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Specific balance training included in an endurance-resistance exercise program improves postural balance in elderly patients undergoing haemodialysis
Authors:Bechir Frih  Wajdi Mkacher  Hamdi Jaafar  Ameur Frih  Zohra ben Salah  Mezry El May
Affiliation:1. Department of Biochemistry: Human Nutrition and Metabolic Disorders: “Functional Foods and Vascular Health” LR12ES05, Faculty of Medicine of Monastir, Monastir, Tunisia;2. frih.bechir@gmail.com;4. Department of Research: Exercise Physiology and Pathophysiology: “Biology, Medicine and Health” UR12ES06, Faculty of Medicine of Sousse, Sousse, Tunisia;5. Institut de recherche de l’H?pital Montfort, Ottawa, Canada;6. Biochemistry, Microbiology and Immunology Department, Faculty of Medicine, University of Ottawa, Ottawa, Canada;7. Nephrology and Internal Medicine Service, CHU Monastir, Monastir, Tunisia;8. Department of Physical Medicine and Rehabilitation, CHU Monastir, Monastir, Tunisia
Abstract:Purpose: The purpose of this study was to evaluate the effects of 6 months of specific balance training included in endurance-resistance program on postural balance in haemodialysis (HD) patients.

Methods: Forty-nine male patients undergoing HD were randomly assigned to an intervention group (balance training included in an endurance-resistance training, n?=?26) or a control group (resistance-endurance training only, n?=?23). Postural control was assessed using six clinical tests; Timed Up and Go test, Tinetti Mobility Test, Berg Balance Scale, Unipodal Stance test, Mini-Balance Evaluation Systems Test and Activities Balance Confidence scale.

Results: All balance measures increased significantly after the period of rehabilitation training in the intervention group. Only the Timed Up and Go, Berg Balance Scale, Mini-Balance Evaluation Systems Test and Activities Balance Confidence scores were improved in the control group. The ranges of change in these tests were greater in the balance training group.

Conclusions: In HD patients, specific balance training included in a usual endurance-resistance training program improves static and dynamic balance better than endurance-resistance training only.
  • Implications for rehabilitation
  • Rehabilitation using exercise in haemodialysis patients improved global mobility and functional abilities.

  • Specific balance training included in usual endurance resistance training program could lead to improved static and dynamic balance.

Keywords:Haemodialysis  balance training  postural control  older adult
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