Options of Physiotherapy for Patients with Kidney Disease, on Dialysis and after Kidney Transplantation - Overview from Past to Present

Authors: A. Mahrová;  L. Hellebrandová;  K. Švagrová
Authors‘ workplace: Laboratoř sportovní motoriky, Fakulta tělesné výchovy a sportu Univerzity Karlovy v Praze, vedoucí pracoviště doc. Ing. F. Zahálka, Ph. D.
Published in: Rehabil. fyz. Lék., 23, 2016, No. 2, pp. 80-95.
Category: Original Papers


This article is a continuation of the studies done by physiotherapists Jurová et al. (53, 54) and Mahrová et al. (83) that were published in 2009. It provides a comprehensive overview of the stages of chronic kidney failure and treatment options, especially instrumentation treatment and nonpharmacological treatment to all physiotherapeutic public. It presents an overview of previously described disorders of the musculoskeletal system and causes of limited functional physical and mental fitness of dialysis and transplant patients to readers and it discusses options of non-pharmacological treatment especially by exercise in the field of physiotherapy. As an example, we supplement the theoretical overview with the case of a patient after kidney transplantation with proposals of physiotherapeutic intervention.

The aim of this overwiev is to build on a studies that integrate an exercise therapy within the field of physiotherapy, as an integral part of the comprehensive treatment of patients with end-stage renal disease on dialysis therapy and after kidney transplantation.

end-stage renal disease, dialysis, kidney transplant, physical activity, musculoskeletal system disorders, physiotherapy, quality of life


1. ACSM.: ACSM Position stand on Exercise and Physical activity for Older Adults. Medicine and Science in Sports and Exercise, roč. 30, 1998, č. 6, s. 992-1008.

2. ACSM.: Guidelines for exercise testing and prescription. Philadelphia, Lea&Febinger, 1991.

3. ACSM.: Physical Fitness Testing. In: ACSM´s Guidelines for Exercise Testing and Prescription. Philadelphia, Williams&Wilkins,1995.

4. Balakrishnan, V. S., Rao, M., Menon, V., Gordon, P. L., Pilichowska, M., Castaneda, F., Castaneda-Sceppa, C.: Resistance training increases muscle mitochondrial biogenesis in patients with chronic kidney disease. Clin. J. Am. Soc. Nephrol., roč. 5, 2010, č. 6, s. 996-1002.

5. BARRAL, J. P.: Visceral manipulation. Vista, California: Eastland Press, 2005.

6. Besnier, F., Laruelle, E., Genestier, S., Gié, S., Vigneau, C., Carré, F.: Effects of exercise training on ergocycle during hemodialysis in patients with end stage renal disease: Relevance of the anaerobic threshold intensity. Nephrol. Ther., roč. 8, 2012, č. 4, s. 231-237.

7. BETO, J. A., BANSAL, V. K.: Interventions for other risk factors: Tobacco use, physical inactivity, menopause, and homocysteine. Am. J. Kidney Dis., roč. 32, 1998, Suppl. 3, s. S172-S184.

8. Borg, G. A.: Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc., roč. 14, 1982, č. 5, s. 377-387.

9. Boyce, M. L., Robergs, R. A., Avasthi, P. S., Roldan, C., Foster, A., Montner, P., Stark, D., Nelson, C.: Exercise training by individuals with predialysis renal failure: cardiorespiratory endurance, hypertension, and renal function. Am. J. Kidney Dis., roč. 30, 1997, č. 2, s. 180-192.

10. Bradford, E.: Physiotherapy and renal failure. Physiotherapy, roč. 59, 1973, č. 5, s. 146-148.

11. Brahee, D. D., Guebert, G. M., Virgin, B.: Dialysis-related spondyloarthropathy. J. Manipulative Physiol. Ther., roč. 24, 2001, č. 2, s. 127-130.

12. Brennan, B.: Combined resistance and aerobic training is more effective than aerobic training alone in people with coronary artery disease. J. Physiother., roč. 58, 2012, č. 2, s. 129.

13. Bulckaen, M., Capitanini, A., Lange, S., Caciula, A., Giuntoli, F., Cupisti, A.: Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. J. Nephrol., roč. 24, 2011, č. 6, s. 790-797.

14. Bullani, R., El-Housseini, Y., Giordano, F., Larcinese. A., Ciutto, L., Bertrand, P. C., Wuerzner, G., Burnier, M., Teta, D.: Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: a pilot study. J. Ren. Nutr., roč. 21, 2011, č. 1, s. 61-65.

15. Burra, P., De Bona, M., Germani, G. et al.: The Concept of quality of life in organ transplantation. Transplantation Proceedings, roč. 39, 2007, č. 7, s. 2285-2287.

