Renal nutrition Fluid control Safe physical activity Sleep hygiene, energy and managing fatigue Adherence and awareness
Male patients aged 40 to 50 years.
Diagnosed with end-stage renal disease and receiving maintenance hemodialysis for at least 6 months.
Medically stable and cleared by a nephrologist to participate in physical activity and/or electrical stimulation.
Able to ambulate independently or with minimal assistance.
Severe neurological or orthopedic disorders affecting mobility.
Unstable cardiovascular conditions.
Cognitive impairment or sensory deficits.
Contraindications to neuromuscular electrical stimulation.