Implicit postural control strategies in older hemodialysis patients: An objective hallmark feature for clinical balance assessment

Magnard, Justine; Hristea, Dan; Lefrançois, Gaëlle; Testa, Angelo; Paris, Anne; Deschamps, Thibault

doi:10.1016/j.gaitpost.2014.07.009

Cited by 17 publications

(15 citation statements)

References 14 publications

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“…In fact, recent studies showed that the highest AAMVs that bound the COP velocity dynamics of postural sway were associated with cognitive impairment and fall risk . We specifically identified that this AAMV was the most sensitive dependent variable to characterization of implicit postural control strategies and an objective hallmark feature of HD‐related changes in postural sway (see Magnard et al …”

Section: Methodsmentioning

confidence: 82%

“…Even if the results of traditional COP parameters confirm a greater difficulty in controlling posture in EC compared with in EO condition, the lack of time‐of‐HD session × vision interaction might indicate that the visual information processing influences postural control to the same extent, regardless of the pre‐ or post‐HD postural evaluation. Because of the aforementioned specific consequences of HD treatment (e.g., immobilization, fluids redistribution), it is most likely that the impaired balance in ESRD patients after HD session is less associated with the visual input rather than with the deficits in integration of proprioceptive and/or vestibular information.…”

Section: Discussionmentioning

confidence: 88%

“…In this context, the evaluation of balance disorders plays an increasingly important role in clinical practice and research on prevention of falls in the elderly and/or rehabilitation of specific populations . Recently, interest in hemodialysis (HD)‐related changes in postural sway in patients with end‐stage renal diseases (ESRD) has emerged . In this respect, the present study investigated the specific effect of HD treatment on balance deficits in patients with ESRD symptoms (i.e., uremic syndrome) by comparing center‐of‐pressure (COP) trajectories recorded before and after HD session.…”

Section: Introductionmentioning

confidence: 99%

“…The ESRD, which is a consequence of a progressive and irreversible loss of kidney functions, is substantially characterized by the uremic syndrome, the main features of which are overall hydration, arterial tension problems, anemia, metabolic acidosis, retention of nitrogenous substances (such as urea and creatinine), and abnormal electrolyte balance . In spite of continuous therapeutic advances in the treatment of ESRD and associated comorbidities, these patients have poor physical functioning, low activity levels, low muscle mass and strength, and higher postural sway, which are all directly linked to cardiovascular disease, bone mineral abnormalities, and muscle catabolism associated with ESRD. All these comorbidities are well known to be associated with high morbidity and mortality .…”

Section: Introductionmentioning

confidence: 99%

“…showed that HD patients have poorer postural control compared with age‐matched healthy people (mean age 48.7 ± 9.5 years), especially when the quiet standing is associated with a cognitive task. Second, a recent study conducted by Magnard et al . examined the HD‐related changes in postural sway in different age groups, individuals with different body mass index, and gender‐matched healthy people (mean age 72 ± 10.8 years).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The effect of hemodialysis session on postural strategies in older end‐stage renal disease patients

Magnard

Lardy

Testa

et al. 2015

Hemodialysis International

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Patients suffering from end-stage renal disease experience multiple disabilities, such as muscle wasting, weakness, higher postural sway, and fall rates compared with healthy population, which has a negative effect on physical functioning and autonomy. The vital treatment of hemodialysis is recognized to induce important post-hemodialysis fatigue, hypotension, cramps, and headache due to the rapid fluid redistribution, among others. Nevertheless, even the well-known negative effect of aforementioned consequences of hemodialysis treatment, its effect on physical function, especially postural balance, is unclear. Thus, this study hypothesized the adverse effect of hemodialysis treatment on postural sway in 12 end-stage renal disease patients (mean age 63.3 ± 11 years) through the analysis of center-of-pressure (COP) trajectories recorded before and immediately after hemodialysis session. Evident postural alterations were observed at post-hemodialysis balance assessment for COP position-based (Fs < 7.7, P < 0.02) and COP velocity-based variables (Fs > 2.33, P < 0.05), without changes in complexity of COP time series in anteroposterior and mediolateral directions. These results suggest that period after hemodialysis treatment is particularly unsafe, as evidenced by important disability in postural control, and highlight the importance of the medical support and falls-related prevention strategies of these older frail patients after hemodialysis treatment.

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Section: Methodsmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The effect of hemodialysis session on postural strategies in older end‐stage renal disease patients

Magnard

Lardy

Testa

et al. 2015

Hemodialysis International

Self Cite

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Factors associated with postural balance in patients with end-stage renal disease on hemodialysis

Jesus,

Pinheiro,

Lucinda

et al. 2023

Clinical Biomechanics

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Balance impairment in kidney transplant recipients without concurrent peripheral neuropathy

et al. 2017

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Kidney transplant recipients (KTRs) present with compromised functional capacity, low levels of physical activity, muscle atrophy, and peripheral nerve dysfunction that may result in high postural instability. This study aimed to compare the static balance control of 19 KTRs with 19 healthy adults (HA). All participants completed the Romberg test on a stabilometric platform with eyes open (EO), eyes closed (EC) and during a dual task (DT) condition. Centre of pressure (COP) measures (COP velocity (COPv) and sway area (SA)), as well as position-based outcomes such as anterior-posterior (AP) and medio-lateral (ML) ranges of COP displacements were recorded. Independent ANCOVA revealed an overall lower performance of KTRs compared to HA (p<0.05) with the EC condition exhibiting the worst relative performance for KTRs, suggesting a poorer capacity of relying on proprioceptive information when maintaining the upright posture. The addition of a cognitive task did not further worsen balance performance in KTRs. As impaired postural control is one of the main predictors of falls in elderly subjects, these data might also indicate that this constitutes an equivalent risk factor for falling in middle-aged KTRs.

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Implicit postural control strategies in older hemodialysis patients: An objective hallmark feature for clinical balance assessment

Cited by 17 publications

References 14 publications

The effect of hemodialysis session on postural strategies in older end‐stage renal disease patients

The effect of hemodialysis session on postural strategies in older end‐stage renal disease patients

Factors associated with postural balance in patients with end-stage renal disease on hemodialysis

Balance impairment in kidney transplant recipients without concurrent peripheral neuropathy

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