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Electrical Muscle Stimulation Versus Resistive Training On Physical Measures, And Fatigue In Hemodialysis Patients
Sponsor: Cairo University
Summary
The purpose of this randomized controlled trial is to compare the effects of intradialytic neuromuscular electrical stimulation (NMES) and intradialytic resistance exercise with usual care on physical function, dialysis adequacy, and fatigue in patients receiving maintenance hemodialysis. The study aims to evaluate whether these intradialytic rehabilitation interventions provide additional benefits compared with usual dialysis care.
Key Details
Gender
All
Age Range
40 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
90
Start Date
2023-10-20
Completion Date
2024-07-30
Last Updated
2026-11-02
Healthy Volunteers
Yes
Conditions
Interventions
Neuromuscular Electrical Stimulation
A supervised program of intradialytic NMES of the quadriceps and calf muscles of both lower limbs with different phases, types and current intensity. The electrical stimulation program will included (total time, intensity, contraction-relaxation phase time): a toning program in the first two weeks.
resistive training program
Part one: Warming up for 5 minutes in the form of lower limbs range of motion (active free) exercise from supine position. Part two: The main part is the resistive training for quadriceps and calf muscles from supine position using weights in the form of sand bags for 20 min. Part three: Cooling down for 5 minutes in the form of lower limbs range of motion (active free) exercise from supine position. The training parameters: The exercise training will be done during the first 2 hours of HD session using free leg weights. The patient will assume a supine lying position on the treatment plinth and perform the exercises for every lower limb separately while the other limb will be supported on the plinth by therapist or the patient himself. Resistance will be placed at the malleoli level in the distal third of the leg.
usual care dialysis
Routine care provided during maintenance hemodialysis without the study-specific intradialytic neuromuscular electrical stimulation or resistance exercise intervention.
Locations (2)
Nephrology and Dialysis Center, Kasr Al-Ainy Hospital, Cairo
Cairo, Egypt
the Nephrology and Dialysis Center, Kasr Al-Ainy Hospital, Cairo, Egypt,
Dokki, Egypt