The goal of this clinical trial is to learn if intra-dialytic Muscle Energy Technique (MET) can reduce symptoms of restless legs syndrome (RLS) in people with end-stage renal disease (ESRD) receiving maintenance hemodialysis. The study also aims to learn if this treatment can improve sleep quality, muscle strength, blood pressure, and oxygen saturation. The main questions it aims to answer are: * Does intra-dialytic Muscle Energy Technique reduce the severity of restless legs syndrome? * Does intra-dialytic Muscle Energy Technique improve sleep quality, muscle strength, blood pressure, and oxygen saturation? Researchers compared people who received intra-dialytic Muscle Energy Technique together with routine medical treatment and hemodialysis with people who received routine medical treatment and hemodialysis alone to find out whether adding Muscle Energy Technique provides greater benefits. Participants: * Were randomly placed into one of two groups. * Received routine medical treatment and hemodialysis. * Received intra-dialytic Muscle Energy Technique during the second hour of hemodialysis if they were in the intervention group. * Had three treatment sessions each week for eight weeks. * Had assessments before and after the eight-week treatment.
Restless legs syndrome (RLS) is a common neurological disorder among people with end-stage renal disease (ESRD) receiving maintenance hemodialysis. The condition is associated with sleep disturbances, reduced physical function, and impaired quality of life. Although medications are commonly used to manage RLS, symptoms may persist despite treatment, highlighting the need for effective non-pharmacological interventions. This randomized controlled trial was conducted to evaluate the effectiveness of intra-dialytic Muscle Energy Technique (MET) as an adjunct to routine medical treatment and maintenance hemodialysis for reducing RLS symptoms. The study compared routine medical treatment and maintenance hemodialysis alone with the same treatment combined with intra-dialytic Muscle Energy Technique to determine whether the additional intervention improved clinical outcomes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Intra-dialytic Muscle Energy Technique (MET) was performed for 20 minutes during the second hour of maintenance hemodialysis, three sessions per week for eight weeks.
Routine medical treatment and maintenance hemodialysis without additional physical therapy intervention.
Tala Central Hospital
Tala, Menoufia Governorate, Egypt
Restless Leg Syndrome Severity
Assessed using the International Restless Legs Syndrome Study Group (IRLSSG) Rating Scale. Higher scores indicate greater symptom severity.
Time frame: Baseline and after 8 weeks
Sleep Quality
Assessed using the Pittsburgh Sleep Quality Index (PSQI) Total score ranges from 0 to 21, with higher scores indicating poorer sleep quality.
Time frame: Baseline and after 8 weeks
Calf and Hamstring muscles strength
Handheld Dynamometer: Muscle strength was measured in kilograms (kg). Higher values indicate greater muscle strength.
Time frame: Baseline and after 8 weeks
Systolic and diastolic Blood Pressure
Measured using a mercury sphygmomanometer, was measured in millimeters of mercury (mmHg) Lower values indicate better blood pressure control
Time frame: Baseline and after 8 weeks
Oxygen Saturation
Measured using a pulse oximeter was measured as a percentage (%). Higher values indicate better oxygen saturation
Time frame: Baseline and after 8 weeks
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