Izvorni znanstveni članak

https://doi.org/10.20471/acc.2025.64.01.04

Effect of Intradialytic Therapeutic Exercises and Electrical Stimulation on Leg Functional Ability, Dialysis Efficacy and Intradialytic Hypotension in Patients on Chronic Hemodialysis

Petra Kovačević Totić orcid.org/0000-0003-4701-0321 ; Department of Rheumatology, Physical Medicine and Rehabilitation, Sestre milosrdnice University Hospital Center, Zagreb, Croatia *
Karmela Altabas ; Department of Hemodialysis, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Vanja Ivković ; Department of Nephrology, Hypertension, Dialysis and Transplantation, UHC Zagreb University Hospital Center, Zagreb, Croatia; University of Rijeka, Faculty of Health Studies, Rijeka, Croatia
Velimir Altabas ; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Siniša Šefer ; Department of Hemodialysis, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Karla Kovačević Čorak ; Occupational and Sports Medicine, Disability Prevention and Psychosocial Risks in the Workplace Division, Croatian Institute of Public Health, Zagreb, Croatia
Simeon Grazio ; Department of Rheumatology, Physical Medicine and Rehabilitation, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

* Dopisni autor.

Sažetak

Chronic inflammation and protein energy malnutrition in patients on hemodialysis
lead to decrease in muscle mass and impaired functional ability. Our goal was to evaluate the effect of a
combination of electrical stimulation (ES) with intradialytic therapeutic exercises on dialysis efficacy, arterial
blood pressure, and functional ability of lower extremities. The study involved 35 patients who were
on chronic hemodialysis. The study consisted of two phases. During the first month, no intervention was
performed. It was followed by a therapeutic program combining intradialytic resistance exercises with
ES on quadriceps muscle, which was performed 3 times a week for 3 months. Functional tests for lower
extremity and body composition analysis were obtained at baseline and at the end of the study. Arterial
pressure, dialysis efficacy and laboratory parameters were monitored. Functional tests showed significant
improvement after the intervention. A significant positive correlation was found in patients who had
shown improvement in functional tests, with less intradialytic episodes of hypotension and improvement
in dialysis efficacy. This study found a positive effect of combining resistance exercises and ES on dialysis
efficacy and functional ability of lower extremities in patients on chronic hemodialysis.

Ključne riječi

Hemodialysis; Intradialytic exercises; Dialysis efficacy; Intradialytic hypotension; Leg functional ability; Electrical stimulation

Hrčak ID:

335454

URI

https://hrcak.srce.hr/335454

Datum izdavanja:

31.3.2025.

Podaci na drugim jezicima: hrvatski

Posjeta: 266 *