16. Carney, R. M., Mc Kevitt, P. M., Goldberg, A. P., Hagberg, J., Delmez, J. A., Harter, H. R.: Psychological effects of exercise training in hemodialysis patients. Nephron, roč. 33, 1983, č. 3, s. 179-181.

17. Carney, R. M., Templeton, B., Hong, B. A., Harter, H. R., Hagberg, J. M., Schechtman, K. B., Goldberg, A. P.: Exercise training reduces depression and increases the performance of pleasant activities in hemodialysis patients. Nephron, roč. 47, 1987, č. 3, s. 194-198.

18. Castaneda, C., Gordon, P. L., Parker, R.C., Uhlin, K. L., Roubenoff, R., Levey, A. S.: Resistance training to reduce the malnutrition-inflammation complex syndrome of chronic kidney disease. Am. J. Kidney Dis., roč. 43, 2004, č. 4, s. 607-616.

19. Castaneda, C., Gordon, P. L., Uhlin, K. L., Levey, A. S., Kehayias, J. J., Dwyer, J. T., Fielding, R. A., Roubenoff, R., Singh, M. F.: Resistance training to counteract the catabolism of a low-protein diet in patients with chronic renal insufficiency. A randomized control trial. Ann. Intern. Med., roč. 135, 2001, č. 11, s. 965-976.

20. Castaneda, C., Grossi, L., Dwyer, J.: Potential benefits of resistance exercise training on nutritional status in renal failure. J. Ren. Nutr, roč. 8, 1998, č. 1, s. 2-10.

21. Clyne, N., Ekholm, J., Jogestrand, T., Lins, L. E., Pehrsson, S. K.: Effects of exercise training in predialytic uremic patients. Nephron, roč. 59, 1991, č. 1, s. 84-89.

22. Colangelo, R. M., Stillman, M. J., Kessler-Fogil, D.: The role of exercise in rehabilitation for patients with end-stage renal disease. Rehabil. Nurs, roč. 22, 1997, č. 6, s. 288-292, 302.

23. Couto, C. I.: Exercise training improves cardiovascular fitness in people receiving haemodialysis for chronic renal disease. J. Physiother., roč. 58, 2012, č. 2, s. 130.

24. Cristofolini, T., Draibe, S., Sesso, R.: Evaluation of factors associated with chronic low back pain in hemodialysis patients. Nephron Clin. Pract., roč. 108, 2008, č. 4, s. c249-c255.

25. Curtin, R. B., Lowrie, E. G., DeOreo, P. B.: Self-reported functional status: an important predictor of health outcomes among end-stage renal disease patients. Adv. Ren. Replace Ther, roč. 6, 1999, č. 2, s. 133-140.

26. Daul, A. E. et al.: Sport- und Bewegungstherapie für chronisch Nierenkranke. Munchen, Dustri – Verlag, 1997.

27. Daul, A. E., Schäfers, R. F., Daul, K., Philipp, T.: Exercise during hemodialysis. Clin. Nephrol, roč. 61, 2004, Suppl 1, s. 26-30.

28. Dobsak, P., Homolka, P., Svojanovsky, J., Reichertova, A., Soucek, M., Novakova, M., Dusek, L., Vasku, J., Eicher, J.C., Siegelova, J.: Intra-dialytic electrostimulation of leg extensors may improve exercise tolerance and quality of life in hemodialyzed patients. Artif Organs, roč. 36, 2012, č. 1, s. 71-78.

29. Eidemark, I., Haaber, A. B., Feldt-Rasmussen, B., Kanstrup, I. L., Strandgaard, S.: Exercise training and the progression of chronic renal failure. Nephron, roč. 75, 1997, č. 1, s. 36-40.

30. FISCHEROVÁ, H., STABLOVÁ, A.: Kineziologický rozbor u chronicky dialyzovaných nemocných. Prakt. Lék., roč. 82, 2002, č. 10, s. 579-654.

31. Fuhrmann, I., Krause, R.: Principles of exercising in patients with chronic kidney disease, on dialysis and for kidney transplant recipients. Clin. Nephrol., roč. 61, 2004, Suppl 1, s. 14-25.

32. Gallagher-Lepak, S.: Functional capacity and activity level before and after renal transplantation. ANNA J., roč. 18, 1991, č. 4, s. 378-82; discussion 382, 406.

33. GANDEVIA, S. C., BUTLER, J., HODGES, P. W., TAYLOR, J.: Balancing acts: Respiratory sensations, motor control ad human posture. In Experimental Biology 2001 Symposium on Somatic Sensation During Movement and its Role in Autonomic Control. USA, 2001, s. 118-121.

