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Table 2 Interventions examples

From: Physical activity promotion for patients transitioning to dialysis using the “Exercise is Medicine” framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol

Class format

Minutes

Teachable moments

a. Strong bones and healthy hearts

 Warm-up and rhythmic stretch

10–12

• Pre-Warm-Up: Perceived exertion, breathing and hydration.

• Action Planning: ROM safety through major/minor joints.

• Warm-up: Large to small muscles.

 Circuit Choreography

15

• Selecting the right tubing resistance, benefits of strength work, benefits of cardio work & the plus for both in a circuit format.

• Resistance tubing safety.

• Breathing techniques for strength work.

• Cardio-cognitive benefits

• Benefits of tempo changes through half-time, at music tempo and double- time tempos.

• Benefits of non-dominant side movements.

 Cool-Down

5

• Benefits of lowering the heart rate progressively.

 Core Strengthening

5

• Benefits of concentric, eccentric strength training.

 Flexibility Training

5–8

• Option - Chair transfer technique from chair to floor and from floor to chair.

• Range of Motion versus Range of Movement.

 Relaxation & Future Action Planning

5–10

• Breaking the symptom cycle and self-managing pain, fatigue, frustration, etc.

b. Stability & Balance for Fall Prevention

 Warm-up and rhythmic stretch

 

• Pre-Warm-Up: Perceived exertion, breathing and hydration.

• Action Planning: ROM safety through major/minor joints.

• Warm-up: Large to small muscles.

 Core stability and strength training

5

• The muscle groups which compose the core.

• Benefits of breathing for increasing abdominal chest wall strength and flexibility

 Balance training

5–10

• Agility – changing center of gravity

• Lower body strength

 Stability training

5–10

• Stability in an unstable environment

• How to protect the lower back during extensions

• PNF stretching principles

 Flexibility

10

• Stretch tight muscles for better posture

• Use breathing to deepen stretches

 Relaxation and Action planning

10

• Breaking the symptom cycle to better self-manage pain, fatigue, fear, anger, frustration and physical instabilities