therapeuticЮжно-Российский журнал терапевтической практикиSouth Russian Journal of Therapeutic Practice2712-81563033-8344РостГМУ10.21886/2712-8156-2026-7-1-6-13therapeutic-683Research ArticleОБЗОРЫREVIEWSАктуальные проблемы формирования программ реабилитации пациентов на гемодиализеCurrent issues of the formation of rehabilitation programs patients on hemodialysishttps://orcid.org/0000-0002-1354-095XКрутиковЕ. С.KrutikovE. S.

Симферополь 

Simferopol

nephrostar@yandex.ruhttps://orcid.org/0000-0003-1852-4323МининаЕ. Н.MininaE. N.

Симферополь 

Simferopol

cere-el@yandex.ruhttps://orcid.org/0009-0007-1485-1171ПавловскийК. Ю.PavlovskyK. Y.

Симферополь 

Simferopol

simferk@gmail.comМедицинская академия имени С.И. Георгиевского ФГАОУ ВО «Крымский федеральный университет имени В.И. Вернадского»РоссияMedical Institute n. a. S.I. Georgievsky, Crimean Federal University n.a. V.I. VernadskyRussian FederationМедицинская академия имени С.И. Георгиевского ФГАОУ ВО «Крымский федеральный университет имени В.И. Вернадского»РоссияMedical Institute n. a. S.I. Georgievsky, Crimean Federal University n.a. V.I. VernadskyRussian Federation20262703202671613Copyright © Крутиков Е.С., Минина Е.Н., Павловский К.Ю., 20262026Крутиков Е.С., Минина Е.Н., Павловский К.Ю.Krutikov E.S., Minina E.N., Pavlovsky K.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therapeutic-j.ru/jour/article/view/683

Реабилитация — стратегическое направление медицины, нацеленное на уменьшение или ликвидацию последствий заболеваний и травм. Актуальная задача реабилитологии — разработка подходов к устранению ограничений жизнедеятельности у пациентов с хронической болезнью почек (ХБП) 5Д стадии. У пациентов на диализе в процессе реабилитации можно выделить ряд факторов, ограничивающих жизнедеятельность, повседневное функционирование и активность, снижающих качество жизни и автономность такой когорты пациентов. Чтобы обеспечить эффективное восстановление активности и участия пациента на заместительной почечной терапии, необходимо правильно определять цели реабилитации, оптимальное структурирование и формулирование которой в медицинской реабилитации имеет принципиальное значение для ее результативности. К основным мишеням реабилитации, на основе которых производится выбор цели, можно отнести отсутствие функциональных ресурсов кардиореспираторной системы, нарушения мобильности; нарушение постурального баланса и моторного контроля, биомеханические и ортопедические нарушения косно-мышечной системы, эмоциональный статус и приверженность реабилитации.

Rehabilitation is a strategic direction in medicine aimed at reducing or eliminating the consequences of diseases and injuries. A current challenge in rehabilitation science is developing approaches to address functional limitations in patients with stage 5 chronic kidney disease on dialysis (CKD 5D). In dialysis patients, the rehabilitation process reveals several factors that limit daily functioning, activity, and autonomy, thereby reducing the quality of life for this patient group. To ensure effective restoration of a patient’s activity and participation in renal replacement therapy, it is essential to correctly define rehabilitation goals. The optimal structuring and formulation of these goals are of fundamental importance for the effectiveness of medical rehabilitation. The main rehabilitation targets, which serve as the basis for goal selection, include lack of functional resources in the cardiorespiratory system; mobility impairments; impaired postural balance and motor control; biomechanical and orthopedic disorders of the musculoskeletal system; emotional status; adherence to rehabilitation.

