Disablement and rehabilitation in end-stage renal disease.

Journal Article (Journal Article;Review)

Patients with end-stage renal disease (ESRD) are encumbered by disabilities in spite of advances in medical treatments. Research shows that exercise training is one way to improve physical work capacity and reduce functional limitations that impede role behaviors, such as shopping, personal care, homemaking, and yard maintenance. However, exercise training does not ameliorate some of the psychosocial and environmental factors that exacerbate disabilities for patients with ESRD. A disability process model described in this review illustrates that disability prevention may be more effective if exercise rehabilitation is integrated with self-management education. Research is needed to delineate which disabilities in patients with ESRD are a product of psychosocial factors and physical environments. Once identified, those disability risk factors that are amenable to change can guide the development of tailored rehabilitation interventions.

Full Text

Duke Authors

Cited Authors

  • Tawney, KW; Tawney, PJW; Kovach, J

Published Date

  • November 2003

Published In

Volume / Issue

  • 16 / 6

Start / End Page

  • 447 - 452

PubMed ID

  • 14629603

International Standard Serial Number (ISSN)

  • 0894-0959

Digital Object Identifier (DOI)

  • 10.1046/j.1525-139x.2003.16097.x


  • eng

Conference Location

  • United States