Background: Kidney failure eventually becomes functional and cannot be recovered. Patients with kidney failure. Finally undergoing kidney therapy. Hemodialysis. Hemodialysis is carried out to attract toxic substances and waste from the body into the dialyzer to secure then enter the body. The effectiveness of hemodialysis can be obtained by looking at the adequacy of hemodialysis values through Kt / V and URR values. Adequate hemodialysis can be increased by intradialytic exercise (IDE). Objectives: To examine the effectiveness of intradialytic training on the adequacy of hemodialysis values. Methods: Search for data using online databases, EBSCO, PUBMED, and Google Scholar. Inclusion criteria are original article, full text, 2010- 2020, discussing Indonesian and English, using IDE, providing data before and completing the exercise, and displaying Kt / V or URR results. Use four keywords. The author uses a critical assessment tool developed by the Joanna Briggs Institute (2017). The method of systematic approach with a simplified approach. Results: The results of the review indicate that IDE is effective in increasing the adequacy of hemodialysis values in terms of Kt / V and URR values. Not all types of IDE are effectively given to every patient. The effective IDE frequency is the first one to two hours of hemodialysis, the duration of five to six minutes, for two to six months with a period of three times a week. IDE can also have other effects on hemodialysis patients. Recommendation: For health care workers, especially in the hemodialysis room, they can make an operational unit implementing IDE as a therapeutic and rehabilitation program because it has proven to be beneficial for improving hemodialysis adequacy.