Chronic Kidney Diseases
Conditions
Keywords
Virtual Reality Exercise, Selected Electrolytes Levels, Intradialytic Patients
Brief summary
this study will be conducted to investigate the effect of Intra-Dialysis virtual reality exercise on selected electrolytes balance in patients with end stage renal disease.
Detailed description
Chronic Kidney Disease (CKD) is a progressive condition that often leads to end-stage renal disease, requiring dialysis. Patients undergoing hemodialysis frequently experience physical inactivity and electrolyte imbalances, which can adversely affect their health outcomes. Regular physical activity is crucial for maintaining muscle strength and physical function in CKD patients.Electrolytes play vital roles in various physiological functions, including muscle contraction, nerve transmission, and fluid balance. In end stage renal disease patients, imbalances can lead to serious complications, including: hyperkalemia, Hyponatremia, and hypocalcemia.VR has been employed in medicine to assist patients in recovering their motor and cognitive abilities. It has proven effective in enhancing physical functions such as posture, balance, and motor skills. When combined with physical exercise, VR has been shown to improve the functional abilities and quality of life of hemodialysis patients. For those with end stage renal disease patients, who experience discomfort during hemodialysis, VR offers a distraction that can reduce the perception of pain, fatigue, nausea, lightheadedness, and headaches, thereby facilitating smoother exercise continuity and enhancing overall adherence to rehabilitation activities. so this study will be conducted to assess the effect of Intra-Dialysis Virtual Reality Exercise on Selected Electrolytes Balance in Patients with End Stage Renal Disease
Interventions
the patients will receive 30 minutes virtual reality exercise; (5 minutes warm Up stretching exercise - 20 minutes cycling exercise -5 minutes cool down stretching exercise) plus standard care
OTHERstandard care
the patients will receive standard care in the form of medical care
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
virtual reality and standard care
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients are diagnosed with end stage renal disease on regular dialysis. * Their ages will be arranged from 20-40 years old. * All patients are under medical control. * Patients on regular dialysis more than 3 months.
Exclusion criteria
* Visual impairment. * Severe cognitive impairment. * Recent major surgery. * Patients with sever musculoskeletal problems. * Severe cardiovascular disease limiting exercise. * Patients with Hemoglobin drop less than 9 g/dl
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Serum Electrolyte Levels | up to three months | Measurements the level of sodium, potassium, calcium and phosphorus by venous blood sample. the normal value for Sodium: 135-145 mEq/L ,Potassium: 3.5-5.0 mEq/L, Calcium: 8.5-10.2 mg/dL, and Phosphorus: 2.5-4.5 mg/dL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure | up to three months | A sphygmomanometer will be used to assess blood pressure with normal range 120/80 |
| oxygen saturation levels | up to three months | A pulse oximeter will be used to assess oxygen saturation level. 95-100% considered normal for healthy individuals |
| functional exercise capacity | up to three months | 6-Minute Walk Test will be used to assess functional exercises capacity |
| exercise intensity | up to three months | The Rated Perceived Exertion (RPE) Scale will be used to assess exercise intensity. it is a subjective 6-20 scale measuring exercise intensity, where 6 is no effort (rest) and 20 is maximum effort. |
Contacts
Primary Contactsarah mohamed, master
Outcome results
None listed