This research aims to evaluate the reliability and reproducibility of muscle strength and activation measurement tools, including isokinetic dynamometry and surface electromyography, in patients with chronic kidney disease (CKD). Additionally, the study will assess the feasibility and potential benefits of an online therapeutic exercise program supervised by physiotherapists.
Patients with chronic kidney disease experience progressive muscle weakness and reduced physical capacity due to systemic inflammation, metabolic acidosis, and inactivity. This two-phase observational and interventional study, conducted in collaboration with the ALCER Association (Badajoz and Cáceres, Spain), will: 1. Determine the test-retest reliability of muscle assessment tools (isokinetic dynamometer, surface electromyography, and handheld dynamometry). 2. Implement and evaluate an online therapeutic exercise program supervised by physiotherapists. The project aims to provide valid and reliable protocols for neuromuscular assessment in CKD patients and explore the feasibility of remote therapeutic exercise.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
50
Device: Isokinetic dynamometer and mDurance® surface EMG Test-retest reliability of isokinetic and surface EMG measurements in upper limb, trunk, and lower limb
Behavioral: Online therapeutic exercise program 8-10 week supervised online program including resistance and mobility exercises
Facultad de Enfermería y Terapia Ocupacional
Cáceres, Cáceres, Spain
Test-retest reliability of surface EMG (Electromiography) activation.
RMS (root mean square). microvolts
Time frame: 7-10 days
Test-retest reliability of isokinetic strength
Intraclass Correlation Coefficient - ICC. Strength (kilograms)
Time frame: 7-10 days
Change in handgrip and limb strength measured by VALD dynamometry
strength (kilograms)
Time frame: Baseline and 12 weeks
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