34. Goldberg, A. P., Geltman, E. M., Hagberg, J. M., Gavin, J. R. 3rd, Delmez, J. A., Carney, R. M., Naumowicz, A., Oldfield, M. H., Harter, H. R.: Therapeutic benefits of exercise training for hemodialysis patients. Kidney Int, roč. 16, 1983, Suppl., s. 303-309.

35. Gołębiowski, T., Kusztal, M., Weyde, W., Dziubek, W., Woźniewski, M., Madziarska, K., Krajewska, M., Letachowicz, K., Strempska, B., Klinger, M.: A program of physical rehabilitation during hemodialysis sessions improves the fitness of dialysis patients. Kidney Blood Press Res., roč. 35, 2012, č. 4, s. 290-296.

36. Goodman, E. D., Ballou, M. B.: Perceived barriers and motivators to exercise in hemodialysis patients. Neph. Nurs J., roč. 31, 2004, č. 1, s. 23-29.

37. Gordon, L., Mc Growder, D. A., Pena, Y. T., Cabrera, E. and Lawrence-Wright, M. B.: Effect of exercise therapy on lipid parameters in patients with End-stage renal disease on hemodialysis. J. Lab. Physicians, roč. 4, 2012, č. 1, s. 17-23.

38. Gordon, L., Mc Growder, D. A., Pena, Y. T., Cabrera, E., Lawrence-Wright, M. B.: Effect of yoga exercise therapy on oxidative stress indicators with end-stage renal disease on hemodialysis. Int. J. Yoga, roč. 6, 2013, č. 1, s. 31-38.

39. Gregory, S. M., Headley, S. A., Germain, M., Flyvbjerg, A., Frystyk, J., Coughlin, M. A., Milch, C. M., Sullivan, S., Nindl, B. C.: Lack of circulating bioactive and immunoreactive IGF-1 changes despite improved fitness in chronic kidney disease patients following 48 weeks of physical training. Growth Horm IGF Res., roč. 21, 2011, č. 1, s. 51-56.

40. Gutman, R. A., Stead, W. W., Robinson, R. R.: Physical capacity and employment status in patients on maintenance dialysis. Engl. J. Med., roč. 304, 1981, č. 6, s. 309-313.

41. Hagberg, J. M., Goldberg, A. P., Ehsani, A. A., Heath, G. W., Delmez, J. A., Harter, H. R.: Exercise training improves hypertension in hemodialysis patients. Am. J. Nephrol., roč. 3, 1983, č. 4, s. 209-212.

42. HEBGEN, E.: Visceral manipulation in osteopathy. Georg Thieme Verlag KG, 2010.

43. Heiwe, S., Jacobson, S. H.: Exercise training in adults with CKD: a systematic review and meta-analysis. Am. J. Kidney Dis. , roč. 64, 2014, č. 3, s. 383-393.

44. Heiwe, S., Tollback, A., Clyne, N.: Twelve weeks of exercise training increases muscle function and walking capacity in elderly predialysis patients and healthy subjects. Nephron, roč. 88, 2001, č. 1, s. 48-56.

45. Heiwe, S., Tollin, H.: Patients‘ perspectives on the implementation of intra-dialytic cycling -a phenomenographic study. Implement Sci., roč. 25, 2012, č. 7, s. 68.

46. HODGES, P. W., GANDEVIA, S. C., RICHARDSON, C.: Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J. Appl. Physiol., roč. 83, 1997, č. 3, s. 753-760.

47. Cheema, B. S., Singh, M. A.: Exercise training in patients receiving maintenance hemodialysis: a systematic review of clinical trials. Am. J. Nephrol., roč. 25, 2005, č. 4, s. 352-364.

48. Jetté, M., Posen, G., Cardarelli, C.: Effects of an exercise programme in a patient undergoing hemodialysis treatment. J. Sports Med. Phys. Fitness, roč. 17, 1977, č. 2, s. 181-186.

49. Johansen, K. L, Painter, P.: Exercise in individuals with CKD. Am. J. Kidney Dis., roč. 59, 2012, č. 1, s. 126-134.

50. Johansen, K. L.: Exercise in the end-stage renal disease population. J. Am. Soc. Nephrol., roč. 18, 2007, č. 6, s. 1845-1854.

51. JOHANSEN, K. L.: Physical functioning and exercise capacity in patients on dialysis. Adv. Ren. Replace Ther., roč. 6, 1999, č. 2, s. 141-148.

52. Johansen, K. L.: Exercise and dialysis. Scholarly Review. Hemodyalisis Int. roč. 12, 2008, č. 3, s. 290-300.

53. JUROVÁ, K., MAHROVÁ, A., BUNC, V.: Poruchy pohybového systému dialyzovaných jedinců. Rehabilitácia, roč. 46, 2009a, č. 2, s. 76-86.

