PMR Versus MLD on RLS and Sleep Quality in Hemodialysis Patients

MTI University

Status: Completed

Conditions: Hemodialysis Complication

Treatments: Other: Manual lymphatic drainage (MLD); Other: Progressive muscle relaxation (PMR); Other: cnotrol group

Study type: Interventional

Funder types: Other

Identifiers

NCT06481800

P.T.REC/012/005202

Details and patient eligibility

About

Progressive muscle relaxation versus manual lymphatic drainage on restless leg syndrome and sleep quality in hemodialysis patients

Full description

Restless legs syndrome (RLS) is a sensory motor disturbance with features of both neurologic and sleeps disorders. The patients complain of strong, irresistible urge to move the legs, often accompanied by uncomfortable sensations deeply in the legs. Poor sleep quality affects many hemodialysis patients and can potentially predict their morbidity, mortality, quality of life and pattern of medication use. Progressive muscle relaxation (PMR) is one way to improve physical work capacity and reduce functional limitations. Manual lymphatic drainage (MLD) is a traditional therapy in which the hands work on the tissues of the body, including tuina, acupressure, and the likes. It is beneficial to the well-being of patients both physically and mentally

Enrollment: 120 patients

Sex: All

Ages: 35 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male and female adults ranging from 35- 65 years old.
• Able to communicate verbally and agree to participate in the study.
• On maintenance arteriovenous fistula (AVF) hemodialysis 3 times weekly.
• None of the research participants had a lower extremity dialysis graft, and they were all taking medication to maintain their health.
• Prior to the study procedure, all patients underwent a nephrologist assessment
• All patients had good compliance with their dialysis treatment (not missing more than 2 dialysis sessions in the prior 3 months

Exclusion criteria

• Peripheral neuropathy or vascular diseases of the lower limbs.
• Skin diseases including acute psoriasis or eczema.
• Recent fractures or lower limbs surgeries.
• Feet injuries including severe muscle weakness, bruises, ulcers, Open wounds or recent burns

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 3 patient groups

Group (A):Progressive muscle relaxation (PMR)

Experimental group

Description:

patients receive progressive muscle relaxation (PMR) for 20 minutes after each dialysis session during the first 2 hours the dialysis treatment with routine medical care for dialysis patients

Treatment:

Other: Progressive muscle relaxation (PMR)

Group (B): Manual lymphatic drainage (MLD)

Experimental group

Description:

patients receive Manual lymphatic drainage (MLD) for 20 minutes within after each dialysis session during the first 2 hours the dialysis treatment with routine medical care for dialysis patients.

Treatment:

Other: Manual lymphatic drainage (MLD)

Group (C):control

Active Comparator group

Description:

patients receive routine medical care for dialysis patients. Routine medical care for RLS and sleep quality in hemodialysis Anemia management, electrolyte balance,Avoiding caffeine and alcohol, establishing a regular sleep schedule leg care,Medicines that increase dopamine in the brain, affecting calcium channels, Opioids , Gabapentin and Pregabali , Benzodiazepines

Treatment:

Other: cnotrol group