The Effect of Intradialytic Exercise on the Physical Function of People Undergoing Hemodialysis

Satellite Healthcare46 enrolled

Overview

The investigators intend to recruit 50 patients into an intradialytic exercise study that will measure the impact of resistance bands exercises under the guidance of an exercise physiologist on the physical function of hemodialysis patients.

The primary objective of this study will be to test the feasibility and efficacy of a 3 month exercise physiologist consultation program. Specifically, the investigator's aims will be to: 1. Test the feasibility of a 3-month exercise physiologist led program 2. Measure the effect of an exercise physiologist collaboration and intradialytic exercise on the physical function of HD patients using the 30 second STS test, handgrip strength test \[required for frailty scale\], 8-foot TUG test and patient physical activity based off of the Low Physical Activity Questionnaire.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

End Stage Renal Failure on Dialysis Frail Elderly Syndrome

Interventions

Exercise Plan using resistance bandsOTHER

Exercise under the guidance of an exercise physiologist using elastic resistance bands and weekly meeting with an exercise physiologist for 12 weeks

Modified Fried Frailty ScaleDIAGNOSTIC_TEST

Patients will be screened for frailty pre and post with sit-to-stand test, timed up and go test, handgrip strength test and administered the low physical activity questionnaire. These components together consist of the Modified Fried Frailty Index.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18 years or greater * Ability to understand and communicate English * Diagnosis of ESRD and currently undergoing in-center hemodialysis * On HD for longer than 6 weeks * Approved by the Satellite Milpitas Medical Director and/or referring physician Exclusion Criteria: * Previous major amputations * Inability to independently ambulate * Known to be pregnant

Locations (1)

Satellite Milpitas

Milpitas, California, United States

Outcomes

Primary Outcomes

Rate of Patient Adherence to Exercise Regimen

Adherence calculated as the total number of self-reported exercise sessions attempted by the patient when EP not present divided by the total number of hemodialysis sessions.

Time frame: 12 weeks

Rate of Adverse Events Secondary to Exercises

Adverse events defined as any injury, impairment or medical condition that was directly or suspected to be due to performing the prescribed exercise. This information will be collected from the patient at the weekly meeting with the EPs.

Time frame: 12 weeks

Secondary Outcomes

Change in Sit-To-Stand Test

Change in physical function as measured by the 30 second sit to stand test (STS)

Time frame: 12 weeks

Change in Handgrip Strength Test

Change in handgrip strength following the 12 week intervention as measured by a handgrip dynanometer

Time frame: 12 weeks

Change in Timed Up and Go Test

Change in 8 foot timed up and go test (TUG).

Time frame: 12 weeks

Data from ClinicalTrials.gov

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