Functional independence and mobility in kidney transplanted patients: cross-sectional study

T. Maia, Lívia G. Rocha, S. D. Bezerra, P. Marinho
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引用次数: 1

Abstract

- Aim — To assess functional independence, balance and mobility of kidney transplant recipients, to verify transplant time, donor type, regular exercise practice, musculoskeletal complaints, as well as association among these variables. Methods: Observational study with 86 kidney transplant individuals, subjected to evaluation of the Functional Independence Measure (FIM) and Timed Up and Go test (TUG). Results: The mean age of the study population was 43.98 years old, 50% of these individuals were between 5-10 years of transplantation and 50% between 10-15 years. Changes in mobility and balance (TUG) were found in 9.3% of transplant patients, while 2.3% had deficits in functional independence (FIM). The association between TUG and the FIM (χ2= 19.964, p< 0.001) was found in 25% of the 9.3% of individuals who showed changes in TUG. It was found that only 20.9% of kidney transplant between 5-10 years and 14.0% between 11 and 15 years performed regular physical exercises (χ2= 0.727, p= 0.394) and 67.4% presented prevalent complaints on lower limbs musculoskeletal. Conclusion: Although the level of dependence and impairments in mobility and balance found in renal transplants are low, deficits in mobility and balance may lead to changes in the ability to perform their functional activities independently.
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肾移植患者的功能独立性和活动能力:横断面研究
目的:评估肾移植受者的功能独立性、平衡性和活动能力,验证移植时间、供体类型、定期锻炼、肌肉骨骼疾患,以及这些变量之间的相关性。方法:对86例肾移植患者进行观察性研究,进行功能独立性测试(FIM)和定时起跑测试(TUG)的评估。结果:研究人群的平均年龄为43.98岁,其中50%在移植5-10岁之间,50%在10-15岁之间。9.3%的移植患者存在移动性和平衡性(TUG)的改变,而2.3%的移植患者存在功能独立性(FIM)缺陷。在9.3%出现TUG变化的个体中,有25%的人发现TUG与FIM之间存在相关性(χ2= 19.964, p< 0.001)。结果发现,5 ~ 10岁肾移植患者中仅有20.9%、11 ~ 15岁肾移植患者中仅有14.0%定期进行体育锻炼(χ2= 0.727, p= 0.394), 67.4%的肾移植患者存在下肢肌肉骨骼疾病。结论:尽管肾移植患者的活动能力和平衡能力的依赖程度较低,但活动能力和平衡能力的缺陷可能导致其独立进行功能活动的能力发生变化。
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