реабилитацияхроническая болезнь почекдиализлимитирующие факторыфизическая активностькачество жизниrehabilitationchronic kidney diseasedialysislimiting factorsphysical activityquality of lifeReferencesКлинические рекомендации. Хроническая болезнь почек (ХБП). Нефрология. 2021;25(5):10-82. DOI: 10.24884/1561-6274-2021-25-5-10-82Clinical recommendations. Chronic kidney disease (CKD). Nephrology (Saint-Petersburg). 2021;25(5):10-82. (In Russ.) DOI: 10.24884/1561-6274-2021-25-5-10-82Вишневский К.А., Румянцев А.Ш., Коростелева Н.Ю. Общие принципы применения дозированных физических нагрузок у больных на гемодиализе. Нефрология. 2018;22(4):102–107. DOI: 10.24884/1561-6274-2018-22-4-102-107Vishnevskii K.A., Rumyantsev A.S., Korosteleva N.Y. General principles of use of dosed physical exercise in patients with hemodialysis. Nephrology (Saint-Petersburg). 2018;22(4):102–107. (In Russ.) DOI: 10.24884/1561-6274-2018-22-4-102-107Manfredini F, Mallamaci F, D'Arrigo G, Baggetta R, Bolignano D, Torino C, et al. Exercise in Patients on Dialysis: A Multicenter, Randomized Clinical Trial. J Am Soc Nephrol. 2017;28(4):1259-1268. Erratum in: J Am Soc Nephrol. 2018;29(7):2028. DOI: 10.1681/ASN.2016030378Manfredini F, Mallamaci F, D'Arrigo G, Baggetta R, Bolignano D, Torino C, et al. Exercise in Patients on Dialysis: A Multicenter, Randomized Clinical Trial. J Am Soc Nephrol. 2017;28(4):1259-1268. Erratum in: J Am Soc Nephrol. 2018;29(7):2028. DOI: 10.1681/ASN.2016030378Perez-Dominguez B, Casaña-Granell J, Garcia-Maset R, Garcia-Testal A, Melendez-Oliva E, Segura-Orti E. Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial. Eur J Phys Rehabil Med. 2021;57(6):994-1001. DOI: 10.23736/S1973-9087.21.06694-6Perez-Dominguez B, Casaña-Granell J, Garcia-Maset R, Garcia-Testal A, Melendez-Oliva E, Segura-Orti E. Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial. Eur J Phys Rehabil Med. 2021;57(6):994-1001. DOI: 10.23736/S1973-9087.21.06694-6Greenwood SA, Koufaki P, Macdonald JH, Bulley C, Bhandari S, Burton JO, et al. Exercise programme to improve quality of life for patients with end-stage kidney disease receiving haemodialysis: the PEDAL RCT. Health Technol Assess. 2021;25(40):1-52. DOI: 10.3310/hta25400Greenwood SA, Koufaki P, Macdonald JH, Bulley C, Bhandari S, Burton JO, et al. Exercise programme to improve quality of life for patients with end-stage kidney disease receiving haemodialysis: the PEDAL RCT. Health Technol Assess. 2021;25(40):1-52. DOI: 10.3310/hta25400Yabe H, Kono K, Yamaguchi T, Ishikawa Y, Yamaguchi Y, Azekura H. Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial. PLoS One. 2021;16(10):e0257918. DOI: 10.1371/journal.pone.0257918Yabe H, Kono K, Yamaguchi T, Ishikawa Y, Yamaguchi Y, Azekura H. Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial. PLoS One. 2021;16(10):e0257918. DOI: 10.1371/journal.pone.0257918Бадалов Н.Г., Прилипко Н.С., Гамеева Е.В., Степанова А.М. Рекомендации по реабилитации пациентов с хронической болезнью почек, нуждающихся в гемодиализе (обзор литературы). Вопросы курортологии, физиотерапии и лечебной физической культуры. 2024;101(6):62-73. DOI: 10.17116/kurort202410106162Badalov N.G., Prilipko N.S., Gameeva E.V., Stepanova A.M.. Recommendations for the rehabilitation of patients with chronic kidney disease requiring hemodialysis (literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(6):62-73. (In Russ) DOI: 10.17116/kurort202410106162Chen IR, Wang SM, Liang CC, Kuo HL, Chang CT, Liu JH, et al. Association of walking with survival and RRT among patients with CKD stages 3-5. Clin J Am Soc Nephrol. 