title: Need for rehabilitation in renal replacement therapy involving allogeneic kidney transplantation.
abstract: Physical rehabilitation is a form of therapy that complements medical treatment for allogenic kidney transplantation recipients. The aim of this research was to assess the effectiveness of motor therapy among a population of allogenic kidney recipients. Physical rehabilitation was conducted both in the clinic after renal transplantation and over 1 year after the procedure. The 67 patients included 26 women and 41 men of overall average age 44.45 years. The cohort was divided into two subgroups: those undertaking regular exercise (n = 35) and a control subgroup (n = 32). The rehabilitation program covered recuperation, isometric, coordination, relaxation, and breathing exercises. Moreover, the following elements were assessed several times: respiratory system (peak expiratory floor [PEF] test), circulatory system, namely, arterial blood pressure and in some cases electrocardiograph, along with the motor system examining upper extremity strength and movement range in distal joints in the upper and the lower extremities. Biochemical blood analysis examined hemoglobin, total protein and albumin, transaminase activity, lactate dehydrogenase, isoenzymes (LD1-5), and creatine kinase (CK), along with CK-MB and CK-MM. A significant improvement was observed in the range of movement in the radiocarpal joint (P < .05) and an increased PEF value (P < .05). Among the total kidney transplantation recipients, 81.3% of patients subjected to rehabilitation and 77.8% the control subgroup accepted the need for long-term motor exercise. The analysis of the implemented rehabilitation program, and biochemical analyses confirmed the need to establish rehabilitation centers, for example, in dialysis centers and/or transplant institutes, for patients subjected to renal replacement therapy, and particularly after successful kidney transplantation.
authors.affiliation: Rehabilitation Unit of Physiotherapy Department, Doctor's Faculty 2, Warsaw Medical Academy, Warsaw, Poland. iza.korabiewska@op.pl
authors.forename: L
authors.initials: L
authors.lastname: Korabiewska
authors.forename: M
authors.initials: M
authors.lastname: Lewandowska
authors.forename: J
authors.initials: J
authors.lastname: Juskowa
authors.forename: D
authors.initials: D
authors.lastname: Białoszewski
mesh_terms: D000328:Adult; D000368:Aged; D003404:Creatinine / Q000097:blood; D005260:Female; D005540:Forced Expiratory Flow Rates; D006801:Humans; D007674:Kidney Diseases / Q000145:classification / Q000601:surgery; D016030:Kidney Transplantation / Q000502:physiology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D017582:Renal Replacement Therapy; D013997:Time Factors
chemical_list: D003404:Creatinine