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Assessing Physical Function and Physical Activity in Patients with CKD

Patricia Painter and Robin L. Marcus
CJASN May 2013, 8 (5) 861-872; DOI: https://doi.org/10.2215/CJN.06590712
Patricia Painter
Department of Physical Therapy University of Utah, Salt Lake City, Utah
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Robin L. Marcus
Department of Physical Therapy University of Utah, Salt Lake City, Utah
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    Figure 1.

    Kidney Disease Outcomes Quality Initiative practice guidelines for physical activity. Letters indicate strength or recommendation. Recommendation strength for this guideline is at B or C because the strength of evidence is mostly derived from evidence in other populations, not CKD. SF-36, Short Form-36. Reprinted from reference 8, with permission.

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    Figure 2.

    The Nagi, National Health and Aging Trends Study (NHATS), and International Classification of Functioning, Disability, and Health models for measurement of physical function and disablement. Examples of each concept as it relates to CKD are presented as part of the NHATS model. Reprinted from reference 11, with permission. ADL, activity of daily living; IADL, instrumental activity of daily living; ICF, International Classification of Functioning, Disability, and Health; SSI, Social Security income.

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    Figure 3.

    The spectrum of measurement of physical function and physical activity. 6MW, 6-minute walk; ADL, activity of daily living; IADL, instrumental activity of daily living; ISWT, intermittent shuttle walk; SF-36, Short Form-36; SPPB, Short Physical Performance Battery; TUG, Timed Up and Go.

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    Figure 4.

    Gait speed placed into perspective of requirements for various activities and outcomes, with indication of normal gait speed of 251 hemodialysis patients in the Renal Exercise Demonstration Project. Gait speeds presented as mean ± SD. ADL, activity of daily living; D/C, discharge; IADL, instrumental activity of daily living; SNL, skilled nursing facility; WS, walking speed. Reprinted from reference 53, with permission.

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    Figure 5.

    Algorithm for routine management of mobility limitations in CKD. ADL, activity of daily living; IADL, instrumental activity of daily living; PA, physical activity; SPPB, Short Physical Performance Battery.

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    Figure 6.

    Specific basic movements, activities of daily living, and instrumental activities of daily living. Data obtained from Katz (73) and from Lawton and Brody (74).

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In this issue

Clinical Journal of the American Society of Nephrology: 8 (5)
Clinical Journal of the American Society of Nephrology
Vol. 8, Issue 5
May 07, 2013
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Assessing Physical Function and Physical Activity in Patients with CKD
Patricia Painter, Robin L. Marcus
CJASN May 2013, 8 (5) 861-872; DOI: 10.2215/CJN.06590712

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Assessing Physical Function and Physical Activity in Patients with CKD
Patricia Painter, Robin L. Marcus
CJASN May 2013, 8 (5) 861-872; DOI: 10.2215/CJN.06590712
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  • Article
    • Summary
    • Introduction
    • Clarification of Terms
    • Value of Measuring Physical Function
    • Considerations for Choosing Measures
    • Measurement of Physical Functioning
    • Measurement of Physical Activity
    • Frailty and Physical Functioning
    • Recommendations for Clinical Practice
    • Disclosures
    • Footnotes
    • References
  • Figures & Data Supps
  • Info & Metrics
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More in this TOC Section

  • Effect of Red Cell Transfusions on Future Kidney Transplantation
  • Management of Crush Victims in Mass Disasters: Highlights from Recently Published Recommendations
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Cited By...

  • Randomized, Controlled Trial of the Effect of Dietary Potassium Restriction on Nerve Function in CKD
  • Physical activity, immune function and inflammation in kidney patients (the PINK study): a feasibility trial protocol
  • The Relevance of Geriatric Impairments in Patients Starting Dialysis: A Systematic Review
  • Light-Intensity Physical Activities and Mortality in the United States General Population and CKD Subpopulation
  • Associations of Self-Reported Physical Activity Types and Levels with Quality of Life, Depression Symptoms, and Mortality in Hemodialysis Patients: The DOPPS
  • Determinants of quality of life in advanced kidney disease: time to screen?
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