2014;9(7):1183-1189. DOI: 10.2215/CJN.09810913Chen IR, Wang SM, Liang CC, Kuo HL, Chang CT, Liu JH, et al. Association of walking with survival and RRT among patients with CKD stages 3-5. Clin J Am Soc Nephrol. 2014;9(7):1183-1189. DOI: 10.2215/CJN.09810913Chen JL, Godfrey S, Ng TT, Moorthi R, Liangos O, Ruthazer R, et al. Effect of intra-dialytic, low-intensity strength training on functional capacity in adult haemodialysis patients: a randomized pilot trial. Nephrol Dial Transplant. 2010;25(6):1936-1943. DOI: 10.1093/ndt/gfp739Chen JL, Godfrey S, Ng TT, Moorthi R, Liangos O, Ruthazer R, et al. Effect of intra-dialytic, low-intensity strength training on functional capacity in adult haemodialysis patients: a randomized pilot trial. Nephrol Dial Transplant. 2010;25(6):1936-1943. DOI: 10.1093/ndt/gfp739Levack WM, Weatherall M, Hay-Smith EJ, Dean SG, McPherson K, Siegert RJ. Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation. Cochrane Database Syst Rev. 2015;2015(7):CD009727. DOI: 10.1002/14651858.CD009727.pub2Levack WM, Weatherall M, Hay-Smith EJ, Dean SG, McPherson K, Siegert RJ. Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation. Cochrane Database Syst Rev. 2015;2015(7):CD009727. DOI: 10.1002/14651858.CD009727.pub2Stucki G, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med. 2007;39(4):279-285. DOI: 10.2340/16501977-0041Stucki G, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med. 2007;39(4):279-285. DOI: 10.2340/16501977-0041Бадалов Н.Г., Прилипко Н.С., Гамеева Е.В., Степанова А.М. Рекомендации по реабилитации пациентов с хронической болезнью почек, нуждающихся в гемодиализе (обзор литературы). Вопросы курортологии, физиотерапии и лечебной физической культуры. 2024;101(6):62‑73. DOI: 10.17116/kurort202410106162Badalov NG, Prilipko NS, Gameeva EV, Stepanova AM. Recommendations for the rehabilitation of patients with chronic kidney disease requiring hemodialysis (literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(6):62‑73. (In Russ.) DOI: 10.17116/kurort202410106162Hoshino J. Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients. Nutrients. 2021;13(5):1444. DOI: 10.3390/nu13051444Hoshino J. Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients. Nutrients. 2021;13(5):1444. DOI: 10.3390/nu13051444Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328(7441):680. DOI: 10.1136/bmj.328.7441.680Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328(7441):680. DOI: 10.1136/bmj.328.7441.680Sarel E, Nacasch N, Rozenberg I, Ayzenfeld RH, Benchetrit S, Feldman J, et al. The efficacy of rehabilitation for elderly chronic kidney disease patients: a retrospective, single-center study. Aging Clin Exp Res. 2022;34(6):1399-1406. DOI: 10.1007/s40520-021-02055-ySarel E, Nacasch N, Rozenberg I, Ayzenfeld RH, Benchetrit S, Feldman J, et al. The efficacy of rehabilitation for elderly chronic kidney disease patients: a retrospective, single-center study. Aging Clin Exp Res. 2022;34(6):1399-1406. DOI: 10.1007/s40520-021-02055-yIshibashi H. Locomotive syndrome in Japan. Osteoporos Sarcopenia. 2018;4(3):86-94. DOI: 10.1016/j.afos.2018.09.004Ishibashi H. Locomotive syndrome in Japan. Osteoporos Sarcopenia. 