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J. Funct. Morphol. Kinesiol. 2018, 3(1), 5; https://doi.org/10.3390/jfmk3010005

Physical Therapy Considerations for Chronic Kidney Disease and Secondary Sarcopenia

1
Muscle Morphology, Mechanics and Performance Laboratory, Human Performance Research Unit, Clinical Research Center, Veterans Affairs Medical Center, Washington, DC 20422, USA
2
Physical Medicine & Rehabilitation Service, Veterans Affairs Medical Center, Washington, DC 20422, USA
3
Department of Exercise and Nutritional Sciences, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA
4
Geriatrics and Extended Care Service/Research Service, Veterans Affairs Medical Center, Washington, DC 20422, USA
*
Author to whom correspondence should be addressed.
Received: 1 December 2017 / Revised: 31 December 2017 / Accepted: 2 January 2018 / Published: 5 January 2018
(This article belongs to the Special Issue Tailored Exercise in Patients with Chronic Diseases 2017)
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Abstract

Chronic kidney disease (CKD) is a progressive condition that may negatively affect musculoskeletal health. These comorbidities may include malnutrition, osteoporosis, and decreased lean body mass. Secondary sarcopenia due to CKD may be associated with mobility limitations and elevated fall risk. Physical therapists are well-positioned among the health care team to screen for secondary sarcopenia in those with CKD and for the treatment of musculoskeletal comorbid conditions that may affect functional performance. Given the consequences of both low muscle mass and low bone mineral density, appropriate and timely physical therapy is important for fall risk assessment and intervention to minimize the susceptibility to bone fracture. While strength training has been studied less frequently than aerobic training for the management of secondary CKD conditions, evidence suggests that this patient population benefits from participation in strength training programs. However, the provision of a formal exercise prescription by a health care professional, along with formal implementation of an exercise program, may need to be more fully integrated into the standard plan of care for individuals with CKD. View Full-Text
Keywords: chronic kidney disease; sarcopenia; physical therapy; geriatrics; muscle chronic kidney disease; sarcopenia; physical therapy; geriatrics; muscle
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Hernandez, H.J.; Obamwonyi, G.; Harris-Love, M.O. Physical Therapy Considerations for Chronic Kidney Disease and Secondary Sarcopenia. J. Funct. Morphol. Kinesiol. 2018, 3, 5.

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