Rehabilitation Care In Chronic Renal Disease

Chronic kidney disease (CKD) is a progressive condition that can negatively affect the musculoskeletal system. Given the consequences, such as low muscle mass and low bone mineral density, appropriate and timely motor therapy is important for improving locomotor and renal function. Literary data and research studies indicate that motor exercise focused on rehabilitation of renal function improves aerobic capacity, musculoskeletal function, cardiovascular function, locomotion and quality of life of patients with CKD. A suitable motor regimen includes strength training and aerobic training to favor secondary CKD complications. In this regard, physiotherapists are good members of the interdisciplinary team providing medical and health care. Their competencies are suitable in the treatment of concomitant musculoskeletal dysfunctions in CKD patients. Providing opportunities by the legislator for official prescription of physical exercise by a specialist, together with the creation and implementation of a mobility program, is a challenge for the healthcare of the Republic of Bulgaria. Greater understanding and integration in the standard plan of rehabilitation care for people with CKD is needed. Motor therapy can be an effective clinical strategy to improve kidney function, reducing the risk of cardiovascular diseases in patients with CKD. The purpose of this report is to summarize the impact of CKD on the state of the musculoskeletal system and to highlight the role of motor therapy in secondary damage due to this condition.