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Physical activity is recommended, and telerehabilitation may enhance adherence. This study evaluated the effects of a telerehabilitation exercise program on functional capacity in pediatric KT recipients. Secondary outcomes included peripheral muscle strength, quality of life (QoL), laboratory measures, and program safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-blind randomized clinical trial included two groups: intervention (IG) and control (CG). Functional capacity (Modified Shuttle Walk Test \u2013 MSWT), handgrip strength, and laboratory measures were assessed before and after the intervention. Both groups participated in remote sessions twice weekly for six weeks. The IG performed age-appropriate physical exercises, while the CG completed simple ventilatory exercises and a structured interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>51 patients were randomized (IG\u2009=\u200925; CG\u2009=\u200926). There were no significant differences in baseline characteristics between groups. The IG showed a 90.6-m increase in MSWT distance, while the CG improved by only 0.8\u00a0m. Both groups demonstrated gains in peripheral muscle strength, with greater improvements in the IG. Laboratory measures showed no significant changes. The program was feasible and safe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant improvements in functional capacity were observed in pediatric KT patients. Although no statistically significant differences were observed in peripheral muscle strength or QoL between groups, both improved, especially in the IG. Laboratory parameters remained unchanged. The intervention was safe and demonstrated good adherence, highlighting its potential for post-transplant rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Brazilian Registry of Clinical Trials (ReBEC), RBR-5gm65y8.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00467-025-07123-3","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T16:54:32Z","timestamp":1770224072000},"page":"2145-2155","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Telerehabilitation exercise program in pediatric patients after kidney transplantation: a randomized clinical trial"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5844-1456","authenticated-orcid":false,"given":"Raquel P.","family":"Carbonera","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7604-1033","authenticated-orcid":false,"given":"Amanda Alves","family":"Luft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7796-0167","authenticated-orcid":false,"given":"Ana Clara","family":"Sobotyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5534-7585","authenticated-orcid":false,"given":"Karolayne","family":"de Lima Recoba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9014-3819","authenticated-orcid":false,"given":"Clotilde Druck","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9218-9204","authenticated-orcid":false,"given":"Janice Luisa","family":"Lukrafka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"7123_CR1","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1097\/00007890-199807270-00011","volume":"66","author":"A John","year":"1998","unstructured":"John A, Rao M, Jacob C (1998) Preemptive live-related renal transplantation. 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Int Urol Nephrol 47:359\u2013367. https:\/\/doi.org\/10.1007\/s11255-014-0894-8","journal-title":"Int Urol Nephrol"}],"container-title":["Pediatric Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00467-025-07123-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00467-025-07123-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00467-025-07123-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:26:13Z","timestamp":1791825973000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00467-025-07123-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":45,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["7123"],"URL":"https:\/\/doi.org\/10.1007\/s00467-025-07123-3","relation":{},"ISSN":["0931-041X","1432-198X"],"issn-type":[{"value":"0931-041X","type":"print"},{"value":"1432-198X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]},"assertion":[{"value":"8 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 December 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethics approval and consent to participate Informed consent was obtained from patients and parents\/guardians. This study was approved by the Research Ethics Committees of the Santa Casa de Miseric\u00f3rdia de Porto Alegre and the Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre under opinion number 5.222.251 and 5.357.136, respectively. It was registered in the Brazilian Registry of Clinical Trials (code: RBR-5gm65y8).","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}