- 著者
- Ren Takahashi Hiroki Yabe Takashi Hibino Sayumi Morishita Yuya Mitake Hideaki Ishikawa
- 出版者
- Japanese Society of Physical Therapy for Diabetes Mellitus
- 雑誌
- 日本糖尿病理学療法学雑誌 (ISSN:24366544)
- 巻号頁・発行日
- vol.2, no.1, pp.53-64, 2023-03-31 (Released:2023-03-31)
- 参考文献数
- 33
【Background/Objective】Exercise therapy for hospitalized dialysis patients should be provided as regularly as possible during the post-dialysis period in addition to the sessions conducted on non-dialysis days. However, physical performance, vital sign, muscle oxygen saturation (SmO2) during exercises performed post-dialysis remain unclear. This case study aimed to show descriptive SmO2, vital sign, and physical performance assessment on non-dialysis and post-dialysis days in hospitalized patients. 【Method】An 80s man who underwent hemodialysis. The patient underwent Near-infrared spectroscopy (NIRS) measurements at during the same passive cycling exercise on non-dialysis and post-dialysis. SmO2 and total hemoglobin (THb) were measured by NIRS during non-dialysis, and post dialysis, and systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and Rating of Perceived Exertion (RPE) were measured during exercise. Short physical performance battery (SPPB), maximal isometric knee extension strength and the 10-m walking test were also measured on non-dialysis days and post-dialysis period. 【Results】SmO2 during exercise was lower post-dialysis compared to non-dialysis. SBP, DBP, and HR during exercise showed minimal increase during post-dialysis compared to during non-dialysis days. RPE was higher post-dialysis. SPPB (12 and 10 points) and maximal isometric knee extension strength (31.5 and 26.5 kgf) and 10-m walking test (1.2 and 1.1 m/s) were lower during the post-dialysis period. 【Discussion】In the post-dialysis period, less elevation of the circulation response and high deoxygenation in muscle tissue was observed. The exercise load during post-dialysis exercise may need to be decreased, depending on the physician’s judgment.
- 著者
- Aki Tabata Hiroki Yabe Yuya Mitake Tomohiro Shirai Marina Yoshida Rie Kurosu Ken Kawamura
- 出版者
- The Japanese Association of Rehabilitation Medicine
- 雑誌
- Progress in Rehabilitation Medicine (ISSN:24321354)
- 巻号頁・発行日
- vol.7, pp.20220040, 2022 (Released:2022-08-10)
- 参考文献数
- 31
- 被引用文献数
- 1
Background: Exercise therapy for patients with pediatric nephrotic syndrome is necessary to improve physical function to maintain the patient’s activities of daily life and school life while managing the risk of relapse; however, few studies have examined exercise therapy in the acute phase of the syndrome. This case study aimed to evaluate the efficacy and safety of exercise therapy in a patient with acute pediatric nephrotic syndrome being treated with steroids.Case: The patient was a 10-year-old boy diagnosed with primary nephrotic syndrome. Prednisolone (50 mg) was started on the 3rd day of hospitalization. Exercise therapy (moderate-intensity, 40 min, five times a week) was started on the 15th day. The urine protein/creatinine ratio from the 15th day (at the start of rehabilitation) to discharge decreased from 1.1 to 0.4, with no recurrence of nephrotic syndrome. At the initial, middle, and final evaluations, respectively, the grip strength was 10.1, 8.9, and 8.3 kg; the knee extension strength was 0.38, 0.46, and 0.45 kgf/kg; the sit-up test results were 18, 18, and 15 times; the side-step test results were 34, 36, and 31 times; the sit-and-reach test results were 22.9, 24.5, and 23.8 cm; and the 6-min walk test results were 420, 490, and 520 m. Leg muscle strength and exercise tolerance improved, but upper limb strength, trunk muscle strength, and agility decreased.Discussion: Moderate-intensity exercises may be effective and safe for pediatric patients with nephrotic syndrome in the acute phase. Exercise therapy may be beneficial to improve physical function and prevent decline during hospitalization in pediatric nephrotic syndrome patients.