Handgrip Exercise for Arteriovenous Fistula Maturation

Bangor University

Status: Completed

Conditions: Chronic Kidney Disease

Treatments: Other: Treatment as usual; Other: Post operative progressive handgrip exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT01061008

Macdonald 07/4 (Other Identifier)

REC No : 07/WNo01/4

Details and patient eligibility

About

The purpose of this study is to investigate whether post operative progressive forearm exercise is effective in improving arteriovenous fistula maturation in chronic kidney disease patients.

Full description

The arteriovenous fistula is considered to be the gold standard form of access for haemodialysis patients, however only 37% of haemodialysis patients have this form of access. A possible explanation for this could be the high fistula failure rate due to the lack of maturation. Therefore interventions aimed at enhancing fistula maturation are warranted. One such intervention could be forearm exercise, however this recommendation is not evidence based. Therefore, the purpose of this study is to investigate whether a program of post operative progressive hand grip exercise can improve fistula maturation.

Enrollment: 31 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stage 4-5 chronic kidney disease, attending for arteriovenous fistula creation in forearm

Exclusion criteria

• Are under the age of 18years;
• Not able to exercise forearm safely (as decided by the patients consultant)
• Have any other uncontrolled medical condition
• Unable to withstand transiently raised systolic blood pressure by 35 mmHg and diastolic by 25 mmHg
• Or are unable to give consent

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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31 participants in 2 patient groups

Handgrip exercise

Experimental group

Description:

Handgrip exercise - patients allocated to this intervention will carry out an eight week post operative progressive handgrip exercise training program

Treatment:

Other: Post operative progressive handgrip exercise

Treatment as usual

Active Comparator group

Treatment:

Other: Treatment as usual