Intradialytic Resistance and Flexibility Exercise in Hemodialysis Patients

Dilek GİBYELİ GENEK

Status: Completed

Conditions: Hemodialysis

Treatments: Behavioral: Flexibility Exercise; Behavioral: Resistance Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT07390656

HD-EX-2020

Details and patient eligibility

About

This study examined whether different types of exercise performed during hemodialysis sessions affect patients' health and quality of life. Patients receiving regular hemodialysis were assigned to resistance exercise, flexibility exercise, or usual care during dialysis. Changes in health-related outcomes were evaluated before and after the exercise period.

Full description

This single-center pilot study was conducted to explore the effects of exercise performed during hemodialysis on patients' health. Adult patients undergoing maintenance hemodialysis participated in one of three groups: resistance exercise, flexibility exercise, or usual care without exercise. The exercise programs were carried out during routine dialysis sessions under supervision.

Patients' clinical measurements and self-reported health outcomes were assessed at the start of the study and again after completion of the exercise period. The study was carried out between December 2020 and April 2021 following approval by the institutional ethics committee.

Enrollment: 49 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 18 years or older
• Receiving maintenance hemodialysis for at least 3 months
• Stable clinical condition
• Ability to participate in exercise during hemodialysis sessions
• Provided written informed consent

Exclusion criteria

• Acute illness or unstable cardiovascular disease
• Severe musculoskeletal or neurological conditions limiting exercise
• Recent hospitalization
• Cognitive impairment preventing cooperation
• Participation in another structured exercise program

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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49 participants in 3 patient groups

Resistance Exercise

Experimental group

Description:

Participants performed supervised resistance exercise during routine hemodialysis sessions. Exercises were conducted three times per week during the first two hours of dialysis over the study period.

Treatment:

Behavioral: Resistance Exercise

Flexibility Exercise

Experimental group

Description:

Participants performed supervised flexibility and stretching exercises during routine hemodialysis sessions. Exercises were conducted three times per week during the first two hours of dialysis over the study period.

Treatment:

Behavioral: Flexibility Exercise

Usual Care (Control)

No Intervention group

Description:

Participants received usual hemodialysis care without any structured exercise program during dialysis sessions.