PMR Versus MLD on RLS and Sleep Quality in Hemodialysis Patients

MTI University120 enrolled

Overview

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

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

120

Conditions

Hemodialysis Complication

Interventions

Progressive muscle relaxation (PMR)OTHER

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

cnotrol groupOTHER

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,Regular monitoring of kidney function, blood tests

Manual lymphatic drainage (MLD)OTHER

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

Eligibility

Sex: ALLMin age: 35 YearsMax age: 65 Years

Medical Language ↔ Plain English

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

Locations (1)

Ahmed Mohamed Ahmed Abdelhady

Cairo, Egypt

Outcomes

Primary Outcomes

International restless legs syndrome rating scale (IRLS)

It consists of 10 questions considering different aspects of the impact of RLS on a patient's life. Each question can be answered with a Likert-type scale ranging from "none" (0) to "very severe" (4).

Time frame: base line and 12 weeks.

Pittsburgh Sleep Quality Index (PSQI)

It is a self-report questionnaire that assesses sleep quality. The patient asked to rate his/ her sleep quality

Time frame: base line and 12 weeks

Secondary Outcomes

Leg cramps severity scale

0 no pain (no early symptoms), 1: mild (under cramps, with early symptoms), 2: discomforting (a cramp, recovery immediate, tolerable), 3: distressing (cramps once or twice, nurse call, recover with some treatment, cramps after HD), 4: horrible and excruciating (several cramps, nurse call, not tolerable, including a cessation of HD, cramps after HD).

Time frame: base line and 12 weeks

Patient Health Questionnaire (PHQ-9)

The (PHQ-9) is efficient, reliable, and highly acceptable for diagnosing depression and anxiety

Time frame: base line and 12 weeks

Data from ClinicalTrials.gov

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