Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04901832 |
Other study ID # |
IDSE-1 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
December 13, 2020 |
Est. completion date |
March 22, 2021 |
Study information
Verified date |
May 2021 |
Source |
Kufa University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Renal replacement therapy is a treatment option for people who have acute or chronic renal
failure. A patient with increasing symptoms of renal failure is referred to a dialysis and
transplantation center early in the course of progressive kidney disease. Hemodialysis is one
of the most widely used dialysis procedures. Muscle cramps are the most common complication
experienced by hemodialysis patients that usually develop during and in between hemodialysis
therapy. These cramps appear to be the most common reason for the early termination of the
hemodialysis session.
- Research Question: Is there a difference in leg muscle cramps levels between patients
undergoing hemodialysis who received intradialytic stretching exercises compared to those
patients who do not receive these exercises?
- Hypothesis: Leg muscle cramp levels are less among patients undergoing hemodialysis who
receive intradialytic stretching exercises compared to those patients who do not receive such
exercises.
Description:
Study Sample:
Non-probability purposive sample of 60 patients undergoing hemodialysis. The sample is
divided randomly into two groups; 30 patients as study group are exposed to intradialytic
stretching exercises, and the other 30 patients are not exposed to the exercises considered
as the control group.
The Study Instrument:
To determine the effectiveness of the intradialytic stretching exercises program on the
prevention and reduction of leg muscle cramps among patients undergoing hemodialysis, the
researcher has adopted an assessment tool in order to achieve each of the study objectives.
This tool consists of three parts:
Part I: Socio-Demographic Data:
A socio-demographic datasheet consists of (6) items, which include residency, gender, age,
smoking, educational level, occupational status. These variables are coded as preparation for
data analysis.
Part II: Clinical Variable:
The second part of the questionnaire consists of (10) items, which include duration of
dialysis treatment, number of hemodialysis session per week, duration of hemodialysis
session, frequency of leg muscle cramps per week, site of leg muscle cramps, comorbidity,
level of calcium, body mass index, ultrafiltration rate, and ultrafiltration volume. These
variables are coded as preparation for data analysis.
Part III: Muscle Cramp questionnaire chart. The muscle cramp questionnaire chart is adopted
to assess the level of muscle cramps during hemodialysis, before and after the intervention.
This chart is used because it is an easy and valid tool, as it has been adopted in several
previous studies. It contains various features of muscle cramps such as the frequency of
muscle cramps, duration of muscle cramps, level of pain, temperature, and discomfort which
was comprehensively scored as the level of muscle cramps ranging from (0-13).
Score Interpretation of Study Instruments :
Four scores are used for rating the levels of leg muscle cramps among Patients undergoing
Hemodialysis in terms of no cramps, mild cramps, moderate cramps, and severe cramps. These
cramps levels are scored as (0) for no cramps, (1 - 4) for Mild cramps, (5 - 8) for moderate
cramps, and (9 - 13) for severe cramps.
Regarding the body mass index, four scores are used for rating the body mass index categories
in terms of underweight, normal, overweight, obesity. These categories are scored as shown in
the following table from Centers for Disease Control and Prevention, (2020) Underweight:Below
18.5 Normal or Healthy Weight:18.5 - 24.9 Overweight:25.0 - 29.9 Obese:30.0 and Above
Data collection The Data Collection was done according to CONSORT 2010 Flow Diagram