Abstract
<p>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.</p>
Highlights
According to the World Health Organization, rehabilitation has been defined as the use of all means in order to create conditions for reducing disability and enabling people with disabilities to achieve optimal social integration [1]
The results of the DOPPS study have confirmed that the mortality rate is lower in patients who have physical activity only once a week and that mortality risk decreases with the increase in exercise frequency, that is, the survival of hemodialysis patients may be dose-dependent in relation to physical exercise
Despite many evidence that led to recommendations for increasing physical activity in hemodialysis patients, the application of physical rehabilitation programs is still unusual in most dialysis units
Summary
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. 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. 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. 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
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