2018;4(3):86-94. DOI: 10.1016/j.afos.2018.09.004Yoshimura N, Muraki S, Iidaka T, Oka H, Horii C, Kawaguchi H, et al. Prevalence and co-existence of locomotive syndrome, sarcopenia, and frailty: the third survey of Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study. J Bone Miner Metab. 2019;37(6):1058-1066. DOI: 10.1007/s00774-019-01012-0Yoshimura N, Muraki S, Iidaka T, Oka H, Horii C, Kawaguchi H, et al. Prevalence and co-existence of locomotive syndrome, sarcopenia, and frailty: the third survey of Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study. J Bone Miner Metab. 2019;37(6):1058-1066. DOI: 10.1007/s00774-019-01012-0Arai T, Fujita H, Maruya K, Morita Y, Asahi R, Ishibashi H. The one-leg portion of the Stand-Up Test predicts fall risk in aged individuals: A prospective cohort study. J Orthop Sci. 2020;25(4):688-692. DOI: 10.1016/j.jos.2019.06.014Arai T, Fujita H, Maruya K, Morita Y, Asahi R, Ishibashi H. The one-leg portion of the Stand-Up Test predicts fall risk in aged individuals: A prospective cohort study. J Orthop Sci. 2020;25(4):688-692. DOI: 10.1016/j.jos.2019.06.014Шмонин А.А., Мальцева М.Н., Мельникова Е.В., Иванова Г.Е. Базовые принципы медицинской реабилитации, реабилитационный диагноз в категориях МКФ и реабилитационный план. Вестник восстановительной медицины. 2017;(2):16-22. eLIBRARY ID: 29185129 EDN: YORCRPShmonin A.A., Malceva M.N., Melnikov E.V. Ivanova G.E. Basic principles of medical rehabilitation, rehabilitation diagnosis in the ICF categories and rehabilitation plan. Bulletin of rehabilitation medicine. 2017;(2):16-22. (In Russ.) eLIBRARY ID: 29185129 EDN: YORCRPChan FHF, Sim P, Lim PXH, Khan BA, Choo JCJ, Griva K. Screening for cognitive symptoms in dialysis patients with an extended version of Kidney Disease Quality of Life Cognitive Function subscale (KDQOL-CF): a validation study. BMC Nephrol. 2024;25(1):434. DOI: 10.1186/s12882-024-03848-9Chan FHF, Sim P, Lim PXH, Khan BA, Choo JCJ, Griva K. Screening for cognitive symptoms in dialysis patients with an extended version of Kidney Disease Quality of Life Cognitive Function subscale (KDQOL-CF): a validation study. BMC Nephrol. 2024;25(1):434. DOI: 10.1186/s12882-024-03848-9Souza AC, Magalhães Lde C, Teixeira-Salmela LF. Adaptação transcultural e análise das propriedades psicométricas da versão brasileira do Perfil de Atividade Humana [Cross-cultural adaptation and analysis of the psychometric properties in the Brazilian version of the Human Activity Profile]. Cad Saude Publica. 2006;22(12):2623-36. (In Portuguese). DOI: 10.1590/s0102-311x2006001200012Souza AC, Magalhães Lde C, Teixeira-Salmela LF. Adaptação transcultural e análise das propriedades psicométricas da versão brasileira do Perfil de Atividade Humana [Cross-cultural adaptation and analysis of the psychometric properties in the Brazilian version of the Human Activity Profile]. Cad Saude Publica. 2006;22(12):2623-36. (In Portuguese). DOI: 10.1590/s0102-311x2006001200012Tominaga H, Oku M, Arishima Y, Ikeda T, Ishidou Y, Nagano S, et al. Association between bone mineral density, muscle volume, walking ability, and geriatric nutritional risk index in hemodialysis patients. Asia Pac J Clin Nutr. 2018;27(5):1062-1066. DOI: 10.6133/apjcn.052018.03Tominaga H, Oku M, Arishima Y, Ikeda T, Ishidou Y, Nagano S, et al. Association between bone mineral density, muscle volume, walking ability, and geriatric nutritional risk index in hemodialysis patients. Asia Pac J Clin Nutr. 2018;27(5):1062-1066. DOI: 10.6133/apjcn.052018.03Junqué Jiménez A, Esteve Simó V, Andreu Periz L, Segura Ortí E. The