Comparison of clinical outcomes following early rehabilitation in 3 cases of nephrotic syndrome with different treatment courses

• Published in: CEN case reports Vol. 9; no. 4; pp. 365 - 369
• Main Authors: Iwai, Kohji, Hatanaka, Yasuhiko, kawaguchi, Tamiro, Araki, Shin-ich
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01.11.2020
• Subjects: Case Report; Medicine; Medicine & Public Health; Nephrology; Urology
• ISSN: 2192-4449; 2192-4449
• DOI: 10.1007/s13730-020-00486-6

There have been few published reports regarding rehabilitation for nephrotic syndrome. We compared the clinical outcomes of three cases of nephrotic syndrome with different treatment courses during 5 weeks of early rehabilitation. We report on three cases of nephrotic syndrome. Case 1 was a 67-year-old male who showed good progress after steroid treatment. Quadriceps torque and exercise capacity were increased after intervention. Case 2, a 78-year-old male, demonstrated resistance to steroid treatment. Quadriceps torque was decreased and exercise capacity was increased after intervention. Case 3 was an 83-year-old male who received nutrition therapy and diuretics without steroid treatment. Quadriceps torque and exercise capacity were decreased post-intervention. Early rehabilitation should be considered even if the steroid treatment course is different; furthermore, it is necessary to carefully consider the optimal exercise load in patients with nephrotic syndrome for whom regardless of whether or not steroid treatment is used.