Renal rehabilitation in long-term dialysis patients

JRCT ID: jRCT1030220729

Registered date:25/03/2023

Basic Information

• Recruitment status: Recruiting
• Health condition(s) or Problem(s) studied: Dialysis patients
• Date of first enrollment: 20/06/2023
• Target sample size: 50
• Study type: Interventional

Intervention(s)

Self-exercise rehabilitation with an emphasis on safety and convenience.
Basically, the movement should be in the standing position, and when performing it in a standing position, put your hands on a handrail, wall, or a stable chair.
The basic movement is a series of movements of stretching -> upper and lower limb exercise -> half squat -> stepping exercise -> hand grip -> walking.
The number of times of each item will be adjusted for each subject according to the target exercise intensity (old Borg scale 11-13), and the program will be completed in about 20 minutes. Allows for up to 3 repetition sets.

Outcome(s)

• Primary Outcome: Amount of change from baseline in activity amount (MVPA: Moderate to Vigorous Physical Activity (3.0METS or more min/day) hours) in rehabilitation intervention/non-intervention
• Secondary Outcome: SB: Sedentary Behavior (1.0-1.5METS min/day), LLPA: Low-Light Intensity Physical Activity (1.6-1.9METS min/day), HLPA: High-Light Intensity Physical Activity (2.0-2.9METS min/day) Time, daily steps, SF-36 (subscale scores), Gait efficacy scale, VAS joint pain assessment, kt/V, albumin, creatinine production rate, sodium intake, hospitalization events, Pittsburgh Rehabilitation Participation Scale

Key inclusion & exclusion criteria

• Age minimum: >= 60age old
• Age maximum: Not applicable
• Gender: Both

Include criteria

(1) Subjects with dialysis history of 10 years or more.
(2) Subjects aged 60 years or older.
(3) Subjects walking less than 4,000 steps per day.
(4)Subjects who have given written informed consent.

Exclude criteria

(1) Subjects for whom exercise therapy is contraindicated or for whom the attending physician judges that it should be avoided
(2) History of limb amputation
(3) Subjects whose daily physical activity is significantly reduced, such as requiring a wheelchair for mobility
(4) Subjects with pathological conditions that may affect the amount of activity, such as markedly reduced daily physical activity, and patients who have difficulty in self-management due to a decline in cognitive function, etc.
(5) Other subjects considered to be excluded by the attending physician.

Related Information

• Primary Sponsor: Yamagata Kunihiro
• Source(s) of Monetary Support: KANEKA CORPORATION