Relationship between Physical Activity Levels and Functional Capacity in Patients with Advanced Chronic Kidney Disease. Clin Nurs Res. 2021;30(3):360-368. DOI: 10.1177/1054773820907757Junqué Jiménez A, Esteve Simó V, Andreu Periz L, Segura Ortí E. The Relationship between Physical Activity Levels and Functional Capacity in Patients with Advanced Chronic Kidney Disease. Clin Nurs Res. 2021;30(3):360-368. DOI: 10.1177/1054773820907757Matsuzawa R, Matsunaga A, Wang G, Kutsuna T, Ishii A, Abe Y, et al. Habitual physical activity measured by accelerometer and survival in maintenance hemodialysis patients. Clin J Am Soc Nephrol. 2012;7(12):2010-2016. DOI: 10.2215/CJN.03660412Matsuzawa R, Matsunaga A, Wang G, Kutsuna T, Ishii A, Abe Y, et al. Habitual physical activity measured by accelerometer and survival in maintenance hemodialysis patients. Clin J Am Soc Nephrol. 2012;7(12):2010-2016. DOI: 10.2215/CJN.03660412Petrović D, Stojimirović B. Cardiovascular morbidity and mortality in patients treated with hemodialysis--epidemiological analysis. Vojnosanit Pregl. 2008;65(12):893-900. DOI: 10.2298/vsp0812893pPetrović D, Stojimirović B. Cardiovascular morbidity and mortality in patients treated with hemodialysis--epidemiological analysis. Vojnosanit Pregl. 2008;65(12):893-900. DOI: 10.2298/vsp0812893pАбрамова Е.Э., Королева И.Е., Тов Н.Л., Мовчан Е.А., Наборщиков Д.А. Факторы риска летальных исходов у больных на гемодиализе. Journal of Siberian Medical Sciences. 2015;(6):15. eLIBRARY ID: 25940221 EDN: VVQXCBAbramova E.E., Koroleva I.E., Tov N.L., Movchan E.A., Naborshchikov D.A. Risk factors of lethal outcomes at patients on hemodialysis. Journal of Siberian Medical Sciences. 2015;(6):15. (In Russ.) eLIBRARY ID: 25940221 EDN: VVQXCBSong YH, Cai GY, Xiao YF, Chen XM. Risk factors for mortality in elderly haemodialysis patients: a systematic review and meta-analysis. BMC Nephrol. 2020;21(1):377. DOI: 10.1186/s12882-020-02026-xSong YH, Cai GY, Xiao YF, Chen XM. Risk factors for mortality in elderly haemodialysis patients: a systematic review and meta-analysis. BMC Nephrol. 2020;21(1):377. DOI: 10.1186/s12882-020-02026-xVisser WJ, Egmond AMEM, Timman R, Severs D, Hoorn EJ. Risk Factors for Muscle Loss in Hemodialysis Patients with High Comorbidity. Nutrients. 2020;12(9):2494. DOI: 10.3390/nu12092494Visser WJ, Egmond AMEM, Timman R, Severs D, Hoorn EJ. Risk Factors for Muscle Loss in Hemodialysis Patients with High Comorbidity. Nutrients. 2020;12(9):2494. DOI: 10.3390/nu12092494National Kidney Foundation. KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 update. Am J Kidney Dis. 2015;66(5):884-930. Erratum in: Am J Kidney Dis. 2016;67(3):534. PMID: 26498416. DOI: 10.1053/j.ajkd.2015.07.015National Kidney Foundation. KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 update. Am J Kidney Dis. 2015;66(5):884-930. Erratum in: Am J Kidney Dis. 2016;67(3):534. PMID: 26498416. DOI: 10.1053/j.ajkd.2015.07.015Tentori F, Elder SJ, Thumma J, Pisoni RL, Bommer J, Fissell RB, et al. Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes. Nephrol Dial Transplant. 2010;25(9):3050-3062. DOI: 10.1093/ndt/gfq138Tentori F, Elder SJ, Thumma J, Pisoni RL, Bommer J, Fissell RB, et al. Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes. Nephrol Dial Transplant. 