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A modified yoga-based exercise program in hemodialysis patients: a randomized controlled study.

M Yurtkuran1, A Alp, M Yurtkuran

  • 1Uludag University Medical Faculty, Physical Therapy and Rehabilitation Department, Atatürk Balneotherapy and Rehabilitation Center, PK 16080 Kükürtlü, Bursa, Turkey.

Complementary Therapies in Medicine
|August 22, 2007
PubMed
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A yoga-based exercise program significantly improved pain, fatigue, and sleep in hemodialysis patients. This safe rehabilitation approach offers a complementary treatment for end-stage renal disease.

Area of Science:

  • Nephrology
  • Exercise Physiology
  • Complementary Medicine

Background:

  • End-stage renal disease (ESRD) patients undergoing hemodialysis often experience significant pain, fatigue, and sleep disturbances.
  • These symptoms negatively impact patient quality of life and adherence to treatment.
  • Objective assessment of biochemical markers is crucial for monitoring ESRD patient health.

Purpose of the Study:

  • To investigate the efficacy of a modified yoga-based exercise program.
  • To assess the program's impact on pain, fatigue, and sleep disturbance in hemodialysis patients.
  • To evaluate changes in key biochemical markers following the intervention.

Main Methods:

  • A randomized controlled trial involving 37 hemodialysis patients.

Related Experiment Videos

  • Participants were assigned to either a modified yoga-based exercise group (n=19) or a control group (n=18).
  • The yoga group engaged in 30-minute sessions twice weekly for 12 weeks, alongside home-based range of motion exercises.

    • Main Results:

    • Significant improvements were observed in the yoga group for pain (-37%), fatigue (-55%), and sleep disturbance (-25%).
    • Positive changes included increased grip strength (+15%) and favorable shifts in urea (-29%), creatinine (-14%), alkaline phosphatase (-15%), cholesterol (-15%), erythrocyte count (+11%), and hematocrit (+13%).
    • The yoga program demonstrated superior outcomes compared to the control group for most measured variables, with no reported side-effects.

    Conclusions:

    • A simplified yoga-based rehabilitation program is a safe and effective complementary therapy for hemodialysis patients.
    • This intervention can significantly alleviate key symptoms associated with end-stage renal disease.
    • Yoga offers a viable non-pharmacological approach to improve the clinical status of ESRD patients.