Breathing-coordinated exercise improves the quality of life in hemodialysis patients.

Journal of the American Society of Nephrology : JASN
T J TsaiH S Chiang

Abstract

Breathing-coordinated exercise is a traditional Chinese exercise. These exercise maneuvers consist of slow diaphragmatic breathing, end-inspiratory pause, and Kegel's exercise. A total of 30 patients were enrolled in this study, with 12 patients as controls, to evaluate its effect on hemodialysis patients. Exercise was performed for 25 to 30 min twice a day for at least 3 months. Results from the exercise group showed a subjective improvement in appetite and physical strength, and an increase in the frequency of bowel movements, in addition to enhanced sexual activity and a significant increase in Karnofsky scores. Six patients in the exercise group underwent bicycle ergometry and demonstrated a stable maximal oxygen consumption, whereas the control group revealed a decline in maximal oxygen consumption. Photoelectric plethysmography and laser-Doppler flowmetry demonstrated a pulsatile enhancement of the peripheral microcirculation. Abdominal sonography revealed an oscillatory change in the diameter of the inferior vena cava. It was concluded that these gentle exercise maneuvers may improve the quality of life in hemodialysis patients, especially weak dialysis patients. The mechanism may be partly related to an improvement in m...Continue Reading

Citations

Oct 24, 2002·American Journal of Physical Medicine & Rehabilitation·Mooyeon Oh-ParkLenore Zohman
May 25, 2004·The American Journal of Chinese Medicine·Ching LanMay-Kuen Wong
Mar 18, 2005·Seminars in Dialysis·Mark L UnruhPaul L Kimmel
Oct 18, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Tanya Schmitz-HübschUllrich Wüllner

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