The purpose of the study is to compare the effect of resistance exercise and aerobic exercise on intradialytic hypotension in patients undergoing hemodialysis.
End-stage renal disease (ESRD) or stage 5 chronic kidney disease (CKD) in which on maintenance regular HD (three sessions/week (on alternate days), for four hours/session for more than a year to five years when starting the study.
Both gender male and female aged from 45 to 60 years old.
Patients with intradialytic hypotension sudden drops of systolic pressure of more than 20 mm Hg or diastolic pressure of more than 10 mmHg.
Receiving hemodialysis (HD) through uncomplicated arm arteriovenous (A-V) fistula.
Severe Chest diseases (either obstructive or restrictive).
Clinical signs of a severe cardiac event. (eg, severe atherosclerosis, congestive heart failure),
Severe psychiatric or cognitive impairment, who unable to follow comment.
Neurological disorders affecting respiratory muscles or any muscular dystrophies (cervical disc or bulge).