GENERAL PRINCIPLES OF USE OF DOSED PHYSICAL EXERCISE IN PATIENTS WITH HEMODIALYSIS
https://doi.org/10.24884/1561-6274-2018-22-4-102-107
Abstract
The article reflects modern ideas about the causes and mechanisms of the physical functioning disorders in patients with chronic kidney disease receiving program hemodialysis. Various types of physical activity are considered and the rationale for their use in dialysis patients is justified. The diagnostics possibilities of the protein- energy deficiency main variants are presented. Possible directions for their correction are outlined. The possibilities and methods of regular physical training in such a complex cohort of patients with changes in almost all the basic systems of the body are described in detail. For patients who cannot perform physical exercises in a training mode, a new rehabilitation technique was developed and tested on a representative sample, and a new rehabilitation technique that was not previously used in nephrology – a cutaneous bilateral electrostimulation of the muscles of the lower extremities – was justified and considered in detail. The authors give their own data on long-term follow-up of patients, which confirm the possibilities of the presented methods not only in terms of improving physical performance, but also in improving the adequacy of dialysis and the quality of life.
About the Authors
K. A. Vishnevsky
Saint Petersburg City hospital №15
Russian Federation
Russian Federation
198205, Russian Federation, St.-Petersburg, Avangardnaya str. 4
Konstantin A. Vishnevskii, PhD, head of hemodialysis unit; Phone: (812) 736-93-42
A. Sh. Rumyantsev
Saint Petersburg State University
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Russia, 199106, Saint Petersburg, V.O., 21 line 8a
Prof. Alexandr Sh.Rumyantsev MD, PhD, DMedSci, Department of propedeutic of internal diseases. Phone: +7(812)326-03-26
N. Yu. Korosteleva
Nephrology research institute of scientific clinical research centre, Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
197022, Russia, St-Petersburg, L. Tolstoy st., 17, build. 54
Natalya Yu. Korosteleva, MD, PhD, Laboratory of Renal Insufficiency. Phone: (812) 338-69-14
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For citations:
Vishnevsky K.A., Rumyantsev A.Sh., Korosteleva N.Yu. GENERAL PRINCIPLES OF USE OF DOSED PHYSICAL EXERCISE IN PATIENTS WITH HEMODIALYSIS. Nephrology (Saint-Petersburg). 2018;22(4):102-107. (In Russ.) https://doi.org/10.24884/1561-6274-2018-22-4-102-107
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