IJPR.2022.130

Type of Article:  Original Research

Volume 10; Issue 4 (August 2022)

Page No.: 4304-4308

DOI: https://dx.doi.org/10.16965/ijpr.2022.130

Effectiveness of Tailored Telerehabilitation on Functional Capacity and Balance In Pediatric Kidney Transplant Recipients: A Pilot Controlled Clinical Trial

Eva Katba *1, Harda Shah 2, Anshuman Saha 3, Kinnari Vala 4, Bharat Tiwari 5.

*1 Second year MPT student (Tarnsplantation Rehabilitation), IKDRC-ITS College of Physiotherapy, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

2 Senior Lecturer PT., Ph D, IKDRC-ITS College of Physiotherapy, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

3 Associate Professor in Paediatrics Nephrology, IKDRC-ITS Hospital, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

4 Associate Professor in Paediatrics Nephrology, IKDRC-ITS Hospital, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

5 I/C Principal and Senior Lecturer, IKDRC-ITS Hospital, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

Corresponding Author: Dr. Eva Katba, Second year MPT student (Tarnsplantation Rehabilitation), IKDRC-ITS College of Physiotherapy, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India. E-Mail: eva.katba@gmail.com

ORCiD:

Eva Katba: 0000-0001-7216-8951

Harda Shah: 0000-0003-0994-2590

Anshuman Saha: 0000-0002-7717-8056

Kinnari Vala: 0000-0003-3426-5675

Bharat Tiwari: 0000-0001-7405-9548

ABSTRACT:

Background: Pediatric recipients after a successful kidney transplant (KT) are encouraged to return to normal life as they are in a growing phase and have physical inactivity during the dialysis period. However, chronic use of immunosuppression and physical inactivity negatively affects functional capacity and balance even after the surgery. Exercise training appears to be safe and promising in this population. Therefore, the primary aim of this study was to explore the effects of tailored telerehabilitation on functional capacity and balance in pediatric patients with KT.

Methodology: A total of 8 children with stable graft function with a minimum 1 year of transplantation, from one of the tertiary hospitals of western India, were randomly allocated into two groups via enveloped method: standard care (SC) and telerehabilitation group (TRG). The SC group received standard care with no change in their regular activities. TRG received tailored telerehabilitation as a playful activity for 45 minutes twice a week for six weeks. Outcome measures include 10 repetition maximum, a pediatric balance scale, and a six-minute walking test (6MWT) to assess muscle strength (quadriceps group), balance, and functional capacity respectively.

Result: There were statistically significant improvements in the post-test 6MWT and muscle strength in TRG except for balance. The post-test comparison between the two groups revealed a significant difference in favor of TRG in all measured variables.

Conclusion: Tailored Tele-rehabilitation contributed to the improvement of functional capacity and muscle strength in pediatric patients with kidney transplantation.

Key words: kidney transplantation, physical activity, functional capacity, balance.

REFERENCES

[1]. McAdams-Demarco MA, Law A, Salter ML, Chow E, Grams M, Walston J, et al. Frailty and early hospital readmission after kidney transplantation. Am J Transplant. 2013;13(8):2091–5.
[2]. Nastasi AJ, Bryant TS, Le JT, Schrack J, Ying H, Haugen CE, et al. Pre-kidney transplant lower extremity impairment and transplant length of stay: a time-to-discharge analysis of a prospective cohort study. BMC Geriatr. 2018;18(1):246
[3]. Reese PP, Bloom RD, Shults J, Thomasson A, Mussell A, Rosas SE, et al. Functional status and survival after kidney transplantation. Transplantation. 2014;97(2):189–95.
[4]. Yang D, Robinson L, Selinski C, Bajakian T, Mejia C, Harhay MN. Physical Function in Kidney Transplantation: Current Knowledge and Future Directions. Curr Transplant Rep. 2020 Jun;7(2):46-55. doi: 10.1007/s40472-020-00271-5. Epub 2020 May 2. PMID: 33457184; PMCID: PMC7810339.)
[5]. Watson EL, Greening NJ, Viana JL, Aulakh J, Bodicoat DH, Barratt J, Feehally J, Smith AC. Progressive Resistance Exercise Training in CKD: A Feasibility Study. Am J Kidney Dis. 2015 Aug;66(2):249-57. doi: 10.1053/j.ajkd.2014.10.019. Epub 2014 Dec 18. PMID: 25533601.
[6]. Haugen CE, Agoons D, Chu NM, Liyanage L, Long J, Desai NM, et al. Physical impairment and access to kidney transplantation. Transplantation. 2019
[7]. Chen CL, Shen IH, Chen CY, Wu CY, Liu WY, Chung CY. Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Res Dev Disabil. 2013 Mar;34(3):916-22. doi: 10.1016/j.ridd.2012.11.006. Epub 2013 Jan 3. PMID: 23291508
[8]. Li YN, Shapiro B, Kim JC, Zhang M, Porszasz J, Bross R, et al. Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients. Chronic Dis Transl Med. 2016;2(2):110–9

Cite this article: Eva Katba, Harda Shah, Anshuman Saha, Kinnari Vala, Bharat Tiwari.  Effectiveness of Tailored Telerehabilitation on Functional Capacity and Balance In Pediatric Kidney Transplant Recipients: A Pilot Controlled Clinical Trial. Int J Physiother Res 2022;10(4):4304-4308. DOI: 10.16965/ijpr.2022.130