54. JUROVÁ, K., MAHROVÁ, A., BUNC, V. : Funkční vyšetření pohybového systému hemodialyzovaných jedinců. Rehabilitácia, roč. 46, 2009b, č. 3, s. 155-163.

55. Juskowa, J., Lewandowska, M., Bartłomiejczyk, I., Foroncewicz, B., Korabiewska, I., Niewczas, M., Sierdziński, J.: Physical rehabilitation and risk of atherosclerosis after successful kidney transplantation. Transpl. Proc., roč. 38, 2006, č. 1, s. 157-160.

56. Kjaer, M., Beyer, N., Secher, N. H.: Exercise and organ transplantation. Scand. J. Med. Sci. Sports, roč. 9, 1999, č. 1, s. 1-14.

57. KOLÁŘ, P.: Facilitation of agonist-antagonist co-activation by reflex stimulation methods. In Rehabilitation of the Spine - a Practitioners Manual 2. Craig Liebenson. Los Angeles Lippincott Williams&Wilkins, 2006.

58. Konstantinidou, E., Koukouvou, G., Kouidi, E., Deligiannis, A., Tourkantonis, A.: Exercise training in patients with end stage renal disease on hemodialysis:comparison of three rehabilitation programs. J. Rehabil. Med., roč. 34, 2002, č. 1, s. 40-45.

59. Kontos, P. C., Miller, K. L., Brooks, D., Jassal, S. V., Spanjevic, L., Devins, G. M., De Souza, M. J., Heck, C., Laprade, J., Naglie, G.: Factors influencing exercise participation by older adults requiring chronic hemodialysis: a qualitative study. Int. Urol. Nephrol., roč. 39, 2007, č. 4, s. 1303-1311.

60. Korabiewska, L., Lewandowska, M., Juskowa, J., Białoszewski, D.: Need for rehabilitation in renal replacement therapy involving alloveneic kidney transplantation. Transpl. Proc., roč. 39, 2007, č. 9, s. 2776-2777.

61. Kouidi, E., Albani, M., Natsis, K., Megalopoulos, A., Gigis, P., Guiba-Tziampiri, O., Tourkantonis, A., Deligiannis, A.: The effects of exercise training on muscle atrophy in hemodialysis patients. Nephrol. Dial. Transplant., roč. 13, 1998, č. 3, s. 685-699.

62. Kouidi, E., Grekas, D., Deligiannis, A., Tour-kantonis, A.: Outcomes of long-term exercise training in dialysis patients: comparison of two training programs. Clin. Nephrol., roč. 61, 2004, Suppl 1, s. 31-38.

63. Kouidi, E., Iacovides, A., Iordanidis, P., Vassiliou, S., Deligiannis, A., Ierodiakonou, C., Tourkantonis, A.: Exercise renal rehabilitation program: Psychosocial effects. Nephron, roč. 77, 1997, č. 2, s. 152-158.

64. Kouidi, E.: Central and peripheral adaptations to physical training in patiens with end-stage renal disease. Sports Med.., roč. 31, 2001, č. 9, s. 651-665.

65. Kouidi, E.: Exercise training in dialysis patients: Why, when and how? Artif. Organs., roč. 26, 2002, č. 12, s. 1009-1113.

66. Krause, R.: Körperliches Training während Hämodialyse. Nieren- und Hochdruckkr, roč. 18, 1989, s. 411.

67. KRAUSE, R.: Körperzusammensetzung und kardio-pulmonale Leistungsfähigkeit bei chronischen Dialysepatienten und bei Nierentransplantierten. In. FRANZ, I. W., MELLEROWICZ, H., NOACK, W.: Training und Sport zur Prävention und Rehabilitation in der technisiert Umwelt. Springer: Berlin, 1985, s. 579-583.

68. KUCHERA, M. L., KUCHERA, W. A.: Osteopathic considerations in systemic dysfunction. Columbus, OH: Greydon Press, 1994.

69. Kutner, N. G., Lin, L. S., Fielding, B., Brogan, D., Hall, W. D.: Continued survival of older hemodialysis patients: investigations of psychosocial predictors. Am. J. Kidney Dis., roč. 24, 1994, č. 1, s. 42-49.

70. Kutner, N. G.: Promoting functioning and well-being in older CKD patients: review of recent evidence. Int. Urol. Nephrol., roč. 40, 2008, č. 4, s. 1151-1158.

71. Kutner. N. G., Jasal, S. V.: Quality of life and rehabilitation of elderly dialysis patients. Seminars in Dialysis, roč. 15, 2002, č. 2, s. 107-112.

72. LACERDA, G., KRUMMEL, T., HIRSCH, E.: Neurologic presentations of renal diseases. Neurol. Clin., roč. 28, 2010, č. 1, s. 45-59.

