The Effect of Intradialytic Exercise on Functional Capacity, Efficacy of Dialysis and Quality of Life in Pediatrics Maintenance Haemodialysis Individual - An Interventional Study

Background: Chronic Kidney Disease (CKD) is a Serious Public Health Problem Worldwide That Substantially Reduces Quality of Life and Significantly Affects Patient’s Short Term and Long-Term Survival. End stage renal disease (ESRD) patients on dialysis are at high risk of low exercise capacity and reduce muscle strength which can have significant consequence on their health-related quality of life (HRQL). Objective: Study was to determine the effect intradialytic exercise on functional capacity, efficacy of dialysis and quality of life in pediatric maintenance haemodialysis. Materials and Methods: Population of study was ESRD Haemodialysis 12 Pediatric Patients. In which 10 weeks protocol 2 weeks were observation period later Exercise would be started for remaining 8 weeks were Intervention Periods. In this Phase Patients were performed the Progressive Aerobic exercise with the use of Pedocycle and Resistance exercise with TheraBand during starting 1-2 hours of Haemodialysis treatment. Outcomes were 6-minute walk distance (SMWT), Hand Grip Strength (HGS), Dialysis efficacy and Peds scale in ESRD modules. Result: A total 12 Patients were analyzed. Result showed significant Improvement in Functional Capacity, and Quality of Life but no significant improvement in Dialysis Efficacy. Conclusion: The Study was Concluded that two months Interventional Intradialytic Exercise protocol is Effective for Improve Functional Capacity and Quality of Life. Key words: Intradialytic exercise, paediatric end stage renal disease rehabilitation. Dialysis efficacy, Quality of life paediatric CKD.