Dialysis plays a vital role in managing chronic kidney disease by helping remove excess fluid and waste from the body. While the treatment is essential, sitting still for hours several times a week can take a toll, leading to stiffness, fatigue, and gradual muscle loss over time.
Thatâs where intradialytic exercise comes in. This gentle form of movement is done during dialysis itself and is designed to help guests feel stronger, more energised, and better supported throughout their care journey.
What is Intradialytic Exercise?
Intradialytic exercise refers to light, guided physical activity performed during a dialysis session, usually while seated. These movements are specifically chosen to be safe and non-disruptive, targeting circulation and muscle function without interfering with treatment.
Common examples include leg lifts, ankle rolls, mini pedal cycling, or light arm stretches with resistance bands. Theyâre typically done in the first 1â2 hours of treatment, when the body is most stable.
Why is it helpful?
Staying still for long periods can lead to joint stiffness and muscle weakness. Intradialytic exercise helps keep blood flowing and muscles engaged, making recovery smoother and helping guests feel less drained after sessions.
It may also improve how efficiently dialysis works by supporting circulation. Many guests notice reduced cramping, better blood pressure control, and more energy when they move gently during treatment.
Just as importantly, it can improve emotional well-being. Adding movement offers a sense of control and can make long sessions feel more productive and manageable.
What kind of exercises are safe?
With your care teamâs guidance, many guests safely include the following:
Mini Pedal Exercisers: Gentle cycling to improve leg circulation.
Ankle Rolls and Toe Taps: To support lower limb movement.
Seated Leg Lifts: Light muscle activation.
Shoulder Rolls and Neck Stretches: To reduce tension.
Arm Stretches or Resistance Bands: To help maintain upper body strength.
Every movement should be done with comfort and ease, not force. Listen to your body and stop if you feel lightheaded or unwell.
Tips for getting started
Begin small. Even 5â10 minutes of movement can make a difference. Wear comfortable clothing and make sure youâre seated in a supported position. If you're feeling well on non-dialysis days, try adding light activities like short walks or gentle stretching at home to complement your chair exercises. The goal is to stay gently active, not exhausted.
A quick reminder before you begin
Not all exercises are right for everyone. Always check with your dialysis doctor or care team before starting any new activity, especially if youâve had recent changes in medication, blood pressure, or your access site.
When done safely and consistently, intradialytic exercise can support strength, ease recovery, and help you move through dialysis with more comfort and confidence.
