Immediate Effects Of Hemodialysis On Hand Grip Strength And Functional Capacity

Abstract

Background Pediatric chronic kidney disease (CKD) is accompanied by serious health problems and is linked to a number of co-morbid disorders including decreased muscle strength, lung capacity, functional ability, growth, and bio-psychosocial alterations that affect quality of life (QoL). AimTo investigate the immediate effect of hemodialysis (HD) on hand grip strength (HGS) and functional capacity in children with ESRD. Methods Sixty-three children with end stage renal disease (ESRD); stage V; of both sexes, aged 4 to 14 years, who were receiving HD in the Pediatric Nephrology Unit, Abo El-Reesh hospital participated in this study. Anthropometric measures and demographic data were recorded before HD session. The HGS and 6MWT measurements were taken immediately before and after HD session. Results The mean HGS values evaluated immediately after HD compared to pre-HD session showed a statistically significant reduction. As opposed to that, the 6MWT mean values was significantly increased (p<0.05). Conclusion Dialysis is an imperative treatment for patients with ESRD, but it has negative effects on functional performance. Children with ESRD need monitoring of not only medical issues but also functional capacity and physical aspects.