Kidney Failure, Chronic Clinical Trial
Official title:
Acute Effects of Low-level Laser Therapy in Functional Capacity of Patients With Chronic Kidney Disease: Randomized Clinical Trial
Chronic kidney disease is a renal injury and progressive and irreversible loss of kidney
function and in its most advanced stage is called chronic renal failure. Although
hemodialysis replace some kidney function, patients suffer some alterations characterized by
"uremic syndrome" typically expressed by: motor neuropathy and/or autonomic neuropathy,
cardiac or musculoskeletal myopathies, peripheral vascular changes, among others. Thus, the
functional capacity and ability to exercise presents diminished these patients. The aim of
this study is to verify the acute effect of low level laser therapy on the functional
capacity of these individuals.
The research will be developed in the hemodialysis unit of the Santa Clara hospital of Santa
Casa de Misericordia de Porto Alegre and the patients will be evaluated before and
immediately after the application of laser therapy protocol. Before the protocol will be
evaluated pain in the lower limbs, Borg scale, level of physical activity through the
International Physical Activity Questionnaire (IPAQ) and blood collection will be held for
later analysis parameters of biochemical oxidative stress and deoxyribonucleic acid (DNA)
damage.
The laser therapy protocol will be applied in 6 points in quadriceps and 4 points in the
gastrocnemius, bilaterally. After application, will be held the 6-minute walk test, effort
subjective perception by Borg scale, assessment of pain in the lower limbs with visual
analog scale and a new blood sample for further analysis. Patients will be randomized in two
groups. The intervention group (IG), which will be held laser therapy and placebo group
(PG), where the laser therapy will be placebo mode applied. The application will take place
with the Chattanooga device, with the laser diode cluster probe from the same manufacturer
consisting of five diodes 850 nanometers (nm) and power output of 200 milliwatts (mW). It is
irradiated 6 points in quadriceps and 4 points in gastrocnemius, bilaterally.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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