Introduction: Peripheral muscle training (PMT) can promote the reduction of symptoms related to the basic pathology and treatment, as well as improve functional capacity. This study evaluates the effects of PMT in functional capacity and quality of life (QOL) of patients on hemodialysis. Method: Clinical study. Seven subjects with CKD from 29 to 84 years of age . Patients were evaluated before and after the protocol, using the 6 minutes Walk Test (6MWT), the QOL SF-36 questionnaire, and the 1RM test for the knee extensors. The tests were applied 2 times per week for 5 months. A load of 50% was used for the test of 1RM strength, and resistance of 30% of the total weight obtained in the test was used. We worked all the muscle groups of the lower-extremity, as well as abdominasl and gluteals using isometric, isotonic and load-free isotonic exercises. Results: The mean values for the right lower-extremity was: 4.71 ± 3.03 vs. 6.07 ± 2.62 vs. 8.42 ± 3.30 kg; left lower-extremity 4.85 ± 3.13 vs 6.21 ± 2.82 vs 8.57 ± 3.99 kg, 0.05. The QQL presented a higher average in the following areas: limitation of physical appearance and vitality. No improvement was verified for the 6MWT. Conclusion: The PMT during hemodialysis can facilitate an increase in muscle strength of lower-extremities, in addition to areas relating to a positive change in QOL. Secondary outcomes included reduction of pain in lower-extremity, cramps, and the need for medication to control these symptoms.
Keywords: Physical therapy. Peripheral muscle training. Quality of life. 6 Minute walk test. Chronic kidney disease. Hemodialysis;