Patients with Chronic kidney disease stage 3-5 whom plan to hemodialysis Vascular access, Arteriovenous fistula, Arm exercise, Doppler ultrasound, Maturation
Conditions
Interventions
Isotonic exercise + Isometric exercise
1. Isotonic exercise: grip strengthener : count 1-10 x 10 :3 set per day
2. Isometric exercise: Patong ball : count 1-10 x 10 :3 set per day
,Hand stress ball
Experimental Procedure/Surgery,Placebo Comparator Procedure/Surgery
Pre operative exercise protocol,Hand stress ball
Sponsors
Chulabhorn royal academy
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients with Chronic kidney disease stage 3-5 whom plan to hemodialysis Age >18 yrs old
Exclusion criteria
Exclusion criteria: 1. small native vessel (artery<1.6 mm, vein < 1.8 mm) 2. Need urgent dialysis (in 8 weeks) 3. Age < 18 yrs old 4. History of AVF in same extremity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Vascular caliber 1 month milimetre (by ultrasound),Hand grip test 1 month Dynamometer,Hand grip test 2 months Dynamometer,Vascular caliber 2 month milimeter (by ultrasound) | — |
Secondary
| Measure | Time frame |
|---|---|
| convert to AVF Procedure 2 months Yes/No | — |
Countries
Thailand
Contacts
Public ContactNawaphan Taengsakul
Chulabhorn hospital
Outcome results
None listed