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Exercise Training Following Organ Transplant

Patients with end-stage kidney or liver failure presenting for transplantation typically are extremely deconditioned due to the lack of regular activity during the progression of their disease. There is clearly a need for early aggressive intervention on the part of physical therapy for general strengthening, and later by rehabilitation professionals to develop and encourage physical conditioning programs for these patients. Although the major goal is to optimize physical functioning, several other factors, such as weight gain, hypertension, and hypercholesterolemia, which are present in these patients following transplant, make physical conditioning an extremely important part of their posttransplant therapy. Some of these conditions will be discussed here, with a description of a program that is currently in place at the University of California at San Francisco.