Fall Risk, Fall Prevention
Conditions
Brief summary
Renal nutrition Fluid control Safe physical activity Sleep hygiene, energy and managing fatigue Adherence and awareness
Detailed description
Application of PlazePod Device and Electrical Stimulation and comparison between them to decrease fall Risk in Hemodialysis Patients
Interventions
DEVICEDevice + Behavioral
This intervention consists of interactive sensorimotor training using the BlazePod system, a visual stimulus-based device designed to improve balance, coordination, reaction time, and functional mobility. Participants will perform static and dynamic balance exercises, reactive stepping drills, lower-limb coordination tasks, and dual-task activities in response to visual cues emitted by the BlazePod sensors. Training sessions will be conducted three times per week, with each session lasting 30 minutes, over a total duration of 12 weeks. All sessions will be supervised by a licensed physical therapist to ensure safety and appropriate progression of exercise difficulty. The intervention aims to reduce fall risk by enhancing neuromuscular control and postural stability in hemodialysis patients.
DEVICENeuromuscular Electrical Stimulation (NMES)
This intervention involves the application of neuromuscular electrical stimulation to the lower limb muscles, specifically the bilateral quadriceps and hamstrings, using a portable electrical stimulation device. Surface electrodes will be placed over the motor points to elicit visible and comfortable muscle contractions. Stimulation parameters will include a frequency of 35-50 Hz, pulse width of 200-400 microseconds, and a duty cycle of 10 seconds on and 30 seconds off. Sessions will be administered three times per week for 30 minutes over 12 weeks under the supervision of a physical therapist. The intervention aims to improve muscle strength, balance, functional mobility, and reduce fall risk in hemodialysis patients.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
Application of PlazePod Device and Electrical Stimulation for 60 patients each group 30 for 3months for 40-50age Additionally life style education program, such as: Renal nutrition Fluid control Safe physical activity Sleep hygiene, energy and managing fatigue Adherence and awareness For 3 months, there was one session every week, lasting 30 minutes
Intervention model description
Application two Devices of PlazePod Device and Electrical Stimulation for 60 patients each group 30 for 3months for 40-50age Additionally life style education program, such as: Renal nutrition Fluid control Safe physical activity Sleep hygiene, energy and managing fatigue Adherence and awareness For 3 months, there was one session every week, lasting 30 minutes and comparison between two groups
Eligibility
Sex/Gender
MALE
Age
40 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* : * Male patients aged 40 to 50 years. * Diagnosed with end-stage renal disease and receiving maintenance hemodialysis for at least 6 months. * Medically stable and cleared by a nephrologist to participate in physical activity and/or electrical stimulation. * Able to ambulate independently or with minimal assistance. * Cognitively able to understand study procedures. * Not participating in any other structured exercise program.
Exclusion criteria
* Severe neurological or orthopedic disorders affecting mobility. * Unstable cardiovascular conditions. * Cognitive impairment or sensory deficits. * Contraindications to neuromuscular electrical stimulation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of Falling Assessed by Timed Up and Go Test (TUG) | Baseline and after 12 weeks of intervention | Change in risk of falling measured using the Timed Up and Go (TUG) test, recorded in seconds. Lower scores indicate better functional mobility and reduced fall risk. |
| Balance Performance Assessed by Berg Balance Scale (BBS) | Baseline and after 12 weeks | Change in static and dynamic balance measured using the Berg Balance Scale (BBS), scored from 0 to 56 points, with higher scores indicating better balance performance. |
| Lower Limb Muscle Strength | Baseline and after 12 weeks | Change in lower limb muscle strength measured using a hand-held dynamometer, recorded in kilograms (kg). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Level | Baseline and after 12 weeks | Change in physical activity level measured using the International Physical Activity Questionnaire - Short Form (IPAQ-SF), expressed in MET-minutes/week. |
| Kidney Disease-Related Quality of Life | Baseline and after 12 weeks | Change in quality of life measured using the Kidney Disease Quality of Life Short Form questionnaire (KDQOL-36), reported as total score. |
Countries
Egypt
Contacts
CONTACTSamia Wagdy El said Diab, PHD
Outcome results
None listed