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Volume 11
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Article

Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session

by
Alicia García-Testal
1,*,
Francisco José Martínez-Olmos
2,
Jose Antonio Gil-Gómez
3,
Víctor López-Tercero
4,
Laura Lahoz-Cano
4,
David Hervás-Marín
5,
Alicia Cana-Poyatos
6,
Rafael García-Maset
1,
Pilar Royo-Maicas
1 and
Eva Segura-Ortí
2
1
Nephrology Service, Hospital de Manises, 46940 Valencia, Spain
2
Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain
3
University Institute of Automation and Industrial Technology, Universitat Politècnica de València, 46022 Valencia, Spain
4
Hemodialysis Unit Nursing, Nephrology Service, Hospital de Manises, 46940 Valencia, Spain
5
Biostatistics Unit, Instituto de Investigación Sanitaria La Fe, 46026 Valencia, Spain
6
Research Unit, Nephrology Service, Hospital de Manises, 46001 Valencia, Spain
*
Author to whom correspondence should be addressed.
Healthcare 2023, 11(1), 79; https://doi.org/10.3390/healthcare11010079
Submission received: 2 December 2022 / Revised: 19 December 2022 / Accepted: 22 December 2022 / Published: 27 December 2022
Versions Notes

Abstract

Background: Exercise improves the physical function of people suffering from chronic kidney disease on hemodialysis (HD). Virtual reality is a new type of intradialysis exercise that has a positive impact on physical function. Intradialysis exercise is recommended during the first 2 h, but its safety in the last part of the dialysis session is unknown. Methods: This was a pilot sub-study of a clinical trial. Several hemodynamic control variables were recorded, including blood pressure, heart rate, and intradialytic hypotensive events. These variables were recorded during three different HD sessions, one HD session at rest, another HD session with exercise during the first two hours, and one HD session with exercise during the last 30 min of dialysis. The intradialysis virtual reality exercise was performed for a maximum of 30 min. Results: During exercise sessions, there was a significant increase in heart rate (6.65 (4.92, 8.39) bpm; p < 0.001) and systolic blood pressure (6.25 (0.04,12.47) mmHg; p < 0.05). There was no difference in hemodynamic control between the sessions with exercise during the first two hours and the sessions with exercise during the last 30 min. There was no association between intra-dialytic hypotensive events at rest (five events) or exercise at any point (two vs. one event(s), respectively). Conclusion: performing exercise with virtual reality at the end of a hemodialysis session is not associated with hemodynamic instability.
Keywords: exercise; hemodialysis; chronic disease exercise; hemodialysis; chronic disease

Share and Cite

MDPI and ACS Style

García-Testal, A.; Martínez-Olmos, F.J.; Gil-Gómez, J.A.; López-Tercero, V.; Lahoz-Cano, L.; Hervás-Marín, D.; Cana-Poyatos, A.; García-Maset, R.; Royo-Maicas, P.; Segura-Ortí, E. Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session. Healthcare 2023, 11, 79. https://doi.org/10.3390/healthcare11010079

AMA Style

García-Testal A, Martínez-Olmos FJ, Gil-Gómez JA, López-Tercero V, Lahoz-Cano L, Hervás-Marín D, Cana-Poyatos A, García-Maset R, Royo-Maicas P, Segura-Ortí E. Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session. Healthcare. 2023; 11(1):79. https://doi.org/10.3390/healthcare11010079

Chicago/Turabian Style

García-Testal, Alicia, Francisco José Martínez-Olmos, Jose Antonio Gil-Gómez, Víctor López-Tercero, Laura Lahoz-Cano, David Hervás-Marín, Alicia Cana-Poyatos, Rafael García-Maset, Pilar Royo-Maicas, and Eva Segura-Ortí. 2023. "Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session" Healthcare 11, no. 1: 79. https://doi.org/10.3390/healthcare11010079

APA Style

García-Testal, A., Martínez-Olmos, F. J., Gil-Gómez, J. A., López-Tercero, V., Lahoz-Cano, L., Hervás-Marín, D., Cana-Poyatos, A., García-Maset, R., Royo-Maicas, P., & Segura-Ortí, E. (2023). Hemodynamic Tolerance of Virtual Reality Intradialysis Exercise Performed during the Last 30 Minutes versus the Beginning of the Hemodialysis Session. Healthcare, 11(1), 79. https://doi.org/10.3390/healthcare11010079

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