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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Real-Time Remotely Supervised Home-Based Rehabilitation Exercise Program for Kidney Transplant Recipients: A Pilot
Anna Yuguero-Ortiz1, Maria Argudo Banegas2, Raquel Sebio García1
1Institut Clínic d'Especialitats Mèdiques i Quirúrgiques (ICEMEQ), Hospital Clínic de Barcelona, Barcelona, Spain.
A remotely supervised exercise program for kidney transplant recipients showed potential for improving muscle strength and function. Adherence strategies are crucial for maximizing benefits and reducing environmental impact.
Area of Science:
- Nephrology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Kidney transplant recipients face reduced mobility and increased infection risk post-surgery due to immunosuppression.
- Remotely supervised exercise offers a solution to mitigate muscle impairment, decrease patient travel, and lower carbon footprint.
Purpose of the Study:
- To evaluate the outcomes of a remotely supervised, home-based exercise program for kidney transplant recipients.
- To assess improvements in physical condition, physical activity levels, and environmental sustainability.
Main Methods:
- A 6-month remotely supervised home-based exercise program involving aerobic and strength training was conducted weekly for the intervention group (IG).
- The control group (CG) received usual care. Physical condition was assessed using tests like Handgrip Strength (HGS) and Short Physical Performance Battery (SPPB).
- Physical activity, adherence, and carbon footprint were quantified.
Main Results:
- While both groups improved, the IG showed significant gains in HGS (+3.3 kg) and SPPB (+1 point).
- Adherence rates were 40% and declined after two months. The IG tended to increase weekly physical activity.
- The program demonstrated positive impacts on environmental sustainability.
Conclusions:
- Remote exercise interventions show promise in enhancing muscle strength and functionality in kidney transplant recipients.
- Strategies to improve adherence are vital for the success of such remote rehabilitation programs.
- The intervention contributed to reduced carbon dioxide emissions, highlighting its environmental benefits.
Related Concept Videos
Kidney Transplant I: Introduction
Kidney Transplant III: Nursing Management
Kidney Transplant II: Surgical Procedure
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Continuous Renal Replacement Therapy
Acute Kidney Injury IV: Diagnostic Studies and Prevention

