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首页> 外文期刊>Fisioterapia em Movimento >Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis
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Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis

机译：接受血液透析的慢性肾脏病患者的透析内运动和姿势控制

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Introduction : Exercise promotes physiological improvements that reflect better quality of life and survival among chronic kidney disease patients. However, little is known about the effect of exercise on postural control of hemodialysis patients. Objective : To evaluate the effect of intradialytic aerobic exercise on postural balance in patients on hemodialysis. Methods : a pilot study with seven individuals was conducted at the Hemodialysis Center of Bauru State Hospital. The Berg Balance Scale evaluated balance and postural balance was evaluated by the force platform Advance Mechanical Technology Inc. (AMTI - AccuGait). Trunk mean sway amplitude in the anterior-posterior (AP) and medial-lateral (ML) directions and mean velocity in the AP and ML directions were assessed. Secondary outcomes about functional capacity and body composition (DEXA) were evaluated. The aerobic exercise was performed with a ergometric bicycle during the first two hours of hemodialysis session for 50-60 minutes (BORG >12), three times a week for 12-weeks. Results : Four men and three women, 52.86 ?± 11.08 years, participated in the study. There was no difference between pre and post-test of postural balance outcomes. Although the results were not statistically significant, except for the lean body mass and leg lean mass, the presented pilot study suggests improved functional balance and lower limb strength. Conclusion : The 12-weeks of aerobic exercise protocol during hemodialysis despite inducing gains in lean body mass and leg lean mass, was not able to promote improvements in postural control of chronic renal failure patients on hemodialysis.
机译：简介：运动促进了生理改善，反映出慢性肾脏疾病患者的生活质量和生存质量更高。然而，关于运动对血液透析患者姿势控制的影响知之甚少。目的：评价透析内有氧运动对血液透析患者姿势平衡的影响。方法：在包鲁州立医院血液透析中心对7名患者进行了初步研究。 Berg平衡秤评估的平衡度和姿势平衡由力平台Advance Mechanical Technology Inc.（AMTI-AccuGait）评估。评估躯干在前后（AP）和内侧-外侧（ML）方向上的平均摇摆幅度以及在AP和ML方向上的平均速度。评估了有关功能能力和身体成分（DEXA）的次要结果。有氧运动是在血液透析的前两个小时内用测力自行车进行的，持续50-60分钟（BORG> 12），每周进行3次，共12周。结果：四男三女，52.86±11.08岁，参加了这项研究。体态平衡结局的测试前和测试后没有差异。尽管结果没有统计学意义，除了瘦体重和腿部瘦体重，目前的先导研究表明功能平衡和下肢力量得到改善。结论：血液透析期间的有氧运动方案为期12周，尽管诱导了瘦体重和腿部瘦体重的增加，但不能促进慢性肾衰竭患者进行血液透析的姿势控制的改善。

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