2010;25(9):3050-3062. DOI: 10.1093/ndt/gfq138Bučar Pajek M, Pajek J. Characterization of deficits across the spectrum of motor abilities in dialysis patients and the impact of sarcopenic overweight and obesity. Clin Nutr. 2018;37(3):870-877. DOI: 10.1016/j.clnu.2017.03.008Bučar Pajek M, Pajek J. Characterization of deficits across the spectrum of motor abilities in dialysis patients and the impact of sarcopenic overweight and obesity. Clin Nutr. 2018;37(3):870-877. DOI: 10.1016/j.clnu.2017.03.008Ohtake T, Kobayashi S. Impact of vascular calcification on cardiovascular mortality in hemodialysis patients: clinical significance, mechanisms and possible strategies for treatment. Ren Replace Ther. 2017;3:13. DOI: 10.1186/s41100-017-0094-yOhtake T, Kobayashi S. Impact of vascular calcification on cardiovascular mortality in hemodialysis patients: clinical significance, mechanisms and possible strategies for treatment. Ren Replace Ther. 2017;3:13. DOI: 10.1186/s41100-017-0094-yБилевич О.А., Овсянников Н.В. Оценка выживаемости больных, находящихся на программном гемодиализе, в зависимости от показателей функционального состояния сердечнососудистой системы. Современные проблемы науки и образования. 2015;(6):151. (in Russ). eLIBRARY ID: 25389731 EDN: VJPRTDBilevich O.A., Ovsyannikov N.V. Survival assessment of hemodialysis patinets depending on the functional state papameters of cardiovascular system. Modern problems of science and education. 2015;(6):151. (in Russ). eLIBRARY ID: 25389731 EDN: VJPRTDКоростелева Н.Ю., Румянцев А.Ш., Хасун М.Х., Лукичев Б.Г., Лебедева Э.Б., Григорян Е.В., и др. Физическая работоспособность пациентов с хронической болезнью почек 5Д стадии и ишемической болезнью сердца. Нефрология. 2023;27(1):78-85. DOI: 10.36485/1561-6274-2023-27-1-78-85Korosteleva N.Yu., Rumyantsev A.Sh., Khasun M.Kh., Lukichev B.G., Lebedeva E.B., Grigoryan E.V., et al. Physical performance of patients with chronic kidney disease stage 5D and coronary heart disease. Nephrology (Saint-Petersburg). 2023;27(1):78-85. (In Russ.) DOI: 10.36485/1561-6274-2023-27-1-78-85Miyawaki T, Kumamoto K, Shimoda K, Tozato F, Iwaya T. Relationship among motor function, ADL disability, and psychological concerns in elderly people with locomotive disorders. J Orthop Sci. 2017;22(2):339-344. DOI: 10.1016/j.jos.2016.12.010Miyawaki T, Kumamoto K, Shimoda K, Tozato F, Iwaya T. Relationship among motor function, ADL disability, and psychological concerns in elderly people with locomotive disorders. J Orthop Sci. 2017;22(2):339-344. DOI: 10.1016/j.jos.2016.12.010Kitabayashi K, Yamamoto S, Katano Y, Giustini K, Ei I, Ishii Y, et al. Locomotive syndrome in hemodialysis patients and its association with quality of life - a cross-sectional study. Ren Replace Ther. 2021;7:36. DOI: 10.1186/s41100-021-00352-wKitabayashi K, Yamamoto S, Katano Y, Giustini K, Ei I, Ishii Y, et al. Locomotive syndrome in hemodialysis patients and its association with quality of life - a cross-sectional study. Ren Replace Ther. 2021;7:36. DOI: 10.1186/s41100-021-00352-wТополянская С.В., Романова М.А., Вакуленко О.Н., Бубман Л.И., Елисеева Т.А., Ларина Д.С., и др. «Локомотивный синдром» в практике гериатрического стационара. Медицинский алфавит. 2023;(13):36-41. DOI: 10.33667/10.33667/2078-5631-2023-13-36-41Topolyanskaya S.V., Romanova M.A., Vakulenko O.N., Bubman L.I., Eliseeva T.A., Larina D.S., et al. «Locomotive syndrome» in patients in the geriatric hospital. Medical alphabet. 2023;(13):36-41. (In Russ.) DOI: 10.33667/10.33667/2078-5631-2023-13-36-41

The authors declare that there are no conflicts of interest present.