Unique ID issued by UMIN | UMIN000046881 |
---|---|
Receipt number | R000052958 |
Scientific Title | Effects of home-based exercise on physical function in older patients with chronic kidney disease |
Date of disclosure of the study information | 2022/04/01 |
Last modified on | 2024/02/12 16:56:55 |
Effects of home-based exercise on physical function in older patients with chronic kidney disease
Effects of home-based exercise on physical function in older patients with chronic kidney disease
Effects of home-based exercise on physical function in older patients with chronic kidney disease
Effects of home-based exercise on physical function in older patients with chronic kidney disease
Japan |
chronic kidney disease
Nephrology | Rehabilitation medicine |
Others
NO
To determine the effect of home-based exercise on physical function after 6 months in older patients with chronic kidney disease
Efficacy
grip strength, knee extension strength, 10m walking speed, skeletal muscle mass index (SMI), short physical performance battery(SPPB), 6-min walk test (6MWT)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Educational,Counseling,Training
Other |
In the intervention group, a home exercise program will be conducted for 6 months after discharge from the hospital in addition to the educational program for chronic kidney disease patients at our hospital.
The home exercise program will be taught by a physical therapist using materials during the educational hospitalization. The content of the exercise program is based on the Guidelines for Renal Rehabilitation, and the aerobic exercise is walking, and the resistance training is lower limb-centered exercise with body weight. For walking, the number of steps will be recorded using a pedometer owned by the subject or a 3-axis accelerometer to be distributed in advance. Resistance training will consist of squats and calf raises 3 times a week, with 1-3 sets of 10-20 repetitions per set. After the implementation of the exercise program, the patients are instructed to write the number of walking steps and the number of resistance training sessions in the remarks column of the self-management handbook distributed at the time of admission.
After the patient is discharged from the hospital, the home exercise program and the number of exercise sessions will be continued for 6 months. A physiotherapist will provide monthly counseling on the exercise program by telephone. The content of the counseling is to explain the benefits of exercise and physical activity, to motivate the patient to exercise using the results of physical function assessment, to set goals with the patient based on the patient's life and physical function before hospitalization, to listen to factors that inhibit exercise and to plan countermeasures, and to provide feedback on the number of steps taken and the number of exercises performed. The number of steps taken and the number of exercises performed should be fed back.
The control group will undergo an inpatient education program for chronic kidney disease patients at our hospital for one to two weeks. The educational program will consist of instruction on lifestyle, diet, and medication by a physician, nurse, pharmacist, and nutritionist, as well as an assessment of motor function by a physical therapist and feedback of the results. The physical therapist's evaluation of the patient's motor function and feedback of the results will be conducted only on one day.
65 | years-old | <= |
Not applicable |
Male and Female
1. patients with CKD in the conservative stage admitted to Seirei Sakura Shimin Hospital for educational purposes between February 2022 and May 2023
2. Patients with CKD stage G3 - G5 in eGFRcreat. 3.
3. Patients aged 65 years or older
1. Patients with an eGFRcreat value of 60 ml/min/1.73 m2 or higher in the most recent test results on the measurement date.
2. Patients with poorly controlled hypertension or heart disease
3. Patients with motor or central nervous system diseases that make it difficult to perform physical function assessment.
4. Those who have been diagnosed with dementia.
5. Patients who are not independent in their mobility (less than 6 points in the mobility item of FIM)
6. Those who underwent kidney biopsy during hospitalization.
7. Those who could not give consent for the study.
60
1st name | Aki |
Middle name | Aki |
Last name | Tabata |
Seirei Sakura Citizen Hospital
Rehabilitation
285-8765
2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan
+81434861151
tabata4107@gmail.com
1st name | Aki |
Middle name | |
Last name | Tabata |
Seirei Sakura Citizen Hospital
Rehabilitation
285-8765
2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan
09056390507
tabata4107@gmail.com
Seirei Christopher University
Seirei Christopher University
Other
Seirei Christopher University
3453Mikatahara, Kita-ku, Hamamatsu, Shizuoka 433-8558, Japan
053-439-1400
tabata4107@gmail.com
NO
2022 | Year | 04 | Month | 01 | Day |
Unpublished
Open public recruiting
2022 | Year | 04 | Month | 01 | Day |
2021 | Year | 11 | Month | 04 | Day |
2022 | Year | 04 | Month | 01 | Day |
2024 | Year | 10 | Month | 31 | Day |
2022 | Year | 02 | Month | 10 | Day |
2024 | Year | 02 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052958