About this trial
The main objective of this investigation is to assess if an intradialysis virtual reality exercise program during the last two hours of the hemodialysis session results in greater hemodynamic stability than exercise performed during the first two hours of the hemodialysis session.
The secondary aims are to assess the impact of intradialysis virtual reality exercise during the last two hours of the hemodialysis session on dialysis efficacy, postdialysis molecules rebound, adherence to exercise, functional capacity, physical activity level, health-related quality of life, cognitive function, morbidity, frailty and dependency. We will also analyze the reliability of muscle strength assessment of lower limb muscles with a handheld dynamometer during hemodialysis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 3 months in hemodialysis treatment
Clinically stable
Disqualifiers
Recent cardiac events (less than 3 months)
Unable to exercise
Trial design
Parallel
Treatments tested in this trial
Conventional exercise
Other interventionVirtual reality exercise performed during the first two hours of the hemodialysis session
Exercise during the last two hours of the hemodialysis session
Other interventionVirtual reality exercise performed during the last two hours of the hemodialysis session
Treatment groups
Trial outcomes
Primary outcomes
Number of hypotension episodes
Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias
Number of hypotension episodes
Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias
Number of hypotension episodes
Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias
Secondary outcomes
Change from baseline postdialysis rebound urea, creatinine, phosphorus and potassium at 3 months
Postdialysis rebound urea, creatinine, phosphorus and potassium. All measurements presented as a percentage.
Change from baseline dialysis dose at 3 months, 6 months, and 12 months
Dialysis dose, measured through Kt/V
Adherence, as number of sessions performed /number of sessions offered
Sessions performed/sessions offered
Change from baseline short physical performance battery at 3 months, 6 months, and 12 months
Score achieved at the battery that includes balance tests (4 points), sit to stand to sit 5 (4 points) and and gait speed (4 points). The total score is calculated , from 1 to 12, being 12 the highest functional score
Sponsors and contacts
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Cardenal Herrera University
Lead sponsor
Hospital de Manises
Collaborator
Universitat Politècnica de Valéncia
Collaborator