THE BILATERAL EPICUTANEOUS ELECTROSTIMULATION OF THE LOWERLIMB MUSCLES CONTRIBUTES TO INTRADIALYTIC HYPOTENSION PREVENTIONAND HEMODIALYSIS EFFICIENCY IMPROVEMENT



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The study researches the effectiveness of bilateral epicutaneous electrostimulation of the lower limbs muscles (BEEM) for purification intensification and improvement of the hemodynamic stability during the procedure in patients receiving hemodialysis (HD). The study included 71 patients (test group N=37; control group N=34). BEEM performed during hemodialysis three times per week for 30 minutes in the first 3 hours of each hemodialysis session for 3 months. The control group received standard HD therapy. The BEEM group in contrast to the control group showed a significant increase in the efficiency of dialysis (spKt/V), as well as lower levels of predialysis uremia. Also, the BEEM contributed to reduce the frequency of intradialytic hypotension episodes in patients who had a history of such episodes.

Full Text

Restricted Access

About the authors

K A Vishnevskii

City hospital №15, St.-Petersburg

A E Belyaev

City hospital №15, St.-Petersburg

A N Mironenko

City hospital №15, St.-Petersburg

References

  1. Бикбов Б.Т., Томилина Н.А. Заместительная терапия больных с хронической почечной недостаточностью в Российской Федерации в 1998-2011 гг. (Отчет по данным Российского регистра заместительной почечной терапии. Часть первая) // Нефрология и диализ. - 2014. -Т.16, №1. - С.11-127.
  2. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. US Renal Data System, USRDS 2012 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. // National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD. - 2012.
  3. ERA-EDTA Registry: ERA-EDTA Registry Annual Report 2010. // Amsterdam, The Netherlands: Academic Medical Center, Department of Medical Informatics. - 2012.
  4. Shoji T., Tsubakihara Y., Fujii M., Imai E. Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients // Kidney Int. - 2004 - Vol.66. - P.1212-1220.
  5. Dobsak P., Homolka P., Svojanovsky J. et al. Intra-dialytic electrostimulation of leg extensors may improve exercise tolerance and quality of life in hemodialyzed patients // Artif. Organs. - 2012. - Vol.36, №:1. - P.71-78.
  6. Klassen A., Di Iorio B., Guastaferro P. et al. High-tone external muscle stimulation in end-stage renal disease: effects on symptomatic diabetic and uremic peripheral neuropathy // J. Ren. Nutr. - 2008. - Vol.18, №:1. - P.46-51.
  7. Farese S., Budmiger R., Aregger F. et al. Effect of transcutaneous electrical muscle stimulation and passive cycling movements on blood pressure and removal of urea and phosphate during hemodialysis // Am. J. Kidney. Dis. - 2008. - Vol.52, №:4. - P.745-752.
  8. Daugirdas J.T. Second generation logarithmic estimates of single-pool variable volume Kt/V: An analysis of error // J Am Soc Nephrol. - 1993. - Vol.4. - P.1205-1213.
  9. World Health Organization-International Sociaty of Hypertension, Guidelines for the Management of Hypertensional // J. Hypertens. - 1999. - Vol.17. - P.151-183.
  10. Kong C.H., Tattersall J.E., Greenwood R.N., Farrington K. The effect of exercise during haemodialysis on solute removal // Nephrol. Dial. Transplant. - 1999. - Vol.14, №12. - P.2927-2931.
  11. Sun Y., Chen B., Jia Q., Wang J. The effect of exercise during hemodialysis on adequacy of dialysis // Zhonghua. Nei. Ke. Za. Z. - 2002. - Vol.41, №2. - P.79-81.
  12. Parsons T.L., Toffelmire E.B., King-VanVlack C.E. Exercise Training During Hemodialysis Improves Dialysis Efficacy and Physical Performance // Arch Phys Med Rehabil. - 2006. - Vol. 87. - P.680-687.
  13. Raimann J., Liu L., Tyagi S. et al. A fresh look at dry weight // Hemodial. Int.- 2008. - Vol.12, №4. - P.395-405.
  14. van der Zee S., Thompson A., Zimmerman R. et al. Vasopressin administration facilitates fluid removal during hemodialysis // Kidney Int. - 2007. - Vol.71. - P.318-324.
  15. Davenport A. Intradialytic complications during hemodialysis // Hemodial Int. - 2006. - Vol.10. - P.162-167.
  16. Chang T.I., Paik J., Greene T. et al. Intradialytic hypotension and vascular access thrombosis // J Am Soc Nephrol. - 2011. - Vol.22, №8. - P.1526-33.
  17. Hekmat R., Ahmadi M., Fatehi H. et al. Correlation between asymptomatic intradialytic hypotension and regional left ventricular dysfunction in hemodialysis patients // Iran J Kidney Dis. - 2011. - Vol.5, №2. - P.97-102.
  18. John A.S., Tuerff S.D., Kerstein M.D. Nonocclusive mesenteric infarction in hemodialysis patients // J Am Coll Surg. - 2000. - Vol.190, №1. - P.84-88.
  19. Mizumasa T., Hirakata H., Yoshimitsu T. et al. Dialysis-related hypotension as a cause of progressive frontal lobe atrophy in chronic hemodialysis patients: a 3-year prospective study // Nephron Clin Pract. - 2004. - Vol.97, №1. - P.23-30.
  20. Яковенко А.А., Яковлев В.Д., Асанина Ю.Ю., Кучер А.Г. Роль хронического воспаления в патогенезе «уремической недостаточности питания» у пациентов с терминальной почечной недостаточностью, получающих лечение хроническим гемодиализом // Нефрология. - 2009. - Т.13, №1. - C.51-55.
  21. Miller B.F., Gruben K.G., Morgan B.J. Circulatory responses to voluntary and electrically induced muscle contractions in humans // Phys Ther. - 2000. - Vol.80. - P.53-60.
  22. Clarke Moloney M., Lyons G.M., Breen P. et al. Haemodynamic study examining the response of venous blood flow to electrical stimulation of the gastrocnemius muscle in patients with chronic venous disease // Eur J Vasc Endovasc Surg. - 2006. - Vol.31. - P.300-305.
  23. Lyons G.M., Leane G.E., Grace P.A. The effect of electrical stimulation of the calf muscle and compression stocking on venous blood flow velocity // Eur J Vasc Endovasc Surg. - 2002. - Vol.23. - P.564-566.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2015 Vishnevskii K.A., Belyaev A.E., Mironenko A.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 71733 от 08.12.2017.