Impact of intradialytic physiotherapy in chronic kidney patients: an integrative review
DOI:
https://doi.org/10.33233/fb.v24i1.5242Keywords:
exercises, hemodialysis, physiotherapy, chronic kidney disease, quality of lifeAbstract
Introduction: Chronic kidney disease (CKD) is described in the literature as a progressive and irreversible loss of nephron function, such dysfunction results in the body's failure to maintain metabolic and hydroelectrolytic balance. The usual treatment indicated for CKD is hemodialysis (HD), which performs extracorporeal blood filtration without a curative nature. Individuals undergoing dialysis suffer systemic and metabolic complications with prevalence in pulmonary disorders, resulting from fluid overload and circulating uremic toxins. As a result, exercise capacity is reduced by about 50% to 60% lower than in healthy individuals, which favors the existence of comorbidities such as diabetes mellitus and cardiovascular dysfunctions that contribute even more to a sedentary lifestyle and restriction of exercise activities in daily life. Physical exercise plays an important role in the non-pharmacological treatment of CKD, reducing functional decline, risk of death and minimizing the side effects of HD. Objective: To evaluate the impacts of intradialytic physical therapy in patients with chronic kidney disease. Methods: This is a scientific literature review. The research cataloged references from the last five years. The selected articles are indexed in the main databases available for full reading: PubMed, Lilacs and Scielo. The pre-selected descriptors in English and their respective terms in Portuguese were used to refine the search and crossed for better findings. Results: A total of 58 articles were identified when the descriptors were crossed, of which two were excluded due to duplicity, at the end of the search, five articles were eligible for the preparation of this study. Due to the small number of articles and their heterogeneous characteristics, their results were presented in a descriptive way. Conclusion:
References
Arazi T, Aliasgharpour M, Mohammadi S, Mohammadi N, Kazemnejad A. Effect of a breathing exercise on respiratory function and 6-minute walking distance in patients under hemodialysis: a randomized controlled trial. J Nurs Res JNR. 2021;29(2):e146. doi: 10.1097/JNR.0000000000000423
Charles C, Ferris AH. Chronic kidney disease. Prim Care Clin Off Pract 2020;47(4):585-95. doi: 10.1016/j.pop.2020.08.001
Ammirati AL. Chronic Kidney Disease. Rev Assoc Médica Bras. 2020;66:s03-9. doi: 10.1590/1806-9282.66.S1.3
Dutra T, Parisi M. Aspectos epidemiológicos da doença renal crônica. Revista Interdisciplinar de Ensino, Pesquisa e Extensão. 2021;9(1):237-44. doi: 10.33053/revint.v9i1.645
Girndt M. Diagnosis and treatment of chronic kidney disease. Internist. 2017;58(3):243-56. doi: 10.1007/s00108-017-0195-2
Santos LSC, Silva EO, Ribeiro NS, Devezas AMLO, Rocha ABL. Patients’ perception of quality of life and hemodialysis chronic kidney disease. Arq Méd Hosp e Fac Ciênc Médicas St Casa São Paulo. 2022;67:1-7. doi: 10.26432/1809-3019.2022.67.005
Silva SF, Pereira AA, Silva WAH, Simôes R, Barros Neto JR. Physical therapy during hemodialyse in patients with chronic kidney disease. J Bras Nefrol. 2013;35(3):170-6. doi: 10.5935/0101-2800.20130028
Abdo AL, Sens YAS, Miorin LA, Xavier VB, Fernandes AO, Alves VLS. Quadriceps muscle strength after training with a cycloergometer in patients on hemodialysis. Fisioter Mov. 2019;32(4):e003237. doi: 10.1590/1980-5918.032.AO37
Hoshino J. Renal rehabilitation: exercise intervention and nutritional support in dialysis patients. Nutrients. 2021;13(5):1444. doi: 10.3390/nu13051444
Zhang F, Huang L, Wang W, Shen Q, Zhang H. Effect of intradialytic progressive resistance exercise on physical fitness and quality of life in maintenance haemodialysis patients. Nurs Open. 2020;7(6):1945-53. doi: 10.1002/nop2.585
Suhardjono null, Umami V, Tedjasukmana D, Setiati S. The effect of intradialytic exercise twice a week on the physical capacity, inflammation, and nutritional status of dialysis patients: A randomized controlled trial. Hemodial Int Int Symp Home Hemodial. 2019;23(4):486-93. doi: 10.1111/hdi.12764
Cruz LG, Zanetti HR, Andaki ACR, Mota GR, Barbosa Neto O, Mendes EL. Intradialytic aerobic training improves inflammatory markers in patients with chronic kidney disease: a randomized clinical trial. Mot Rev Educ Fis. 2018;24(3):e017517. doi: 10.1590/s1980-657420180003e017517
Cho JH, Lee JY, Lee S, Park H, Choi SW, Kim JC. Effect of intradialytic exercise on daily physical activity and sleep quality in maintenance hemodialysis patients. Int Urol Nephrol. 2018;50(4):745-54. doi: 10.1007/s11255-018-1796-y
Huang M, Lv A, Wang J, Zhang B, Xu N, Zhai Z, et al. The effect of intradialytic combined exercise on hemodialysis efficiency in end-stage renal disease patients: a randomized-controlled trial. Int Urol Nephrol. 2020;52(5):969-76. doi: 10.1007/s11255-020-02459-1
Bogataj Š, Pajek J, Buturović Ponikvar J, Hadžić V, Pajek M. Kinesiologist-guided functional exercise in addition to intradialytic cycling program in end-stage kidney disease patients: a randomised controlled trial. Sci Rep. 2020;10(1):5717. doi: 10.1038/s41598-020-62709-1
16. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91. doi: 10.1097/00007632-200012150-00014
Valle FM, Pinheiro BV, Barros AAA, Mendonça WF, Oliveira AC, Oliveira WG, et al. Effects of intradialytic resistance training on physical activity in dai ly life, muscle strength, physical capacity and quality of life in hemodialysis patients: a randomi zed clinical trial. Disabil Rehabil. 2020;42(25):3638-44. doi: 10.1080/0963 8288.2019.1606857
Matsuzawa R, Roshanravan B, Shimoda T, Mamorita N, Yoneki K, Harada M, et al. Physical activity dose for hemodialysis patients: where to begin? results from a prospective cohort study. J Ren Nutr Off J Counc Ren Nutr Natl Kidney Found. 2018;28(1):45-53. doi: 10.1053/j.jrn.2017.07.004
Lin CH, Hsu YJ, Hsu PH, Lee YL, Lin CH, Lee MS, et al. Effects of intradialytic exercise on dialytic parameters, health-related quality of life, and depression status in hemodialysis patients: a randomized controlled trial. Int J Environ Res Public Health. 2021;18(17):9205. doi: 10.3390/ijerph18179205
Published
Issue
Section
License
Copyright (c) 2023 Beatriz Luiza Marinho Cunha, Daniele Cosmo da Silva Cabral, Ellen Ferreira de Luna, Jéssica Maria Nogueira Souza, Mírian Brandão da Silva, Rayane Alves do Nascimento, Waira Thuany de Souza Melo de Luna Santos, Gabriel Felipe Rolim Santos, Julianny Barbosa da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
