Resultados de un programa de ejercicio físico combinado con electroestimulación neuromuscular en pacientes en hemodiálisis

Abstract

Patients on hemodialysis (HD) have a decreased physical and functional capacity. There is proven evidence about the benefi ts of exercise training on functional capacity in HD. Untildate, minimal experience with electroestimulation (ETEM) in HD
patient sis reported.
Objectives:
1. Analize the effect of intradialysis training program combined with electroestimulation on muscular strenght and functional capacity in our HD patients.
2. Analize the safety, effi cacy and tolerance of ETEM in our HD patients.
Methods:
HD patients were enrolled into an exercise training program combined with ETEM in the fi rst two hours of HD session during a 12 weeks single-center prospective study. ETEM included physical training using balls, weights, elastic bands and cycle ergometer.
Leg electroestimulation were performed using the Compex® Theta 500i device in both quadriceps muscles.
Most relevant analized data:
1. Maximum length quadriceps strength (MLQS) and “hand-grip (HG) dominant arm.
2. Functional capacity tests: “Sit to stand to sit” (STS10) and “six-minutes walking test”
(6MWT).
3. Visual analogic scale (VAS) and our own satisfaction electroestimulation questionnaire (SEQ) was completed.
Results:
11 HD patients included: 55%women.Mean age 67.6 years and 62.3 months on HD.A signifi cant (*p<0.05) improvement was observed in MLQS* (13.7±8.1 vs 16.2±10.9kg), HG*(23.8±15.9 vs 25.1±15.9kg), STS10*(24.6±13.4 vs 20.1±10.1 sec) and 6MWT* (21%, 332.6 vs 402.7 m). No relevant muscular pain, cramps, tingles or pricks were related in the SEQ. The VAS satisfaction degree was 9.4 points.
Conclusions:
1. Intradialysis training program combined with quadriceps electroestimulation improved muscular strenght and functional capacity in our HD patients.
2. Intradialysis quadriceps electroestimulation was safe, effective and well tolerated in our HD patients.
3. These results represents a wide therapeutic possibility related to the benefi ts of exercise training for HD patients.