The purpose of the trial is to compare the effects of intra-dialytic low-frequency electrical muscle stimulation and intra-dialytic cycling, with usual care haemodialysis without exercise training.
End stage renal disease is associated with reduced functional capacity. Dynamic exercise training i.e. cycling, performed between dialysis sessions or during dialysis (intra-dialytic) can be effective in improving functional capacity and quality of life. However, many patients are unable to engage in intra-dialytic cycling due to limiting comorbidities. Other exercise modalities should be considered. Low-frequency electrical muscle stimulation of the quadriceps is well tolerated and may improve functional capacity in clinical populations. The trial is a longitudinal, randomised controlled trial. Participants will be randomly allocated to 10 weeks of 1) intra-dialytic low-frequency electrical muscle stimulation, 2) intra-dialytic cycling, or 3) usual care haemodialysis without exercise training. Outcomes will be assessed at baseline and 10 weeks by assessors blinded to group allocation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
63
Electrical muscle stimulation during haemodialysis
Cycle training during haemodialysis
University Hospital
Coventry, United Kingdom
Peak oxygen uptake (VO2peak)
Cardiopulmonary exercise test
Time frame: Baseline, 10 weeks
Muscular strength
Hand held dynamometer - quadriceps strength
Time frame: Baseline, 10 weeks
Arterial remodelling
Tonometry - pulse wave velocity
Time frame: Baseline, 10 weeks
Cardiac remodelling
Echocardiography - left ventricular volumes
Time frame: Baseline, 10 weeks
Health related quality of life
Questionnaire - KDQOL-36
Time frame: Baseline, 10 weeks
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