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The effect of intradialytic range of motion exercise on dialysis adequacy and fatigue in hemodialysis patients


Malini, H and Forwaty, E and Cleary, M and Visentin, D and Oktarina, E and Lenggogeni, DP, The effect of intradialytic range of motion exercise on dialysis adequacy and fatigue in hemodialysis patients, Journal of Nursing Research, 30, (4) pp. 1-8. ISSN 1682-3141 (2022) [Refereed Article]

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Copyright Statement

Copyright 2022 The Authors. Published by Wolters Kluwer Health, Inc. This is an open access article distributed under theCreative Commons Attribution-NonCommercial 4.0 International (CC BY 4.0) License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

DOI: doi:10.1097/jnr.0000000000000506


Background: Many hemodialysis patients experience fatigue as a result of not achieving dialysis adequacy.

Purpose: This study was designed to determine the effect of intradialytic range-of-motion exercises on dialysis adequacy and fatigue in patients undergoing hemodialysis.

Methods: In this two-arm experimental study with repeated measures, participants were allocated to treatment (n= 25, 23 completed) and control (n= 25, 24 completed) groups using computerized simple random sampling. Participants in the treatment group performed 30-minute weekly intradialytic exercise sessions in addition to receiving standard care, whereas those in the control group received standard care only.

Results: Fatigue and dialysis characteristics were reported at baseline, at the midpoint (end of Week 4), and at the end of Week 8. Whereas mean Kt/V (dialysis adequacy) and urea reduction ratio increased and the fatigue level decreased in the treatment group, these variables did not change in the control group. Significant mean differences in Kt/V, urea reduction ratio, and fatigue between the groups were observed at the end of Week 8.

Conclusions: Intradialytic range-of-motion exercises are recommended for patients undergoing hemodialysis to increase dialysis adequacy and reduce fatigue.

Item Details

Item Type:Refereed Article
Keywords:intradialytic exercise, dialysis adequacy, fatigue, active movement, hemodialysis
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Nephrology and urology
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Allied health therapies (excl. mental health services)
UTAS Author:Visentin, D (Dr Denis Visentin)
ID Code:150784
Year Published:2022
Deposited By:Health Sciences
Deposited On:2022-06-30
Last Modified:2022-12-10
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