MEDICAL AND SOCIAL ASPECTS OF THE PHYSICAL REHABILITATION OF THE RECIPIENTS OF THE DONOR KIDNEY


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Abstract

Aim of the study. To assess the effectiveness of the physical rehabilitation in the first year in recipients with donor kidney. Material and Methods. The article presents an assessment of the functional state and adaptive body reserves using hardware-software complex (HSC) “Sources of Health” for patients before and after the kidney transplantation. The results of the examination and treatment of 57 recipients (of the mean age - 35±9.65) donor kidney at different times of the postoperative period. Depending on the physical rehabilitation program there were selected 2 groups of patients: in Group I the physical rehabilitation was carried out during the year, in Group II - only in the first week after surgery for the prevention of early postoperative complications. Group III combined 30 relatively healthy people (15 women, 15 men) without the need for an organ transplant and of a mean age of 33.7 ± 8.7 years, keeping a normal lifestyle, not engaged in the regular recreational physical exercises. The functional state and adaptive body reserves were evaluated with HSC “Sources of Health” at 1, 3, 6 and 12 months after surgery. Results. The physical rehabilitation with a personalized approach for one year after the kidney transplantation can significantly improve functional and adaptive body reserves in donor kidney recipients. Conclusion. Patients are shown to need for the physical rehabilitation at least for a year after the kidney transplantation in order to improve the functional state and adaptive body reserves.

About the authors

E. E Achkasov

I.M. Sechenov First Moscow State Medical University

Moscow, 119991, Russian Federation

Тatyana Yu. Shelekhova

I.M. Sechenov First Moscow State Medical University

Email: tat1251@rambler.ru
MD, PhD, Assistant of the Department of Sport Medicine and Medical Rehabilitation of the Medical Faculty, Moscow, 119991, Russian Federation Moscow, 119991, Russian Federation

S. D Runenko

I.M. Sechenov First Moscow State Medical University

Moscow, 119991, Russian Federation

O. A Sultanova

I.M. Sechenov First Moscow State Medical University

Moscow, 119991, Russian Federation

I. A Minenko

I.M. Sechenov First Moscow State Medical University

Moscow, 119991, Russian Federation

References

  1. Painter P.L., Hector L., Ray K. Effects of exercise training on coronary heart disease risk factors in kidney transplant recipients. Am. J. Kidney Dis. 2003; 42: 362-9.
  2. Гарсия Г., Харден П., Чапмэн Д. Значение трансплантации почки в мире. Нефрология и диализ. 2011;13(4): 382-7.
  3. Ojo A.O. Cardiovascular complications after renal transplantation and their prevention. Transplantation. 2006; 82: 603-11.
  4. Surgeon General Report 1996 Physical Activity and Health: A Report of the Surgeon General. Available at:http://www.cdc.gov/nccdphp/sgr/sgr.htm. Accessed: September 11, 2004.
  5. Zelle D. M., Corpeleijn E., Stolk R. P., de Greef M., Gans R., Homan J.J. et al. Low Physical Activity and Risk of Cardiovascular and All-Cause Mortality in Renal Transplant Recipients. Clin. J. Am. Soc. Nephrol. 2011; (6): 898-905.
  6. Van den Ham E.C., Kooman J.P., Schols A.M., Nieman F.H., Does J.D., Akkermans M.A. et al. The functional, metabolic, and anabolic responses to exercise training in renal transplant and hemodialysis patients. Transplantation. 2007; 83: 1059-68.
  7. Giulio R., Lorenzon E., Montanaro D. Effects of Exercise in Renal Transplant Recipients. World Journal of Transplantation. 2012; 2(4): 46-50.
  8. Ачкасов Е.Е., Готье С.В., Жирнова Т.Ю., Малиновская Е.В. Общественная акция «Люди ради людей» - футбольный матч с участием игроков с трансплантированными органами. Спортивная медицина: наука и практика. 2011; (4): 43-5.
  9. Готье С.В., Ачкасов Е.Е., Жирнова Т.Ю., Тарасов В.В. Общественная благотворительная акция «Люди ради людей - 2012» в поддержку органного донорства и трансплантологии. // Спортивная медицина: наука и практика. 2011; (4): 49-53.
  10. Жирнова Т.Ю., Ачкасов Е.Е., Цирульникова О.М., Шилов Е.М. Влияние персонифицированного пролонгированного подхода в физической реабилитации на функциональное состояние, адаптационные резервы организма и качество жизни пациентов после трансплантации почки. Спортивная медицина: наука и практика. 2014; (3): 55-61.
  11. Готье С.В., Ачкасов Е.Е., Шилов Е.М., Цирульникова О.М., Жирнова Т.Ю., Аршакян С.В. Физическая реабилитация в трансплантологии. Нефрология и диализ. 2013; (3): 200-5.
  12. Баландин Ю.П., Генералов В.С. АПК «Истоки здоровья». Свидетельство Роспатента № 2004610012 от 05.01.2004.
  13. Баландин Ю.П., Генералов В.С., Шишлов В.Ф. Краткое методическое руководство по применению АПК «Истоки здоровья». Рязань. 2005. Аппаратно-программный комплекс «Истоки здоровья».

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