Electrical Muscle Stimulation Versus Resistive Training On Physical Measures, And Fatigue In Hemodialysis Patients

Electrical Muscle Stimulation Versus Resistive Training On Physical Measures, And Fatigue In Hemodialysis Patients

The aim of this study is to compare effect of intradialytic NMES versus resistive training on physical measures and fatigue in HDP.

In this study we will compare between the effect of intradialytic neuromuscular electrical stimulation and resistive training on physical measures, dialysis efficiency and fatigue in HDP. This is first study that will compare between NMES and resistive training in HDP, investigating their effect on physical performance; dialysis efficiency and level of fatigue as previous studies show effect of each intervention alone.

Inclusion Criteria:

• Patients of both sexes, with CKF on HD for more than 3 years.
• Age between 40 to 55 years old.
• BMI is between 25 and 29.9 kg/m2.

Exclusion Criteria:

Patients who have one of the following contraindications to the interventions or affect the results

• Cognitive impairment that prevented them from performing the evaluations and who were unable to understand and sign the written informed consent.
• Stroke
• Smokers
• Anemic patients
• Osteoarticular or disabling musculoskeletal disorders
• Uncontrolled hypertension (systolic blood pressure>230 mm Hg and diastolic blood pressure>120 mm Hg)
• Patients with coronary artery disease or heart failure.
• Diabetic patients
• Infectious diseases and chest diseases
• Active smokers' patients with peripheral vascular disease in the lower limbs such as deep vein thrombosis or thromboangiitis