Effect of Core Exercise on ADL in Hemodialysis

Not Applicable

Recruiting

• Conditions: Hemodialysis
• Interventions: Other: core Stability exercise; Other: Breathing exercises

• Registration Number: NCT06445647
• Lead Sponsor: Beni-Suef University

Brief Summary

Finding the effect of core stability exercises with breathing exercises on Activities of daily living (ADLs), fatigue level and balance in maintenance hemodialysis patients.

Detailed Description

Sixty patients will be randomly assigned into two equal groups, the experimental (EX) group and the control group (CON). The participants' age will be 50-65 years and undergo hemodialysis. The Ex-group will attend three sessions/week of core stability exercise training (CSE) combined with Deep Breathing (25:30-min) for 8 weeks, the CON will attend 3 sessions/week of Deep Breathing (15-min) for 8 weeks. All the patients received only routine hemodialysis department care.

Study Timeline

• Study First Submitted: 2024-05-30
• Study First Submitted QC: 2024-06-04
• Study First Posted: 2024-06-06
• Study Start: 2024-06-30
• Status Verified: 2024-07
• Last Update Submitted: 2025-05-01
• Last Update Posted: 2025-05-02
• Primary Completion: 2025-08-15
• Study Completion: 2025-11-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Adults ranging from 55- 70 years old of both genders.
• Diagnosed as maintenance hemodialysis for at least 6 months or more.
• Free from mental illness, neuromuscular disorders, and serious lung problems and able to implement the interventional exercise.

Exclusion Criteria

• Obesity (BMI ≥ 30 kg/m2)
• Orthopeadics or neurological problems that interferes with training.
• History of pulmonary problems (COPD, pneumonia)
• History of Myocardial infarction and/or cardiothoracic surgery
• Unstable medical status
• Dementia that interferes with the ability to follow instructions.
• History Chronic Fatigue Syndrome (CFS).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study Group	core Stability exercise	30 hemodialysis patient
Control group	Breathing exercises	30 hemodialysis patient
Study Group	Breathing exercises	30 hemodialysis patient

Primary Outcome Measures

Name	Time	Method
Activities of Daily Livings (ADLs)	up to 8 weeks	ADLs will be assessed by Barthel Index (BI)
Fatigue	up to 8 weeks	Fatigue will be assessed by fatigue assessment scale. The total score ranges from 10 to 50. A total score \< 22 indicates no fatigue, a score ≥ 22 indicates fatigue.
Balance	up to 8 weeks	Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid.

Trial Locations

Locations (1)

Kz hospital; 🇪🇬 Cairo, Egypt