Novel Approach to Intradialytic Progressive Resistance Exercise Training

Physical activity levels are typically undesirably low in chronic kidney disease patients, especially in those undergoing haemodialysis, and particularly on dialysis days. Intradialytic exercise programmes could be a solution to this issue and have been reported to be safe and relatively easily implemented in dialysis clinics. Nevertheless, such implementation has been failing in part due to barriers such as the lack of funding, qualified personnel, equipment, and patient motivation. Intradialytic aerobic exercise has been the most used type of intervention in dialysis clinics. However, resistance exercise may be superior in eliciting potential benefits on indicators of muscle strength and mass. Yet, few intradialytic exercise programmes have focused on this type of intervention, and the ones which have report inconsistent benefits, diverging on prescribed exercise intensity, absent or subjective load progression, equipment availability, or exercise supervision. Commonly, intradialytic resistance exercise interventions use free weights, ankle cuffs, or elastic bands which hinder load progression and exercise intensity monitoring. Here, we introduce a recently developed intradialytic resistance exercise device and propose an accompanying innovative resistance exercise training protocol which aims to improve the quality of resistance exercise interventions within dialysis treatment sessions.</p

Effects of a very congested match schedule on body-load impacts, accelerations, and running measures in youth soccer players

PURPOSE: To analyze the effects of a very congested match schedule on the total distance (TD) covered, high-intensity-running (HIR) distance, and frequency of accelerations and body-load impacts (BLIs) performed in a team of under-15 soccer players (N=10; 15.1±0.2 y, 171.8±4.7 cm, 61±6.0 kg) during an international youth competition. METHODS: Using global positioning systems, player performances were repeatedly monitored in 5 matches performed over 3 successive days. RESULTS: Significant differences were observed between matches (P<.05) for the frequency of accelerations per minute, BLIs, and BLIs per minute. No differences were observed for the TD covered, TD run per minute, number of high-intensity runs, distance covered in HIR, per-minute peak running speed attained, or frequency of accelerations. The frequency of accelerations per minute decreased across the competition while BLIs were higher during the final than in all other matches. CONCLUSIONS: These results suggest that BLIs and acceleration might be used as an alternative means to represent the external load during congested match schedules rather than measures related to running speed or distance covered