Abstract

Introduction: The monopodal support test is a simple, reliable and reproducible clinical test that assesses static equilibrium and postural stability. Since chronic renal disease is an independent factor of fragility and is a source of complications, among others cardiovascular and osteoarticular ones, we propose in this work to evaluate static equilibrium and postural stability in a group of patients under regular hemodialysis to appreciate the effect of the hemodialysis session on those factors.

Patients and Methods: This is a cross-sectional descriptive study of 40 patients under regular hemodialysis in the Nour-echiffa dialysis clinic in Jerba (southern Tunisia). The data were collected from a targeted clinical examination that included demographic data and a clinical assessment including the monopodal support test. The Wilcoxon test was used for statistical calculation.

Results: The average age of our patients is 51.7 years, with a sex ratio of 1 and 90 months of hemodialysis duration mean. A clear prevalence of type 2 diabetes, glomerulopathies secondary to blood hypertension characterize the etiologies of chronic renal failure in our patients. Twenty patients reported having had falls during the previous year. Our results reveal that our patients are unstable despite their young age with an average time of monopodal support test of 18 seconds as well as a matching between the post-dialysis blood pressure decrease and the improvement of the time of this test.

Conclusion: The hemodialysis session demonstrated a positive effect on static equilibrium and postural stability. The adequacy of dialysis results in a significant normalization of blood pressure values and an increase in the time this test. Thus, this monopodal support test is a reliable, easy and practical examination that can highlight the fragility of patients under regular hemodialysis. As a result, it could be integrated into the daily activities of hemodialysis centers in order to detect and prevent serious complications due to falls.

Keywords: Hemodialysis; Monopodal Support Test; Postural Stability; Static Equilibrium

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Citation

Citation: Habib Ksouri., et al. “Evaluation of the Effect of the Hemodialysis Session on the Equilibrium by the Monopodal Support Test". Acta Scientific Medical Sciences 4.6 (2020): 82-88.

Copyright

Copyright: © 2020 Habib Ksouri., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.