Evidence map›Paper›PMID 41639467›Full record

Trial reportPediatric nephrology (Berlin, Germany)2026

Telerehabilitation exercise program in pediatric patients after kidney transplantation: a randomized clinical trial.

Raquel P Carbonera, Amanda Alves Luft, Ana Clara Sobotyk, Karolayne de Lima Recoba, Clotilde Druck Garcia, Janice Luisa Lukrafka

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raquel P CarboneraGraduate Program in Pediatrics: Child and Adolescent Care, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-5844-1456
Amanda Alves LuftUndergraduate in Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.ORCID http://orcid.org/0009-0004-7604-1033
Ana Clara SobotykUndergraduate in Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.ORCID http://orcid.org/0009-0006-7796-0167
Karolayne de Lima RecobaUndergraduate in Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.ORCID http://orcid.org/0009-0008-5534-7585
Clotilde Druck GarciaGraduate Program in Pediatrics: Child and Adolescent Care, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) and Department of Pediatrics (UFCSPA), Santo Antonio Children Hospital - Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0002-9014-3819
Janice Luisa LukrafkaDepartment of Physical Therapy, Graduate Program in Pediatrics: Child and Adolescent Care and Program in Rehabilitation Sciences, Janice Luisa Lukrafka, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil. janicet@ufcspa.edu.br.ORCID http://orcid.org/0000-0002-9218-9204

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough kidney transplantation (KT) improves kidney function, children with chronic kidney disease (CKD) often show incomplete recovery of physical function. Physical activity is recommended, and telerehabilitation may enhance adherence. This study evaluated the effects of a telerehabilitation exercise program on functional capacity in pediatric KT recipients. Secondary outcomes included peripheral muscle strength, quality of life (QoL), laboratory measures, and program safety.

methodsThis single-blind randomized clinical trial included two groups: intervention (IG) and control (CG). Functional capacity (Modified Shuttle Walk Test - MSWT), handgrip strength, and laboratory measures were assessed before and after the intervention. Both groups participated in remote sessions twice weekly for six weeks. The IG performed age-appropriate physical exercises, while the CG completed simple ventilatory exercises and a structured interview.

results51 patients were randomized (IG = 25; CG = 26). There were no significant differences in baseline characteristics between groups. The IG showed a 90.6-m increase in MSWT distance, while the CG improved by only 0.8 m. Both groups demonstrated gains in peripheral muscle strength, with greater improvements in the IG. Laboratory measures showed no significant changes. The program was feasible and safe.

conclusionSignificant improvements in functional capacity were observed in pediatric KT patients. Although no statistically significant differences were observed in peripheral muscle strength or QoL between groups, both improved, especially in the IG. Laboratory parameters remained unchanged. The intervention was safe and demonstrated good adherence, highlighting its potential for post-transplant rehabilitation.

trial registrationBrazilian Registry of Clinical Trials (ReBEC), RBR-5gm65y8.

Indexed as

Exercise TherapyKidney TransplantationRenal Insufficiency, ChronicAdolescentChildFemaleHand StrengthHumansMaleMuscle StrengthQuality of LifeSingle-Blind MethodTelerehabilitationTreatment OutcomeWalk TestAdolescentChildChronic renal insufficiencyExerciseTelerehabilitationTransplanted kidney

Identifiers

PMID41639467
PMCPMC13197309

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.