73. Lachmanová, J.: Statistická ročenka dialyzační léčby v České republice pro rok 1999. Česká nefrologická společnost, Praha, 2000.

74. Lachmanová, J.: Statistická ročenka dialyzační léčby v České republice pro rok 2004. Česká nefrologická společnost, Praha, 2005.

75. Leehey, D. J., Moinuddin, I., Bast, J. P., Qureshi, S., Jelinek, C. S., Cooper, C., Edwards, L. C., Smith, B. M., Collins, E. G.: Aerobic exercise in obese diabetic patients with chronic kidney disease: a randomized and controlled pilot study. Cardiovasc. Diabetol., roč. 8, 2009, s. 62.

76. Lennon, D. L., Shrago, E., Madden, M., Nagle, F., Hanson, P., Zimmerman, S.: Carnitine status, plasma lipid profiles, and exercise capacity of dialysis patients: effect of a submaximal exercise program. Metabolism, roč. 35, 1986, č. 8, s. 728-735.

77. LEVEY, A. S., BETO, J. A., CORONADO, B. E. et al.: Cotrolling the epidemic of cardiovascular disease in chronic renal disease: What do we know? What do we need to learn? Where do we go from here? Am. J. Kidney Dis., roč. 32, 1998, č. 5, s. 853-906.

78. LEWIT, K.: Manipulační léčba v myoskeletální medicíně. Sdělovací technika, spol. s.r.o. ve spoluprácí s ČLS J. E. Purkyně, Praha 2003, 411 s.

79. Lisý, Z., TomáŠek, R.: Tříleté sledování změn krevního obrazu při submaximální zátěži u nemocných v pravidelném dialyzačním léčení. Sborník lékařský, roč. 78, 1976, č. 8, s. 230-240.

80. Macdonald, J. H., Kirkman, D., Jibani, M.: Kidney transplantation: a systematic review of interventional and observational studies of physical activity on intermediate outcomes. Adv. Chronic. Kidney Dis., roč. 16, 2009, č. 6, s. 482-500.

81. Mahrová, A., Bunc, V., Panáček, V., Prajsová, J.: Pohybová rehabilitace při hemodialýze – praktické zkušenosti. Aktuality v nefrologii, roč. 15, 2009, č. 1, s. 16-24.

82. Mahrová, A., Bunc, V., Fischerová, H.: Možnosti vyšetření funkčního stavu pohybového systému pacientů s chronickým selháním ledvin. Čas. Lék. Čes., roč. 145, 2006, č. 10, s. 782-787.

83. MAHROVÁ, A., JUROVÁ, K., PRAJSOVÁ, J., BUNC, V.: Význam fyzioterapie u jedinců s chronickým selháním ledvin. Rehabilitace a fyzikální lékařství, roč. 16, 2009, č. 4, s. 155-164.

84. Matoušová, M.: Zdravotní tělesná výchova I. Praha, Sport pro všechny, 1992.

85. MAUE, M.: Untersuchungen zur Leistungsfähigkeit von chronisch nierenkranken und niereninsuffizienten Patienten und ihre Beeinflussbarkeit durch Training. Medizin und Sport, 1983, 23, s. 155-157.

86. Medical Education Institut: Exercise for the Dialysis Patient. 1995. http://lifeoptions.org/catalog/pdfs/booklets/pro_prescguide.pdf.

87. Mercer, T. H., Koufaki, P., Naish, P. F.: Nutritional status, functional capacity and exercise rehabilitation in end-stage renal disease. Clin. Nephrol., roč. 61, 2004, Suppl 1, s. 54-59.

88. Miller, B. W., Cress, C. L., Johnson, M. E., Nichols, D. H., Schnitzler, M. A. Exercise during hemodialysis decreases the use of antihypertensive medications. Am. J. Kidney Dis., roč. 39, 2002, č. 4, s. 828-833.

89. Miller, T. D., Squires, R. W., Gau, G. T., Ilstrup, D. M., Frohnert, P. P., Sterioff, S.: Graded exercise testing and training after renal transplantation: a preliminary study. Mayo Clin. Proc., roč. 62, 1987, č. 9, s. 773-777.

90. Moinuddin, I., Leehey, D. J.: A comparison of aerobic exercise and resistance training in patients with and without chronic kidney disease. Adv. Chronic. Kidney Dis., roč. 15, 2008, č. 1, s. 83-96. Review.

91. Moons, P., Vanrenterghem, Y., Van Hooff, J. P., Squifflet, J. P., Margodt, D., Mullens, M., Thevissen, I., De Geest, S.: Health-related quality of life and symptom experience in tacrolimus-based regiment after renal transplantation: a multicentre study. Transpl. Int., roč. 16, 2003, č. 9, s. 653-664.

