Page 160 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

Chapter 8
Box 1.
Proposed key items rehabilitation assessment week after transplantation
Population
- All recipients of solid organ transplantation with stable organ function and no signs of rejection.
Timing
- Between three and nine months after transplantation
Duration
- One-week inpatient setting in an expert rehabilitation center
Assessment
- Physical functioning
o o o o o
Assessment by physical therapist (history, barriers, general physical functioning)
Maximal cardiopulmonary exercise test
Submaximal exercise capacity (six-minute walking distance)
Endurance capacity (70% constant work-rate test)
Peripheral muscle strength (grip strength, quadriceps strength, and one repetition maximum
major muscle groups)
- Dietary assessment by dietician
- Psychosocial status and work assessment by psychologist or social healthcare worker
- Lab values blood and 24-hour urine samples
Content
Exercise and physical activity
Psycho-education
o Nutrition
- Workshop nutrition (shopping and cooking)
- Movement activities (walking/ cycling/ swimming)
Transferal
- Training schedule based on the assessment and experiences with trial training session in the assessment
week
- Transfer of schedule, additional information, and contact information to local physical therapist
- Possible continuation of psychological or dietetic therapy
Evaluation
- Phone contact with treating local physical therapist three months after the assessment week
- Follow-up measurement (repetition of assessment measurements) at six months after the assessment week
combined with regular outpatient check-up after transplantation
- Questionnaires
o Physical activity level and sedentary behavior o Barriers to and facilitators of physical activity o Exercise self-e cacy
o Nutritional diary and malnutrition
o Anxiety and depression
o Sleep quality
o Quality of life
- Activity monitoring in the week before the inpatient phase
- Training modules
o Endurance training (cycle ergometer and circuit training) o Interval training
o Strength training (gym and circuit training)
- Educational modules
o
o
o Medication and side-e ects
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