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Comparison of the Effectiveness of Intradialytic Core Stabilization and Aerobic Exercise in Hemodialysis Patients

Not Applicable
Completed
Conditions
Hemodialysis Complication
Interventions
Other: exercıse
Registration Number
NCT05534542
Lead Sponsor
Muş Alparlan University
Brief Summary

Purpose: To examine the effects of core stabilization and aerobic exercises on dialysis adequacy, functionality level, and quality of life in hemodialysis (HD) patients. The secondary aim of the study is to compare the effectiveness of intradialytic core stabilization and aerobic exercises in HD patients.

Materials and Methods: Patients who received hemodialysis treatment for 4 hours, 3 days a week were planned to be included in this randomized controlled study. Patients participating in the study will be randomly divided into 2 groups. Grup 1 was planned to be given core stabilization exercises during hemodialysis three times a week for eight weeks; Group 2 was planned to be given aerobic exercise during hemodialysis three times a week for eight weeks. It aimed to evaluate the patients in the weeks before the start of the treatment and the week after the end of the treatment. Personal information form for evaluation, dialysis adequacy, quality of life questionnaire-kidney disease quality of life-36, piper fatigue scale, hospital anxiety and depression scale (hads), Pittsburgh sleep scale, five times sit and stand test, 10 m walking test , tinetti balance and walking test, and 2-minute step test were planned to be used.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • To receive HD treatment for a minimum of 6 months, for 4 hours per day, three days per week
  • Being 18 years or older
  • A score of 3 and/or below in the Sarcopenia Screening Test (SARC-F)
Exclusion Criteria
  • Having a history of myocardial infarction in the last 3 months
  • Having angina pectoris, arrhythmia, or uncontrolled hypertension
  • Having communication and/or cognitive issues that prevent them from meeting the requirements of the tests
  • Becoming pregnant or going through infertility treatment
  • Having a psychiatric diagnosis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
core stabılızatıonexercıseuse of ıntradıalıtıc core stabılızatıon ın hemodıalysıs patıents
aerobıc exercıseexercıseuse of ıntradıalıtıc aerobıc exercıse ın hemodıalysıs patıents
Primary Outcome Measures
NameTimeMethod
Kidney Disease Quality of Life-36 (KDQOL-36)Two months

The KDQOL-36 is a measure of kidney disease-related quality of life that comprises four subscales: generic core \[Physical Component Summary (PCS, 12 items) and Mental Component Summary (MCS, 12 items)\]; Symptoms/Problems (12 items); Burden of Kidney Disease (4 items), and Effects of Kidney Disease (8 items).

10 Metre Walk TestTwo months

The 10 meter walk test is a performance measure used to assess walking speed in meters per second over a short distance. It can be employed to determine functional mobility, gait, and vestibular function.

Dialysis adequacyone month

Dialysis adequacy is determined as the urea reduction rate (URR) and unitless Kt/V value. In calculating the Kt/V value; K-is the urea clearance coefficient of the dialyzer (ml/min), t refers to dialysis time (min), and V signifies the urea distribution volume (ml).

2 Minute Step TestTwo months

The test, known as the 2-minute step test (TMST), simply requires that tested individuals march in place as fast as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing.

Five times sit-to-stand testTwo months

The Five-Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements.

Secondary Outcome Measures
NameTimeMethod
Pittsburgh Sleep Quality Index (PSQI)Two months

PSQI is a self-rated questionnaire that assesses sleep quality and disturbances over a 1-month time interval.

Piper Fatigue ScaleTwo months

The Piper Fatigue Scale (PFS) is one of the commonly used multidimensional fatigue measures and includes subdomains of behavioral, affective, sensory, and cognitive/mood attributes of fatigue.

Hospital Anxiety and Depression Scale (HADS)Two months

The HADS was developed to detect states of anxiety and depression in hospitalized patients. The measure was designed to exclude items that might conflate anxiety or depression with physical health problems.

Tinetti Gait and Balance TestTwo months

The Tinetti assessment tool is an easily administered, task-oriented test that measures an adult's gait and balance abilities. To assess balance, the patient is seated in a firm, armless chair. stand next to the patient to evaluate the gait. The patient is asked to walk normally and then speed up.

Trial Locations

Locations (1)

Mus State Hospital

🇹🇷

Muş, Mus, Turkey

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