Arteriovenous Fistula
Conditions
Interventions
This is a randomised clinical trial which aims to evaluate the effects of na exercise programme for patients with Chronic Kidney Disease (CKD) with na indication for na arteriovenous fistula (AVF) cre
E02.760.169.063.500.387
I03.350
Sponsors
Hospital das Clínicas de Pernambuco
Programa de Pós-Graduação em Fisioterapia da Universidade Federal de Pernambuco - UFPE
Eligibility
Age
35 Years to 70 Years
Inclusion criteria
Inclusion criteria: Men and women; aged between 35 and 70 years old; diagnosed with Chronic Kidney Disease (CKD) stage 4 and 5 with a Glomerular Filtration Rate (GFR) less than or equal to 20 ml/min/1.73 m2, followed up in an outpatient clinic by conservative treatment, who already have an indication to create a radiocephalic Arteriovenous Fistula (AVF) to perform haemodialysis, and patients who have had a distal Arteriovenous Fistula (AVF) fittel
Exclusion criteria
Exclusion criteria: Patients with a previous history of brachiocephalic Arteriovenous Fistula (AVF); those who exercise regularly; a history of vascular surgery in the upper limbs; the presence of vascular access in the upper limbs; occupational activities involving the handling of heavy loads; the presence of traumatic injuries, orthopaedic and rheumatological injuries in the cervical spine, shoulders, elbows, wrists and hands; signs of thrombophlebitis; hypoplasia or agenesis of the upper limbs; presence of cognitive impairment that makes it difficult to understand and finalize the assessment methodology and treatment protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find an increase in the diameter (mm) of the cephalic vein assessed by doppler ultrasound before the study, after two weeks and after four weeks of applying the exercise protocol | — |
Secondary
| Measure | Time frame |
|---|---|
| We expected to find an increase in the distensibility (%) of the cephalic vein, an increase in the diameter (mm) of the radial artery, an increase in the blood flow rate (mL/min), an increase in the average velocity (cm/sec), and the peak blood flow (peak systolic) of the radial artery (cm/sec) assessed using Doppler ultrasound before the study, before and after the exercise protocol on the first and last day of treatment, after two weeks, and after four weeks of applying the exercise protocol. As well as an increase in forearm circumference (cm) measured with an anthropometric tape, an increase in handgrip strength (KgF) measured with an analogue dynamometer before, after two weeks, and after four weeks of applying the exercise protocol. Also expected is the perception of improvement and satisfaction with the proposed treatment as assessed by the Patient's Global Impression of Change Scale (PGICS) after four weeks of treatment | — |
Countries
Brazil
Contacts
Public ContactJulio Policarpo
Universidade Federal de Pernambuco
Outcome results
None listed