92. Mustata, S., Groeneveld, S., Davidson, W., Ford, G., Kiland, K., Manns, B.: Effects of exercise training on physical impairment, arterial stiffness and health-related quality of life in patients with chronic kidney disease: a pilot study. Int. Urol. Nephrol., roč. 43, 2011, č. 4, s. 1133-1141.

93. National Institutes for Health.: Exercise and Physical activity. 2011. http://www.nia.nih.gov/health/publication/exercise-physical-activity/introduction.

94. Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., Macera, C. A., Castaneda-Sceppa, C.: American College of Sports Medicine; American heart association: physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, roč. 116, 2007, č. 9, s. 1094-1105.

95. Oh-Park, M., Fast A, Gopal, S. Lynn, R., Frei, G., Drenth, R., Zohman, L.: Exercise for the dialyzed - Aerobic and strenght training during hemodialysis. Am. J. Phys. Med. Rehabil., roč. 81, 2002, č. 11, s. 814-821.

96. Oliveros, R. M. S., Avendaño, M., Bunout, D., Hirsch, S., De La Maza, M. P., Pedreros, C., Müller, H.: A pilot study on physical training of patients in hemodialysis. Rev. Med. Child, roč. 139, 2011, č. 8, s. 1046-1053.

97. Orcy, R. B., Dias, P. P., Seus, T. L., Barcellos, F. C., Bohlke, M.: Combined resistance and aerobic exercise is better than resistance training alone to improve functional performance of haemodialysis patients - Results of a randomized controlled trial. Physiother. Res., roč. 17, 2012, č. 4, s. 235-243.

98. Ouzouni, S., Kouidi, E., Sioulis, A., Grekas, D., Deligiannis, A.: Effects of intradialytic. Rehabil., roč. 23, 2009, č. 1, s. 53-63.

99. Painter P., Zimmermann S. W.: The role of exercise in the long therm rehabilitation of patients with end stage renal disease. AANNT J., roč. 10, 1983, č. 6, s. 41-46.

100. Painter, P. L., Hector, L., Ray, K., Lynes, L., Dibble, S., Paul, S. M., Tomlanovich, S. L., Ascher, N. L.: A randomized trial of exercise training following renal transplantation. Transplantation, roč. 74, 2002, č. 1, s. 42-48.

101. Painter, P. L., Luetkemeier, M. J., Moore, G. E., Dibble, S. L., Green, G. A., Myll, J. O., Carlson, L. L.: Health-related fitness and quality of life in organ transplant recipients. Clin. Transpl., roč. 64, 1997, č. 12, s. 1795-1800.

102. Painter, P. L., Nelson-Worel, J. N., Hill, M. M., Thornbery, D. R., Shelp, W. R., Harrington, A. R., Weinstein, A. B.: Effects of exercise training during hemodialysis. Nephron, roč. 43, 1986, č. 2, s. 87-92.

103. Painter, P., Carlson, L., Carey, S., Paul, S. M., Myll, J.: Physical functioning and health-related quality of life changes with exercise training in hemodialysis patients. Am. J. Kidney Dis., roč. 35, 2000, č. 3: s. 482-492.

104. Painter, P., Hanson, P., Messer-Rehak, D., Zimmerman, S. W., Glass, N. R.: Exercise tolerance changes following renal transplantation. Am. J. Kidney Dis., roč. 10, 1987, č. 6, s. 452-456.

105. Painter, P., Krasnoff, J. B.: End-Stage Renal Disease: Chronic kidney disease and liver failure. In. Durstine KL et al. (eds.): ACSM´s Exercise Management for Persons with Chronic Diseases and Disabilities. Champaign IL, Human Kinetics, 2009.

106. Painter, P., Taylor, J., Wolcott, S., Krasnoff, J., Adey, D., Tomlanovich, S., Stock, P., Topp, K.: Exercise capacity and muscle structure in kidney recipient and twin donor. Clin. Transplant., roč. 17, 2003, č. 3, s. 225-230.

107. Painter, P.: Implementing exercise: what do we know? Where do we go? Adv. Chronic Kidney Dis., roč. 16, 2009, č. 6, s. 536-544. Review.

108. Painter, P.: Physical functioning in end-stage renal disease patients: update 2005. Hemodial., roč. 9, 2005, č. 3, s. 218-235.

109. Parsons, T. L., King-Van vlack, C. E.: Exercise and end-stage kidney disease: functional exercise capacity and cardiovascular outcomes. Adv. Chronic. Kidney Dis., roč. 16, 2009, č. 6, s. 459-481.

110. Parsons, T. L., Toffelmire, E. B., King-VanVlack, C. E.: The effect of an exercise program during hemodialysis on dialysis efficacy, blood pressure and quality of life in end-stage renal disease (ESRD) patients. Clin. Nephrol., roč. 61, 2004, č. 4, s. 261-274.

