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dc.creatorGrigoriou S.S., Karatzaferi C., Giannaki C.D., Patramani G., Vogiatzi C., Mitrou G.I., Stefanidis I., Sakkas G.K.en
dc.date.accessioned2023-01-31T08:27:18Z
dc.date.available2023-01-31T08:27:18Z
dc.date.issued2022
dc.identifier10.1007/s11255-022-03266-6
dc.identifier.issn03011623
dc.identifier.urihttp://hdl.handle.net/11615/73708
dc.description.abstractIntroduction and aims: Neurological complications such as peripheral neuropathy are very common in the end-stage renal disease (ESRD) patients, occurring in 60–80% of this specific population. The aim of the present study was to examine whether a 9-month hybrid intradialytic exercise training program could alter motor and sensory nerve conduction study (NCS) parameters in hemodialysis population. Methods: Seventeen stable patients undergoing HD with no clinical evidence of uremic polyneuropathy were included in the study (15 M/2F, 59 ± 13.7 years). All patients completed a 9-month supervised exercise training program composed of both aerobic cycling and resistance training (hybrid) during HD. Functional capacity was assessed by a battery of tests, while pain levels and fatigue profile were assessed via validated questionnaires. Motor and sensory NCS on bilateral median, ulnar, peroneal and tibial nerves as well as F-wave were assessed using a full neurographic electromyography (EMG) assessment. Results: After the 9-month exercise training intervention, exercise capacity was increased by 65% and functional capacity by an average of 40%. The neurological assessment showed that conduction velocity from tibial and peroneal nerves was improved by 3.7% and 4.2%, respectively, while tibial F-wave latency and peroneal and sural nerve distal latency were significantly improved by 4.2%, 4.9% and 10%, respectively. Fatigue and pain were improved after the exercise intervention while fatigue score was positively correlated with conduction velocity and amplitude values. Conclusions: The results of the current study demonstrate that 9-month hybrid exercise training induces beneficial effects on both sensory and motor NCS parameters, improving conduction velocity and F-wave latency. Improvements in neural activity were accompanied by changes in fatigue score and pain-related aspects. The parallel improvement in motor nerve conduction velocity and its correlations with functional tests supports the hypothesis that exercise could be beneficial for preventing a decline in neural function in HD patients. © 2022, The Author(s), under exclusive licence to Springer Nature B.V.en
dc.language.isoenen
dc.sourceInternational Urology and Nephrologyen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85133470550&doi=10.1007%2fs11255-022-03266-6&partnerID=40&md5=ad032dee7e4eb23788878b5163143ea8
dc.subjectadverse eventen
dc.subjectexerciseen
dc.subjectfatigueen
dc.subjecthemodialysisen
dc.subjecthumanen
dc.subjectnerve conductionen
dc.subjectpainen
dc.subjectphysiologyen
dc.subjectExerciseen
dc.subjectFatigueen
dc.subjectHumansen
dc.subjectNeural Conductionen
dc.subjectPainen
dc.subjectRenal Dialysisen
dc.subjectSpringer Science and Business Media B.V.en
dc.titleThe effect of a 9-month hybrid intradialytic exercise training program on nerve conduction velocity parameters in patients receiving hemodialysis therapyen
dc.typejournalArticleen


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