A structured exercise training protocol after renal transplantation in indian population

Renal transplantation has become successful, established definitive management for irreversible kidney failure. Exercise training after Renal Transplantation is recommended by many previous studies. The residual and emerging issues of physical limitations, cardiovascular risks, osteoporosis, obesity, diabetes and Quality of Life, all demands a custom made exercise training program. As exercise based renal rehabilitation is yet to gain solid roots which not on par with medical and surgical care, a structured exercise training protocol is much needed. Hence this structured, systematic and stepwise exercise training protocol that was tested for its validity and safety to renal transplantation recipients. The protocol structuring involved extensive published literature analysis, scrutiny/ approval of experts and tested for safety with the patient application. The training components, intensity, duration, frequency and precautions needed were keys aspects considered the protocol development, based on prevailing guidelines. The expert’s agreement for training protocol contents was analyzed with 5 points Likert rating and their feedback was used to refine contents. Safety of the protocol was established by its clinical application observing for any adverse response and patient feedback for ease of performance. Most of the component of training in all phases exhibited excellent agreement among the subject experts. There was no remarkable adverse response throughout the protocol on its clinical application. The bronchial hygiene therapy, mobility training, graded ambulation and strengthening exercise found 100% acceptance. The heart rate, Blood pressure, oxygen saturation and fatigability were showing a safe zone of training. The structured renal transplantation exercise training protocol was found valid and safe following renal transplantation. Tailor made programs could be developed with such graded exercise protocols after testing its impact on various health benefits in larger sample.