111. Pechter, U., Ots, M., Mesikepp, S., Zilmer, K., Kullissaar, T., Vihalemm, T., Zilmer, M., Maaroos, J.: Beneficial effects of water-based exercise in patients with chronic kidney disease. Int. J. Rehabil. Res., roč. 26, 2003, č. 2, s. 153-156.

112. Perryman, B., Harwood, L.: The role of physiotherapy in a hemodialysis unit. Nephro. Nurs J., roč. 31, 2004, č. 2, s. 215-216.

113. PIANTA, T. F.: The role of physical therapy in improving physical functioning of renal patients. Adv. Ren. Replace Ther., roč. 6, 1999, č. 2, s. 149-158.

114. Placheta, Z., Dohnalová I.: Zátěžová funkční diagnostika a preskripce pohybové léčby ve vnitřním lékařství. Brno, Vydavatelství Masarykovy univerzity, 1995.

115. Poortmans, J. R., Niset, G., Godefroid, C., Lamotte, M.: Responses to exercise and limiting factors in hemodialysis and renal transplant patiens. In Rieu, M. (ed). Physical Work kapacity in Organ transplantation. Med. Sport Sci., Karger Basel, 1998.

116. Ragnarsdóttir, M., Malmberg, E., Strandberg, E., Indridason, O. S.: Increased physical fitness among patients following endurance training during haemodialysis. Scand. J. Urol. Nephrol., roč. 46, 2012, č. 1, s. 54-57.

117. Ramaswamy, D., Efthimiou, P., Gnanasekharan, I., Soni, A.: Management of musculoskeletal complications in endstage renal disease: an update. Clin. Rheumatol., roč. 25, 2006, č. 4, s. 440-442.

118. Reboredo, M. d. e M., Pinheiro, B. d. o. V., Neder, J. A., Ávila, M. P., Araujo, E., Ribeiro, M. L., de Mendonça, A. F., de Mello, M. V., Bainha, A. C., Dondici Filho, J., de Paula, R. B.: Effects of aerobic training during hemodialysis on heart rate variability and left ventricular function in end-stage renal disease patients. J. Bras. Nefrol., roč. 32, 2010, č. 4, s. 367-373.

119. Reboredo, M. M., Neder, J. A., Pinheiro, B. V., Henrique, D. M., Faria, R. S., Paula, R. B.: Constant work-rate test to assess the effects of intradialytic aerobic training in mildly impaired patients with end-stage renal disease: a randomized controlled trial. Arch. Phys. Med. Rehabil., roč. 92, 2011, č. 12, s. 2018-2024.

120. Rečková, R.: Fyzická výkonnost pacientů v pravidelném dialyzačním léčení. Čas. Lék. Čes., roč. 128, 1989, č. 10, s. 315-317.

121. Rocha, E. R., Magalhães, S. M., de Lima, V. P.: Repercussion of physiotherapy intradialytic protocol for respiratory muscle function, grip strength and quality of life of patients with chronic renal diseases. J. Bras. Nefrol., roč. 32, 2010, č. 4, s. 355 - 366.

122. Röseler, E., Aurisch, R., Precht, K., Strangfeld, D., Priem, F., Siewert, H., Lindenau, K., RÖSELER, E.: Haemodynamic and metabolic responses to physical training in chronic renal failure. Proc. Eur. Dial. Transpl. Assoc., 1980, č. 17, s. 702-706.

123. Rychlik, I., Lopot, F.: Statistická ročenka dialyzační léčby v České republice v roce 2013. Česká nefrologická společnost, 2013.

124. Samara, A. P., Kouidi, E., Ouzouni, S., Vasileiou, S., Sioulis, A., Deligiannis, A.: Relationship between exercise test recovery indices and psychological and quality-of-life status in hemodialysis patients: a pilot study. J. Nephrol., roč. 26, 2013, č. 3, s. 495-501.

125. Segura-Ortí, E., Kouidi, E., Lisón, J. F.: Effect of resistance exercise during hemodialysis on physical function and quality of life: randomized controlled trial. Clin. Nephrol., roč. 71, 2009, č. 5, s. 527-537.

126. Segura-Ortí, E., Rodilla-Alama, V., Lisón, J. F.: Physiotherapy during hemodialysis: results of a progressive resistance-training program. Nefrologia, roč. 28, 2008, č. 1, s. 67-72.

127. Shalom, R., Blumenthal, J. A., Williams, R. S., McMurray, R. G., Dennis, V. W.: Feasibility and benefits of exercise training in patients on maintenance dialysis. Kidney Int., roč. 25, 1984, č. 6, s. 958-963.

