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“Sit-to-stand test to assess muscle strength after intradialytic exercises in chronic kidney disease patients: A systematic review with meta-analysis”

2025Journal article Open access
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datacite.subject.fosCiências Médicas::Medicina Clínica
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorAlmeida, Klebson da Silva
dc.contributor.authorCosta, Natália Silva
dc.contributor.authorLima, Bráulio Nascimento
dc.contributor.authorNeves, José Leonardo Dos Reis
dc.contributor.authorBarreto, Luiz Gustavo Pereira
dc.contributor.authorFreitas, Luana de Jesus
dc.contributor.authorSilva, Monique Mesquita
dc.contributor.authorManeschy, Mariela de Santana
dc.contributor.authorNovo, André
dc.contributor.authorChiavegato, Luciana Dias
dc.date.accessioned2025-10-01T14:08:42Z
dc.date.available2025-10-01T14:08:42Z
dc.date.issued2025
dc.description.abstractChronic kidney patients undergoing hemodialysis (HD) experience a decline in muscle strength and functionality, as musculoskeletal disorders affect both strength and functional capacity. This study aims to evaluate the influence of intradialytic (ID) exercise on the strength and functionality of chronic kidney patients, as assessed by sit-to-stand test, and to identify the most commonly used sit-to-stand protocol. Methods: A search was conducted across eight databases to identify relevant studies published before March 29, 2024. Clinical trials investigating intradialytic exercises and utilizing the sit-to-stand test as an assessment tool were eligible. The risk of bias in individual studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. Mean differences (MD) and 95 % confidence intervals were calculated and pooled in metaanalyses. The quality of meta-analyses was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach. Results: A total of 6717 studies were initially identified. After screening,17 articles involving 870 participants, met the inclusion criteria demonstrating acceptable methodological quality, with a mean PEDro scale of 5,23 (+/- 1,56). Despite the lack of robust evidence, this review suggests that the ID exercise improves strength and functionality. Among the various sit-to-stand test subtypes, the 10-repetition sit-to-stand test was found to be the most effective. Conclusion: Despite the low quality of studies, the 10-repetition sit-to-stand test (10-STS) seems to be the most effective for evaluating muscle strength of lower limbs and functionality. ID exercise seems to positively impact muscle strength and, consequently, the functionality of chronic kidney disease patients undergoing HD.eng
dc.description.sponsorshipThis study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001.
dc.identifier.citationAlmeida, Klebson da Silva; Costa, Natália Silva; Lima, Bráulio Nascimento; Neves, José Leonardo dos Reis; Barreto, Luiz Gustavo Pereira; Freitas, Luana de Jesus; Silva, Monique Mesquita; Maneschy; Mariela de Santana; Novo, André; Chiavegato, Luciana Dias (2025).Sit-to-stand test to assess muscle strength after intradialytic exercises in chronic kidney disease patients: A systematic review with meta-analysis. ISSN 1360-8592, 44. p. 347-358
dc.identifier.doi10.1016/j.jbmt.2025.05.030
dc.identifier.issn1360-8592
dc.identifier.urihttp://hdl.handle.net/10198/34774
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.ispartofJournal of Bodywork and Movement Therapies
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/
dc.subjectChronic kidney disease
dc.subjectExercise
dc.subjectHemodialysis
dc.subjectPhysical functional performance
dc.subjectMuscle strength
dc.subjectSit-to-stand test
dc.title“Sit-to-stand test to assess muscle strength after intradialytic exercises in chronic kidney disease patients: A systematic review with meta-analysis”eng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage358
oaire.citation.startPage347
oaire.citation.titleJournal of Bodywork and Movement Therapies
oaire.citation.volume44
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameNovo
person.givenNameAndré
person.identifierH-1386-2012
person.identifier.ciencia-id7D14-8584-AB2B
person.identifier.orcid0000-0001-8583-0406
person.identifier.scopus-author-id612710
relation.isAuthorOfPublicationf17cfa22-2a97-4396-bdc6-4570baee6885
relation.isAuthorOfPublication.latestForDiscoveryf17cfa22-2a97-4396-bdc6-4570baee6885

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