Effectiveness of Elastic Band Training for Lower Extremity on Functional Capacity and Quality of Life in Subjects with Chronic Kidney Disease

Background: Chronic Kidney Disease (CKD) is a global public health burden associated with impaired physical function and reduced quality of life. Hemodialysis, though life-saving, is linked with progressive muscle wasting, cardiovascular deconditioning, and fatigue, exacerbating morbidity in this population. Objective: To evaluate the effects of elastic band resistance training on functional capacity and quality of life in CKD patients undergoing hemodialysis. Methods: A randomized controlled trial was conducted on 15 patients receiving hemodialysis at Saveetha Medical Hospital. Participants in the intervention group underwent 16 sessions of intradialytic resistance training using elastic bands over four weeks. VO2max was used as a functional capacity indicator, while subjective improvements were assessed through validated patient-reported outcomes. Results: Post-intervention assessments showed significant improvements in VO2max and quality of life in the intervention group (p < 0.0001). Findings align with prior research confirming that intradialytic resistance training enhances muscular performance and psychosocial outcomes. Conclusion: Elastic band training is a feasible and effective intervention to improve lower limb strength, aerobic capacity, and overall quality of life in hemodialysis patients. Integration of such protocols in clinical settings may support better long-term outcomes in CKD management.