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Progressive resistance training during hemodialysis: Rationale and method of a randomized‐controlled trial
Author(s) -
CHEEMA Birinder S. B.,
O'SULLIVAN Anthony J.,
CHAN Maria,
PATWARDHAN Aditi,
KELLY John,
GILLIN Adrian,
FIATARONE SINGH Maria A.
Publication year - 2006
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2006.00112.x
Subject(s) - wasting , medicine , hemodialysis , randomized controlled trial , intensive care medicine , physical therapy , cohort , population , rehabilitation , pulmonary rehabilitation , environmental health
Skeletal muscle wasting in patients receiving maintenance hemodialysis (HD) has been well documented. The rationale for prescribing progressive resistance training (PRT) in this cohort in an attempt to reverse this catabolism and induce a wide spectrum of physiological, functional, and psychological health‐related adaptations is extremely strong. Unfortunately, the barriers to exercise adoption in this cohort are many, which may explain the persisting sedentariness of this population and the lack of widespread clinical programs such as are now commonplace in cardiac rehabilitation and pulmonary rehabilitation units. Current health care practices for HD patients do not address the negative health issues of inactivity and muscle wasting. Therefore, we conducted the first randomized‐controlled trial to prescribe PRT during maintenance HD treatment. The purpose of this paper is to present the rationale and methodology that we utilized for implementing intradialytic PRT in a conventional outpatient HD clinic. Potential areas for modification of PRT regimens in this setting are also presented.