercises, inspiratory muscle training, or a control group receiving routine nephrological care.
Participants in the intervention groups completed a supervised intradialytic rehabilitation program three times per week for 10 weeks. Functional independence and mobility-related performance were assessed at baseline and after completion of the intervention using validated functional assessment measures. The study was conducted as part of a doctoral thesis and is being retrospectively registered for transparency.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dynamic Lumbar Stabilization Exercise (DLSE) | Experimental | Participants received a supervised intradialytic dynamic lumbar stabilization exercise program three times per week for 10 weeks in addition to usual care. |
|
| Respiratory Muscle Training (RMT) | Experimental | Participants received supervised respiratory muscle training during hemodialysis sessions three times per week for 10 weeks in addition to usual care. |
|
| Control Group | No Intervention | Participants received routine nephrological care during hemodialysis without additional exercise or rehabilitation interventions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dynamic Lumbar Stabilization Exercises | Behavioral | A structured intradialytic exercise program focusing on trunk stabilization and neuromuscular control, performed under supervision during hemodialysis sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Six-Minute Walk Test | Functional exercise capacity assessed as the distance walked in six minutes, measured according to standardized procedures. | Baseline and after 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and Go Test (TUG) | Functional mobility assessed by the time required to stand up from a chair, walk three meters, turn, walk back, and sit down. | Baseline and after 10 weeks |
| Five Times Sit-to-Stand Test (5STS) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Serpil Çolak, PT, PhD | Bandırma Onyedi Eylül University | Principal Investigator |
| Candan Z Algun, PT, PhD | Medipol University | Study Director |
| Gürkan Yurteri, MD | Rentek Diyaliz Merkezi | Study Chair |
Not provided
Individual participant data will not be shared because the study was conducted as part of an academic thesis and no data sharing plan was included in the original ethics approval.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D001945 | Breathing Exercises |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
Not provided
Not provided
Participants were allocated to one of three parallel groups: dynamic lumbar stabilization exercises, inspiratory muscle training, and a control group receiving usual care.
Not provided
Not provided
Outcome assessments were performed by a physiotherapist who was blinded to group allocation.
| Respiratory Muscle Training | Behavioral | Respiratory muscle training performed during hemodialysis using threshold-based breathing exercises under supervision. |
|
Lower extremity functional performance assessed as the time required to complete five consecutive sit-to-stand movements.
| Baseline and after 10 weeks |
| Maximal Inspiratory Pressure (MIP) | Inspiratory muscle strength measured as maximal inspiratory pressure using standardized respiratory pressure measurement techniques. | Baseline and after 10 weeks |
| Maximal Expiratory Pressure (MEP) | Expiratory muscle strength measured as maximal expiratory pressure using standardized respiratory pressure measurement techniques. | Baseline and after 10 weeks |
| Forced Vital Capacity (FVC) | Pulmonary function assessed as forced vital capacity measured by spirometry according to standard guidelines. | Baseline and after 10 weeks |
| Forced Expiratory Volume in 1 Second (FEV1) | Pulmonary function assessed as forced expiratory volume in one second measured by spirometry according to standard guidelines. | Baseline and after 10 weeks |
| 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 |
| D026741 |
| Physical Therapy Modalities |