File
Yalçın B1, Erdoğanoğlu Y2, Külah E3, Kaya D2
1Baskent University Istanbul Health Practice and Research Center, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey, 2Uskudar University, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey, 3Baskent University Istanbul Health Practice and Research Center, Department of Nephrology, Istanbul, Turkey
Background: Individuals receiving hemodialysis treatment may have sensory problems in the form of uremic neuropathy. It is typically symmetric, with both motor and sensory type. Particularly in the lower extremities there is a slight sense of touch, sense of position, distal sensory loss of vibration, and loss of deep tendon reflexes.In advanced cases, motor nerves can be affected by weakness and atrophy in the lower extremity distal muscles. The muscle weakness that have seen in hemodialysis patients is usually more prominent in the lower extremities and slower. Because of these reasons, it is stated that the physical performance measurements are very important and can not provide postural control due to decreased physical performance. In literature, there is no study showing the effect of foot base pressure sensation on static balance and physical performance in hemodialysis treatment subjects.
Purpose: The aim of this study was to examine the effect of foot base pressure on balance, physical performance, fear of falling and quality of life in hemodialysis patients.
Methods: 24 hemodialysis (9 female and 15 male) and 20 healthy volunteers with similar demographic characteristics were included in the study. The foot base light touch was measured with the Semmes Weinstein Monofilament test kit, the vibration sense was measured with a 128Hz diapason and the two-point
discrimination sense was measured with the estheticmeter. Static balance was assessed by the one-leg standing balance, the physical performance time up-go test, the fear of falling FES scale and the quality of life with the Ferrans & Powers Quality of Life Index Dialysis Version.
Results: The foot base sense, static balance and physical performance were found to be decreased when compared with the healthy subjects in the subjects who had hemodialysis treatment in the age range of 25-80 in the study. There was a strong correlation between foot base pressure sense and static balance and physical performance in hemodialysis patients. There was a strong correlation between static balance, physical performance and fear of falling and quality of life in hemodialysis patients (p 0.05).
Conclusion(s): The first study is to investigate the relationship between foot base sensation and static balance, physical performance, fear of falling and quality of life in hemodialysis patients. The most important result of working is; the foot base pressure, which is an indicator of cutaneous receptors sensitivity in the feet, shows decrease in static balance and physical performance with foot base pressure sense and hemodialysis treatment. This result is thought to guide the rehabilitation protocols applied in this patient group.
Implications: This study investigated the balance and physical performance problems of hemodialysis patients and therefore the fear of falling and the relationship between the decrease in quality of life and the foot base pressure sensation. It is believed that the comorbidities seen in these patients are also effective in changing these parameters and will lead to future studies.
Keywords: Foot base pressure, hemodialysis, static balance
Funding acknowledgements: The present work was supported by the Baskent University Istanbul Health Practice and Research Center
Purpose: The aim of this study was to examine the effect of foot base pressure on balance, physical performance, fear of falling and quality of life in hemodialysis patients.
Methods: 24 hemodialysis (9 female and 15 male) and 20 healthy volunteers with similar demographic characteristics were included in the study. The foot base light touch was measured with the Semmes Weinstein Monofilament test kit, the vibration sense was measured with a 128Hz diapason and the two-point
discrimination sense was measured with the estheticmeter. Static balance was assessed by the one-leg standing balance, the physical performance time up-go test, the fear of falling FES scale and the quality of life with the Ferrans & Powers Quality of Life Index Dialysis Version.
Results: The foot base sense, static balance and physical performance were found to be decreased when compared with the healthy subjects in the subjects who had hemodialysis treatment in the age range of 25-80 in the study. There was a strong correlation between foot base pressure sense and static balance and physical performance in hemodialysis patients. There was a strong correlation between static balance, physical performance and fear of falling and quality of life in hemodialysis patients (p 0.05).
Conclusion(s): The first study is to investigate the relationship between foot base sensation and static balance, physical performance, fear of falling and quality of life in hemodialysis patients. The most important result of working is; the foot base pressure, which is an indicator of cutaneous receptors sensitivity in the feet, shows decrease in static balance and physical performance with foot base pressure sense and hemodialysis treatment. This result is thought to guide the rehabilitation protocols applied in this patient group.
Implications: This study investigated the balance and physical performance problems of hemodialysis patients and therefore the fear of falling and the relationship between the decrease in quality of life and the foot base pressure sensation. It is believed that the comorbidities seen in these patients are also effective in changing these parameters and will lead to future studies.
Keywords: Foot base pressure, hemodialysis, static balance
Funding acknowledgements: The present work was supported by the Baskent University Istanbul Health Practice and Research Center
Topic: Musculoskeletal: lower limb
Ethics approval required: Yes
Institution: Uskudar University
Ethics committee: Uskudar University Non-Interventional Ethics Board
Ethics number: B.08.6.YÖK.2.ÜS.0.05.0.06 / 2018/411
All authors, affiliations and abstracts have been published as submitted.
