Annals of Rehabilitation Medicine

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Original Articles

Cardiopulmonary rehabilitation

Effect of Pre- and Post-Dialysis Exercise on Functional Capacity Using Portable Ergometer in Chronic Kidney Disease Patients: Tae-Seok Chae, Da-Sol Kim, Myoung-Hwan Ko, Yu Hui Won; Ann Rehabil Med 2024;48(4):239-248. Published online August 30, 2024; DOI: https://doi.org/10.5535/arm.240005

Objective
To assess whether performing exercises during hemodialysis reduces the risk of developing intradialytic hypotension and enhances exercise capacity in patients with chronic kidney disease.
Methods
This study included patients aged ≥18 years undergoing hemodialysis. Participants performed exercises using a portable lower extremity ergometer during hemodialysis sessions for 3 weeks. Data regarding walking distance, knee strength, quality of life, fat-free mass, arterial pressure, blood pressure, heart rate, frequency of intradialytic hypotension, fatigue, and duration of hemodialysis were collected and analyzed.
Results
Significant improvements in walking distance and knee strength were observed following the implementation of exercise training during hemodialysis. Although there was no significant reduction in the frequency of intradialytic hypotension, a decreasing trend was noted. Other parameters such as quality of life and fatigue did not show significant changes.
Conclusion
Using a portable ergometer during hemodialysis improved exercise capacity and knee strength in patients with chronic kidney disease. There was a trend toward reduced intradialytic hypotension, suggesting potential cardiovascular benefits. Further research with larger sample sizes is needed to confirm these findings.

Citations

Citations to this article as recorded by

Resistance Training Improves Fluid Imbalance Symptoms in Hemodialysis Patients: A Randomized Controlled Trial
Fatemeh Pourmahdigholi
Journal of Clinical Nephrology.2026; 10(1): 008. CrossRef
What Is the Optimal Timing for Intradialytic Resistance Exercise? A Randomized Controlled Trial
Ömer Bingölbali, Semra Oğuz
Archives of Physical Medicine and Rehabilitation.2026; 107(8): 2210. CrossRef
Pre-hemodialysis exercise training improves systemic aerobic capacity and platelet bioenergetic efficiency in patients with end-stage renal disease
Yu-Ting Lin, Shu-Chun Huang, Sheng-Chiao Peng, Ching-Chung Hsiao, Ji-Tseng Fang, Jong-Shyan Wang
Life Sciences.2026; 396: 124403. CrossRef
Can exercise reduce fatigue in people living with kidney disease?
Thomas J. Wilkinson, Lisa Ancliffe, Jamie H. Macdonald
Current Opinion in Clinical Nutrition & Metabolic Care.2025; 28(3): 200. CrossRef
Effect of intra-dialytic exercise on hemodialysis session adequacy and solutes clearance and rebound in prevalent hemodialysis patients
Howaida Elshinnawy, Hisham Elsayed, Hayam Hebah, Waleed Abdelmohsen, Dina Farrag, Mostafa Abdelnasier
Egyptian Rheumatology and Rehabilitation.2025;[Epub] CrossRef

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Short-Term Inpatient Pulmonary Rehabilitation for Pneumoconiosis.: Ryu, Sang Yeol , Park, Cheol Beom , Lim, Jun Kyeong , Lee, Ho , Yu, Hyun Joo , Cho, Kang Hee; J Korean Acad Rehabil Med 1998;22(3):705-710.

Abstract
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Objective: To evaluate the effectiveness of a short-term inpatient pulmonary rehabilitation treatment program including inspiratory muscle training and reconditioning exercise in pneumoconiosis patients.

Method: Thirty pneumoconiosis patients have undergone a 3-week inpatient pulmonary rehabilitation program. The program included a inspiratory muscle strengthening, relaxation technique and reconditioning exercise such as walking and upper extremity strengthening. The effectiveness of treatment was evaluated by a pulmonary function test, 6-minute walk distance and 150 mm-visual analog dyspnea scale before and after the program.

Results: After the 3-week inpatient pulmonary rehabilitation program, there was a significant increase in 6-minute walk distance(p＜0.01) and a significant decrease in 150 mm-visual analog dyspnea scale(p＜0.01). However the pulmonary function test showed no significant change.

Conclusion: We concluded that the short-term inpatient pulmonary rehabilitation program can improve the exercise tolerance by reduction of dyspnea and increase of walk distance, and ultimately increase the quality of life in pneumoconiosis patients.