METHODOLOGICAL ASPECTS AND DISPUTABLE ISSUES OF PHYSICAL REHABILITATION IN THE CONTEXT OF CHRONIC KIDNEY DISEASE

Rehabilitation is a comprehensive set of measures designed for individuals who are, or may become, limited in their daily functioning due to health conditions or age-related changes, in interaction with their environment. Chronic kidney disease (CKD) is defined as abnormalities in kidney structure or function that persist for more than three months and have health implications. CKD is classified based on its primary etiology, the level of glomerular filtration rate (GFR; categories G1–G5), and the level of albuminuria (A1–A3). CKD represents a complication of renal pathologies in both pediatric and adult populations. It is characterized by a relapsing nature and chronic progression. Occupational therapy involves the restoration, development, and/or maintenance of the skills necessary to enable individuals with functional limitations to participate in meaningful daily activities—those they wish, need, or or plan to perform. This also encompasses the modification of activities and/or environmental adjustments to support functional engagement. Physical rehabilitation, as a component of occupational therapy, plays a vital role in the management of patients (both children and adults) with CKD, forming part of a multidisciplinary care plan alongside pharmacological and palliative aid. However, this area remains subject to ongoing debate and requires further methodological development. The article provides an analytical overview and summary of selected recommendations from both international and domestic sources concerning non-pharmacological rehabilitation aid in nephrological practice. These recommendations describe a range of physical rehabilitation methods applicable to patients with CKD, intended for inclusion in individualized rehabilitation plans. This research is conducted within the framework of a scientific project led by the Department of Pediatrics, Neonatology, and Perinatal Medicine at Bukovinian State Medical University, titled “Chronobiological and Adaptive Aspects and Peculiarities of Vegetative Regulation in Pathological Conditions in Children of Different Age Groups.” State registration number: №0122U002245, project duration: 01.01.2022 – 31.12.2026.