Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 4 Issue 6

Evaluation of the Effect of the Hemodialysis Session on the Equilibrium by the Monopodal Support Test

Boughallaba N1, Taghouti E2 and Habib Ksouri3*

1Centre d’Hémodialyse Nour Echiffa, Avenue Farhat Hached, Jerba-Midoun, Tunisia
2Ecole Supérieur des Sciences et des Techniques de Santé de Sousse, Sousse, Tunisia
3Service des Laboratoires, Centre National de Greffe de Moelle Osseuse, Tunis, Tunisia

*Corresponding Author: Habib Ksouri, Service des Laboratoires, Centre National de Greffe de Moelle Osseuse, Tunis, Tunisia.

Received: February 28, 2020; Published: May 14, 2020

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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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References

  1. Hurvitz EA., et al. “Unipedal stance testing as an indicator of fall risk among older outpatients”. Archives of Physical Medicine and Rehabilitation 5 (2000): 587-591.
  2. Ortega-Pérez de Villar L., et al. “Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis”. PLOS ONE 8 (2018): e0201035.
  3. Papakonstantinopoulou K., et al. “Risk of falls in chronic kidney disease”. Journal of Frailty, Sarcopenia and Falls 02 (2017): 33-38.
  4. Cook WL., et al. “Falls and Fall-Related Injuries in Older Dialysis Patients”. Clinical Journal of the American Society of Nephrology 6 (2006):1197-1204.
  5. Erken E., et al. “The effect of hemodialysis on balance measurements and risk of fall”. International Urology and Nephrology 10 (2016): 1705-1711.
  6. Noto-Kadou-Kaza B., et al. “Chutes chez l’hémodialysé: incidence et facteurs de risqué”. Néphrologie Thérapeutique 4 (2015): 246-249.
  7. Desmet C., et al. “Falls in hemodialysis patients: Prospective study of incidence, risk factors, and complications”. American Journal of Kidney Diseases 1 (2005): 148-153.
  8. Li M., et al. “Geriatric comorbidities, such as falls, confer an independent mortality risk to elderly dialysis patients”. Nephrology Dialysis Transplantation 4 (2007): 1396-400.
  9. Polinder-Bos HA., et al. “High fall incidence and fracture rate in elderly dialysis patients”. The Netherlands Journal of Medicine10 (2014): 7.
  10. Roberts RG., et al. “Are elderly haemodialysis patients at risk of falls and postural hypotension?” International Urology and Nephrology 3 (2003): 415-421.
  11. Plantinga LC., et al. “Serious Fall Injuries Before and After Initiation of Hemodialysis Among Older ESRD Patients in the United States: A Retrospective Cohort Study”. American Journal of Kidney Diseases 1 (2017): 76-83.
  12. Bullani R., et al. “Effect of Intradialytic Resistance Band Exercise on Physical Function in Patients on Maintenance Hemodialysis: A Pilot Study”. Journal of Renal Nutrition 1 (2011): 61-65.
  13. Erdoganoglu Y., et al. “Is there a relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients?: Foot sensation in hemodialysis patients”. Hemodialysis International 2 (2019): 273-278.
  14. Bohannon RW., et al. “Decrease in Timed Balance Test Scores with Aging”. Physical Therapy 7 (1984): 4.
  15. Fatollahierad S., et al. “Fall Incidence and Risk Factors in Hemodialysis Patients”. Turkish Nephrology Dialysis Transplantation 3 (2016): 263-268.
  16. Sambrook PN., et al. “Serum Parathyroid Hormone Predicts Time to Fall Independent of Vitamin D Status in a Frail Elderly Population”. The Journal of Clinical Endocrinology and Metabolism 4 (2004): 1572-1576.
  17. Houston DK., et al. “Serum Parathyroid Hormone Levels Predict Falls in Older Adults with Diabetes Mellitus: PTH and falls in older adults with diabetes mellitus”. Journal of the American Geriatrics Society 11 (2008): 2027-2032.
  18. Magnard J., et al. “The effect of hemodialysis session on postural strategies in older end-stage renal disease patients: Postural sway changes in ESRD patients”. Hemodialysis International 4 (2015): 553-561.
  19. Analan PD and Özelsancak R. “Balance and fall risk in peritoneal dialysis patients”. Journal of Back and Musculoskeletal Rehabilitation (2018): 1-7.
  20. Farragher J., et al. “Equivalent Fall Risk in Elderly Patients on Hemodialysis and Peritoneal Dialysis”. Peritoneal Dialysis International 1 (2016): 67-70.
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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.



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