الفهرس 
Effect Of Intradialytic Lower Extremities Cycling Vs Upper Limb Range Of Motion Exercises On Dialysis Effeciency
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Abstract
Background ; Intradialytic exercises had a role in improving physical
performance with increase muscle blood flow accompanied by increased flux
of urea and other toxins which might be the reason for its significant effect on
dialysis adequacy (K t/V – URR).
Objective: The study aimed to evaluate the effect of 2 months intradialytic
combined lower extremities cycling & upper limb vs upper limb range of
motion exercise on dialysis efficiency for patients with end stage renal disease
(ESRD).
Methods: forty- six hemodialysis patients of both sexes with ESRD
participated in the study, with age ranged from 55 to 65 years old selected from
hemodialysis unit of El Galaa Military Hospital assigned randomly into two
equal groups (group A & B). group (A) (11 males and 12 females) received 3
sessions per week for 2 months of intradialytic lower extremities cycling and
upper limb range of motion exercise, group (B) (12 males and 11 females)
received only upper limb range of motion exercise. The subjects were assessed
through blood urea, creatinine, phosphorus, potassium and (urea reduction ratio
URR – K t/V) dialysis efficiency.
Result: The result of study showed a significant increase in dialysis adequacy
(K t/v) within group A by percent of change 20.18 % post treatment compare
with pretreatment while in group (B) is 7.27 % , a significant increase in urea
reduction ratio (URR) in group (A) by percent of change 11.56 % post
treatment compared that pretreatment and in group (B ) 2.04 %, , a significant
increase in creatinine reduction ratio in group (A ) by percentage of change
12.71 % post treatment compared that pretreatment while in group (B) 3.83 %
, there was significant decrease in Potassium (K) of group (A) by percent
change 9.05 % post treatment compared with that pretreatment while in group
(B) o.76 % post treatment compared with that pretreatment, a significant
decrease in urea level in group (A) by percentage was 23.o7 % post treatment
compared with that pretreatment while in group (B) 4.67 % and significant
decrease in phosphorus by percentage of change 12.8 % while in group (B)
18.68 %. Comparing median values of percentage of change between groups
after treatment revealed that there was statistically significant increase in group
(A) 17.86 % compared with that of the group (B) 6.82% in K t/v, URR 10.57%
in group (A) 3.2% in group (B) (-Creatinine reduction ratio 12.26 % in group
(A) 5.02 % in group (B) while no significant difference decrease in potassium
and phosphorus between groups (A&B).
Conclusion: Intradialytic combined lower extremities cycling & upper limb
range of motion exercises more effective on dialysis efficiency there were
significantly increasing dialysis adequacy (URR -k t /v), creatinine reduction and significantly decreasing phosphorus & Potassium for ESRD patients on maintenance hemodialysis vs upper limb range of motion exercise