Effect of Intradialytic Stretching Exercises on Muscle Cramps among Elderly Patients Undergoing Hemodialysis

Abstract

Background: Muscle cramps occur frequently among elderly hemodialysis patients, which can be avoided by the application of intradialytic stretching exercises. Purpose: Determine the effect of intradialytic stretching exercises on muscle cramps among elderly patients undergoing hemodialysis. Setting: The study was conducted at hemodialysis unit in Meet Khaqan Health Center affiliated to Shebin El-Koum Fever Hospital. Sample: The study subjects comprised of a convenience sample of 50 elderly patients who were registered in dialysis unit's files. Instruments: First, Structured interviewing questionnaire. Second, cramp questionnaire chart and visual analogue scale. Results: There was a highly statistically significant difference in the level of muscle cramps pre and post implementation of intradialytic stretching exercises (p < 0.001**). Conclusion:There was a significant reduction in the muscle cramps level after application of the intradialytic stretching exercises. Thus, these exercises are an effective and simple measure to prevent or reduce severity of muscle cramps among elderly hemodialysis patients. Recommendations: Intradialytic stretching exercises should be combined with routine nursing care for hemodialysis patients.

Prevalence of Intradialytic Muscle Cramps and Quality of Life in Haemodialysis Patients

“…The previous study showed most of patients on hemodialysis had moderate level of leg muscle cramps(53%). 19 Another study stated that Almost 80% of patient undergoing Hemodialysis will experience leg muscle cramps, 36.6% were feel the muscle cramps at Sole. 20 Major consultations regarding muscle cramps were made to nephrologists and dialysis technician in the study.…”

Factors Affecting Pain in Hemodialysis and Non-pharmacological Management

“…In a similar study among 90 patients on hemodialysis, it was found that stretching exercises had a positive effect on the reduction of restless leg syndrome [ 30 ]. Similarly, in a study of 50 elderly hemodialysis patients, there was a significant reduction in muscle cramps in participants who followed stretching exercises during hemodialysis [ 31 ].…”