128. Shalom, R., Blumenthal, J. A., Williams, R. S., McMurray, R. G., Dennis, V. W.: Feasibility and benefits of exercise training in patients on maintenance dialysis. Kidney Int., roč. 25, 1984, č. 6, s. 958-963.

129. SMITH, M. D., RUSSEL, A., HODGES, P. W.: Disorders of breathing and continence have astronger association with back pain than obesity and physical activity. Australian Journal of Physiotherapy, roč. 52, 2006, č. 1, s. 11-16.

130. SOTORNÍK, I. a kol.: Kostní choroba při nezvratném selhání ledvin. Praha, Scientia Medica, 1994.

131. Stanfill, A., Bloodworth, R., Cashion, A.: Lessons learned: experiences of gaining weight by kidney transplant recipients. Prog. Transplant., roč. 22, 2012, č. 1, s. 71-78.

132. SulkovÁ, S. a kol.: Hemodialýza. Praha, Maxdorf, 2000.

133. SVOBODA, L., MAHROVÁ, A.: Pohyb jako součást léčby dialyzovaných a transplantovaných pacientů. 1. vyd., Praha, Triton, 2009. s. 271.

134. Svoboda, L.: Rehabilitace pacientů po transplantaci a při dialýze. ZdN 1998; č. 34, s. 8-9.

135. SVOBODA, L.: Cvičební soubor pro dialyzované a transplantované pacienty. 1. vyd., Praha, Triton, 2000, 40 s.

136. Tawney, K. W., Tawney, P. J., Hladik, G., Hogan, S. L., Falk, R. J., Weaver, C., Moore, D. T., Lee, M. Y.: The life readiness program: A physical rehabilitation program for patients on hemodialysis. Am. J. Kidney Dis., roč. 36, 2000, č.3, s. 581-591.

137. Teplan, V., Jírů, F., Hájek, M., Mahrová, A., Švagrová, K., Racek, J., Štollová, M., Látová, I., Adamcová, J.: Pravidelné cvičení ovlivňuje tuk ve svalu měřený MR spektroskopií a kardiovaskulární riziko po transplantaci ledviny. Aktuality v Nefrologii, roč. 18, 2012, č. 2, s. 61-71.

138. Tomásek, R., Lisý, Z., Válek, A., Pick, P., Straková, M.: Oběhové a metabolické změny při submaximální zátěži u pacientů s chronickým selháním ledvin léčených v rámci pravidelného dialyzačního programu. Sborník lékařský, roč. 77, 1975, č. 9, s. 278-288.

139. Toyama, K., Sugiyama, S., Oka, H., Sumida, H., Ogawa, H.: Exercise therapy correlates with improving renal function through modifying lipid metabolism in patients with cardiovascular disease and chronic kidney disease. J. Cardiol., roč. 56, 2010, č. 2, s. 142-146.

140. van Vilsteren M. C., de Greef, M. H., Huisman, R. M.: The effects of a low to moderate intensity preconditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in The Netherlands: results of a randomized clinical trial. Nephrol. Dial. Transplant., roč. 20, 2005, č. 1, s. 141-146.

141. VÉLE, F.: Kineziologie. Praha, Triton, 2006.

142. Viklický, O., Janoušek, L., Baláž, P. et al: Transplantace ledviny v klinické praxi. Praha, Grada Publishing, 2008.

143. Williams, A., Stephens, R., McKnight, T., Dodd, S.: Factors affecting adherence of end-stage renal disease patients to an exercise programme. Br. J. Sports Med., roč. 25, 1991, č. 2, s. 90-93.

144. XI, M., LIU, M. Z., LI, Q. Q., CAI, L., ZHANG, L., HU, Y. H., AI, Z.: Analysis of abdominal organ motion using four-dimensional CT. Chinese Journal of Cancer, roč. 28, 2009, č. 9, s. 989-993.

145. Yurdalan, S. U.: Physiotherapy in patients on hemodialysis. In: Suzuki, Hiromichi. Hemodialysis. 1. vyd., Rijeka, In TechOpen, 2013, kapitola č. 38, s. 845-868.

146. Yurtkuran, M., Alp, A., Yurtkuran, M., Dilek, K.: A modified yoga-based exercise program in hemodialysis patients: A randomized controlled study. Complement Ther. Med., roč. 15, 2007, č. 3, s. 164-171.

147. Zabetakis, P. M., Gleim, G. W., Pasternack, F. L., Saraniti, A., Nicholas, J. A., Michelis, M. F.: Long-duration submaximal exercise conditioning in hemodialysis patients. Clin. Nephrol., roč. 18, 1982, č. 1, s. 17-22.

Physiotherapist, university degree Rehabilitation Sports medicine
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account