Effects of physiotherapy in patients treated with chronic hemodialysis

Abstract

Although physical activity is an important factor in prevention of many
chronic, non-infectious diseases, it is rarely used as a regular procedure in
dialysis patients. Despite the guidelines on good clinical practice, recommended
physical exercise as a part of routine activities is implemented in a
very small number of centers. Factors that contribute to sustainable exercise
programs are the professional commitment of a multidisciplinary team
consisting of physiotherapist, nephrologist, geriatrist, social worker, nurse,
the incentive and encouragement of the entire dialysis staff for carrying
out active exercise, as well as adequate physical space and equipment, with
individualization for each patient in turn. Patients with end-stage kidney
disease who are in the physical treatment program show significant functional
improvements, especially those associated with the cardiovascular,
respiratory and muscular system, as well as with the quality of life. There
are no reports on serious injuries as a result of participation in the exercise
program. This indicates that it is time for physical therapy to be included in
the regular routine care procedure in hemodialysis patients. However, it is
necessary to identify an optimal training regimen in accordance with the
individual characteristics of each patient, in order to make it easier to apply
the exercise program.