Hernandez Haniel J, Obamwonyi Gideon, Harris-Love Michael O
Muscle Morphology, Mechanics and Performance Laboratory, Human Performance Research Unit, Clinical Research Center, Veterans Affairs Medical Center, Washington, DC 20422, USA.
Physical Medicine & Rehabilitation Service, Veterans Affairs Medical Center, Washington, DC 20422, USA.
J Funct Morphol Kinesiol. 2018 Jan 5;3(1):5. doi: 10.3390/jfmk3010005.
Chronic kidney disease (CKD) is a progressive condition that may negatively affect musculoskeletal health. These comorbidities may include malnutrition, osteoporosis, and decreased lean body mass. Secondary sarcopenia due to CKD may be associated with mobility limitations and elevated fall risk. Physical therapists are well-positioned among the health care team to screen for secondary sarcopenia in those with CKD and for the treatment of musculoskeletal comorbid conditions that may affect functional performance. Given the consequences of both low muscle mass and low bone mineral density, appropriate and timely physical therapy is important for fall risk assessment and intervention to minimize the susceptibility to bone fracture. While strength training has been studied less frequently than aerobic training for the management of secondary CKD conditions, evidence suggests that this patient population benefits from participation in strength training programs. However, the provision of a formal exercise prescription by a health care professional, along with formal implementation of an exercise program, may need to be more fully integrated into the standard plan of care for individuals with CKD.
慢性肾脏病（CKD）是一种渐进性疾病，可能会对肌肉骨骼健康产生负面影响。这些合并症可能包括营养不良、骨质疏松和瘦体重下降。CKD所致的继发性肌肉减少症可能与活动受限和跌倒风险增加有关。在医疗团队中，物理治疗师处于有利位置，可对CKD患者进行继发性肌肉减少症筛查，并治疗可能影响功能表现的肌肉骨骼合并症。鉴于低肌肉量和低骨矿物质密度的后果，适当且及时的物理治疗对于跌倒风险评估和干预以尽量降低骨折易感性非常重要。虽然与有氧训练相比，针对继发性CKD病症的力量训练研究较少，但有证据表明，这一患者群体可从参与力量训练计划中获益。然而，医疗保健专业人员提供正式的运动处方以及正式实施运动计划，可能需要更全面地纳入CKD患者的标准护理计划。
