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Current issues of the formation of rehabilitation programs patients on hemodialysis

https://doi.org/10.21886/2712-8156-2026-7-1-6-13

Abstract

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.

About the Authors

E. S. Krutikov
Medical Institute n. a. S.I. Georgievsky, Crimean Federal University n.a. V.I. Vernadsky
Russian Federation

Simferopol



E. N. Minina
Medical Institute n. a. S.I. Georgievsky, Crimean Federal University n.a. V.I. Vernadsky
Russian Federation

Simferopol



K. Y. Pavlovsky
Medical Institute n. a. S.I. Georgievsky, Crimean Federal University n.a. V.I. Vernadsky
Russian Federation

Simferopol



References

1. Clinical recommendations. Chronic kidney disease (CKD). Nephrology (Saint-Petersburg). 2021;25(5):10-82. (In Russ.) DOI: 10.24884/1561-6274-2021-25-5-10-82

2. Vishnevskii 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: 10.24884/1561-6274-2018-22-4-102-107

3. Manfredini 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.2016030378

4. Perez-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/S1973-9087.21.06694-6

5. Greenwood 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/hta25400

6. Yabe 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.0257918

7. Badalov 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/kurort202410106162

8. Chen 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.09810913

9. Chen 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/gfp739

10. Levack 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.pub2

11. Stucki 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: 10.2340/16501977-0041

12. Badalov 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/kurort202410106162

13. Hoshino J. Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients. Nutrients. 2021;13(5):1444. DOI: 10.3390/nu13051444

14. Chang 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.328.7441.680

15. Sarel 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-y

16. Ishibashi H. Locomotive syndrome in Japan. Osteoporos Sarcopenia. 2018;4(3):86-94. DOI: 10.1016/j.afos.2018.09.004

17. Yoshimura 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/s00774-019-01012-0

18. Arai 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.2019.06.014

19. Shmonin 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: YORCRP

20. Chan 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/s12882-024-03848-9

21. Souza 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/s0102-311x2006001200012

22. Tominaga 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.052018.03

23. Junqué 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: 10.1177/1054773820907757

24. Matsuzawa 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.03660412

25. Petrović D, Stojimirović B. Cardiovascular morbidity and mortality in patients treated with hemodialysis--epidemiological analysis. Vojnosanit Pregl. 2008;65(12):893-900. DOI: 10.2298/vsp0812893p

26. Abramova 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: VVQXCB

27. Song 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-x

28. Visser 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/nu12092494

29. National 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.2015.07.015

30. Tentori 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/gfq138

31. Bučar 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.2017.03.008

32. Ohtake 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-y

33. Bilevich 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: VJPRTD

34. Korosteleva 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: 10.36485/1561-6274-2023-27-1-78-85

35. Miyawaki 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.2016.12.010

36. Kitabayashi 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-w

37. Topolyanskaya 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


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For citations:


Krutikov E.S., Minina E.N., Pavlovsky K.Y. Current issues of the formation of rehabilitation programs patients on hemodialysis. South Russian Journal of Therapeutic Practice. 2026;7(1):6-13. (In Russ.) https://doi.org/10.21886/2712-8156-2026-7-1-6-13

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ISSN 2712-8156 (Print)
ISSN 3033-8344 (Online)