PENGARUH LATIHAN AEROBIK INTRADIALITIK BERBASIS VIRTUAL REALITY DENGAN SATU ANGGOTA GERAK ATAS TERHADAP KEKUATAN GENGGAMAN DAN HEART RATE RECOVERY PASIEN HEMODIALISIS RUTIN

Abstract

ABSTRACT: Background : Limited physical activity and sedentary behavior are common in patients with chronic kidney disease (CKD). CKD patients often face limitations in work, walking, and cognition, leading to difficulties in performing activities of daily living (ADL). Additionally, CKD patients tend to experience a decline in muscle mass and strength, as well as impaired exercise capacity. Materials and Methods: Participants were instructed to perform virtual reality games for 40 minutes during the first 2 hours of the dialysis session, engaging in table tennis, canoeing, and basketball games which were conducted twice a week for one month. During the games, vital signs were monitored, and assessments were made using the Borg scale. Grip strength was evaluated before the first  and after the final session, while heart rate recovery was assessed during the first and last sessions. Results: The study included 31 subjects (22 males, 9 females) aged 18–65 years. Data analysis using SPSS version 26 revealed no significant difference in the mean grip strength before and after the exercise (t = -0.333, p = 0.370). For heart rate post-exercise, there was no significant difference in the mean heart rate increase between the first and last sessions. Regarding heart rate recovery, the results showed a significant difference in the mean at the 10th second, no significant difference at the 20th second, a significant difference at the 30th second, and no significant differences at the 60th second or the 120th second. Conclusion: Virtual reality game exercises using Nintendo Wii as a training method for CKD patients during hemodialysis sessions are safe and can serve as a cardiovascular rehabilitation tool. They also help maintain quality of life and reduce the progression of complications associated with kidney damage.