The effect of physical therapy services in chronic kidney disease clinic of Sunpasitthiprasong hospital primary care cluster

Abstract

          Chronic Kidney Disease (CKD) is one of the world’s public health problematic diseases, especially in Thailand. CKD patients will be tired, decreased movement performance, muscle weakness, physical performance and quality of life decreased. Hence, physical therapist is a multidisciplinary chronic kidney team clinic. The research team developed the physical therapy exercising program as the master model and remodel the exercising pattern to be more corresponding to patient’s problem. Hence, the purpose of this study is to study the result of providing physical therapy services on chronic kidney patient’s physical performance.
          This research is a Quasi-Experimental that perform on volunteer chronic kidney clinic patients in stage 2-3. All the patients received history taking, performance assessment, received individualized physical therapy and exercising programs, which the take home program also included. The programs were continuous for 12 weeks so that the research team could perform reassessment. The study results indicated that chronic kidney disease patients (n=56), average age 72 + 7, comprises of female more than male. 91% were chronic kidney disease stage 3. The most 3 co-morbidity disease was hypertension, hyperlipidemia and diabetes. The muscle strength assessment, where the method was 30 second arm curl, indicated that after the patients received the individualized physical therapy and exercising programs, patient’s upper extremity muscle strength increased
statistically significant at P< 0.0001 (weight lifting reps increased averagely 2.4 + 2.1 times). For the lower extremity muscle strength assessment, the method was five times sit to stand. The results
indicated that the lower extremity muscle strength increased statistically significant at P< 0.0001 (the average time decreased to 1.4 + 1.4 seconds). For the balance assessment, the method was timed up and go test, the results indicated that patients had a statistically significant improvement at P<0.0001 (the average time decreased to 1.3 + 1.6 seconds). Therefore, the physical therapy exercising program as the master model development and remodeling the exercising pattern to be more corresponding to chronic kidney disease stage 2-3 patient’s problem with individualized take home program for 12 weeks were able to improve patient’s balance, upper extremity and lower extremity muscle strength without harming patients and maintain physical performance to be able to line in society.