Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session
Background: Exercise improves the physical function of people suffering from chronic kidney disease on hemodialysis (HD). Virtual reality is a new type of intradialysis exercise that has a positive impact on physical function. Intradialysis exercise is recommended during the first 2 h, but its safet...
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| Format: | Article |
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MDPI AG
2022-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/1/79 |
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| author | Alicia García-Testal Francisco José Martínez-Olmos Jose Antonio Gil-Gómez Víctor López-Tercero Laura Lahoz-Cano David Hervás-Marín Alicia Cana-Poyatos Rafael García-Maset Pilar Royo-Maicas Eva Segura-Ortí |
| author_facet | Alicia García-Testal Francisco José Martínez-Olmos Jose Antonio Gil-Gómez Víctor López-Tercero Laura Lahoz-Cano David Hervás-Marín Alicia Cana-Poyatos Rafael García-Maset Pilar Royo-Maicas Eva Segura-Ortí |
| author_sort | Alicia García-Testal |
| collection | DOAJ |
| description | Background: Exercise improves the physical function of people suffering from chronic kidney disease on hemodialysis (HD). Virtual reality is a new type of intradialysis exercise that has a positive impact on physical function. Intradialysis exercise is recommended during the first 2 h, but its safety in the last part of the dialysis session is unknown. Methods: This was a pilot sub-study of a clinical trial. Several hemodynamic control variables were recorded, including blood pressure, heart rate, and intradialytic hypotensive events. These variables were recorded during three different HD sessions, one HD session at rest, another HD session with exercise during the first two hours, and one HD session with exercise during the last 30 min of dialysis. The intradialysis virtual reality exercise was performed for a maximum of 30 min. Results: During exercise sessions, there was a significant increase in heart rate (6.65 (4.92, 8.39) bpm; <i>p</i> < 0.001) and systolic blood pressure (6.25 (0.04,12.47) mmHg; <i>p</i> < 0.05). There was no difference in hemodynamic control between the sessions with exercise during the first two hours and the sessions with exercise during the last 30 min. There was no association between intra-dialytic hypotensive events at rest (five events) or exercise at any point (two vs. one event(s), respectively). Conclusion: performing exercise with virtual reality at the end of a hemodialysis session is not associated with hemodynamic instability. |
| first_indexed | 2024-03-11T10:01:30Z |
| format | Article |
| id | doaj.art-f8316a90d3864212808e0f2ae851e8d2 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T10:01:30Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-f8316a90d3864212808e0f2ae851e8d22023-11-16T15:25:15ZengMDPI AGHealthcare2227-90322022-12-011117910.3390/healthcare11010079Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis SessionAlicia García-Testal0Francisco José Martínez-Olmos1Jose Antonio Gil-Gómez2Víctor López-Tercero3Laura Lahoz-Cano4David Hervás-Marín5Alicia Cana-Poyatos6Rafael García-Maset7Pilar Royo-Maicas8Eva Segura-Ortí9Nephrology Service, Hospital de Manises, 46940 Valencia, SpainDepartment of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainUniversity Institute of Automation and Industrial Technology, Universitat Politècnica de València, 46022 Valencia, SpainHemodialysis Unit Nursing, Nephrology Service, Hospital de Manises, 46940 Valencia, SpainHemodialysis Unit Nursing, Nephrology Service, Hospital de Manises, 46940 Valencia, SpainBiostatistics Unit, Instituto de Investigación Sanitaria La Fe, 46026 Valencia, SpainResearch Unit, Nephrology Service, Hospital de Manises, 46001 Valencia, SpainNephrology Service, Hospital de Manises, 46940 Valencia, SpainNephrology Service, Hospital de Manises, 46940 Valencia, SpainDepartment of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainBackground: Exercise improves the physical function of people suffering from chronic kidney disease on hemodialysis (HD). Virtual reality is a new type of intradialysis exercise that has a positive impact on physical function. Intradialysis exercise is recommended during the first 2 h, but its safety in the last part of the dialysis session is unknown. Methods: This was a pilot sub-study of a clinical trial. Several hemodynamic control variables were recorded, including blood pressure, heart rate, and intradialytic hypotensive events. These variables were recorded during three different HD sessions, one HD session at rest, another HD session with exercise during the first two hours, and one HD session with exercise during the last 30 min of dialysis. The intradialysis virtual reality exercise was performed for a maximum of 30 min. Results: During exercise sessions, there was a significant increase in heart rate (6.65 (4.92, 8.39) bpm; <i>p</i> < 0.001) and systolic blood pressure (6.25 (0.04,12.47) mmHg; <i>p</i> < 0.05). There was no difference in hemodynamic control between the sessions with exercise during the first two hours and the sessions with exercise during the last 30 min. There was no association between intra-dialytic hypotensive events at rest (five events) or exercise at any point (two vs. one event(s), respectively). Conclusion: performing exercise with virtual reality at the end of a hemodialysis session is not associated with hemodynamic instability.https://www.mdpi.com/2227-9032/11/1/79exercisehemodialysischronic disease |
| spellingShingle | Alicia García-Testal Francisco José Martínez-Olmos Jose Antonio Gil-Gómez Víctor López-Tercero Laura Lahoz-Cano David Hervás-Marín Alicia Cana-Poyatos Rafael García-Maset Pilar Royo-Maicas Eva Segura-Ortí Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session Healthcare exercise hemodialysis chronic disease |
| title | Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session |
| title_full | Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session |
| title_fullStr | Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session |
| title_full_unstemmed | Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session |
| title_short | Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session |
| title_sort | hemodynamic tolerance of virtual reality intradialysis exercise performed during the last 30 minutes versus the beginning of the hemodialysis session |
| topic | exercise hemodialysis chronic disease |
| url | https://www.mdpi.com/2227-9032/11/1/79 |
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