Effect of moist heat versus cold therapy on leg muscle cramp among patients on hemodialysis: randomized control trial
Background: Muscle cramps that occur during hemodialysis can result in shortening of treatment or reduction of fluid removal which may lead to inadequate clearance of waste products, fluid overload which significantly increase mortality risk. Aim of the current study was to investigate the effect of moist heat versus cold therapy on leg muscle cramp among patients on hemodialysis. Design: A randomized control clinical trial design was utilized to accomplish this study purpose. Research hypothesis: H1 &H2: The intervention groups who received either moist heat or cold therapy will have a significant lower mean pain and muscle cramp intensity score compared to the control group who received routine hospital care. H3& H4: There will be a difference between applying moist heat versus cold therapy on mean pain and muscle cramp intensity score among the intervention groups Sample: A sample of 90 adult male and female patients who met the inclusion criteria was invited to share in the research. Results:There were significant reduction in the intensity of pain and muscle cramp in the study groups more than control group. Moreover, moist heat therapy group was more effective than cold therapy to reduce intensity of pain and muscle cramp for patients on hemodialysis. Conclusion: moist heat and cold therapy are effective to reduce intensity of pain and muscle cramp for patients on hemodialysis . Recommendation: Further studies are required to explicate the effectiveness of heat vs cold therapy on leg muscle cramp among hemodialysis and pretonieal dialysis with large sample size of patients in different health care settings.
Aitken, E., McLellan, A., Glen, J., Serpell, M., Mactier, R.&Clancy, M.(2013). Pain resulting from arteriovenous fistulae: prevalence and impact. Clin Nephrol 80:328–333.
Bender,M.D., Dykowska,G. Żuk,W. Milewska, M. &Staniszewska.A. (2018).The impact on quality of life of dialysis patients with renal insufficiency. Patient Preference and Adherence:12 577–583
Behringer M, Moser M, McCourt M, Montag J, Mester J (2014) A Promising Approach to Effectively Reduce Cramp Susceptibility in Human Muscles: A Randomized, Controlled Clinical Trial. PLoS ONE 9(4): e94910. doi:10.1371/journal.pone.0094910
Bieuzen F., Bleakley C.M., Costello J.T. (2013). Contrast Water Therapy and Exercise Induced Muscle Damage: A Systematic Review and Meta-Analysis. PLoS ONE 8(4): e62356. doi:10.1371/journal.pone.0062356.
Caplin, B., Alston, H. & Davenport, A. (2014). “Does online haemodiafiltration reduce intra-dialytic patient symptoms?” Nephron - Clinical Practice, 124 (3-4), pp. 184–190.
Chang,P., Chien,L., Lin,Y.,Wu, M., Chiu,W.& Yi Chiou,H.(2016). Risk factors of gender for renal progression in patients with early chronic kidney disease. Medicine (Baltimore). 95(30): e4203.
Dehghan, M. & Farahbod, F. (2014). The Efficacy of Thermotherapy and Cryotherapy on Pain Relief in Patients with Acute Low Back Pain, A Clinical Trial Study, Journal of Clinical and Diagnostic Research, 8(9): LC01-LC04.
Daugirdas, J., Blake, P., Ing, T.(2014). Handbook of Dialysis. Philadelphia, PA: Lippincott Williams & Wilkins.
El-Arbagy, A.R., Yassin, Y.S, Boshra, B.N.( 2016) Study of prevalence of end-stage renal disease in Assiut governorate, upper Egypt. Menoufia Med J; 29:222-7
Ellapen T.J., Hammill H.V., Swanepoel M., & Strydom G.L. (2018). The benefits of hydrotherapy to patients with spinal cord injuries. Afr J Disabil;7(0):450. Published 2018 May 16. doi:10.4102/ajod.v7i0.450
Frazão, CMFQ, Sá JD, Medeiros ABA, Fernandes MICD, Lira ALBC, Lopes MVO. (2014).The adaptation problems of patients undergoing hemodialysis: socioeconomic and clinical aspects. Rev. Latino-Am. Enfermagem Original Article. 22(6):966-72. DOI: 10.1590/0104-1169.3525.2504
García-Llana H, Remor E. & Selgas R. (2013).Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema.;25(1):79–86.
Garra G, Singer AJ, Leno R. (2010).Heat or cold packs for neck and back strain: a randomized controlled trial of efficacy. Acad Emerg;17: 484–9.
Hawker GA, Mian S, Kendzerska T, French M. (2011). Measures of adult pain: visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), Mcgill pain questionnaire (MPQ), short-form Mcgill pain questionnaire (SFMPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res; 63(S11).
Hendee, W.R.(2013). Physics of Thermal Therapy, Fundamentals and Clinical applications, By Taylor and Francis group.
Hill, N.R., Fatoba, S.T., Oke,J.L. , Hirst, J.A.,. O’Callaghan,Ch.A. Lasserson, D.S. & Hobbs R. ( 2016 ). Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. PLoS One.; 11(7): e0158765.
Hinkle, J.L. & Cheever, K. (2014). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing.(13th ed.). Lippincott publication, Philadelphia.
Hiroharu K., Kiichiro T.(2010). Effectiveness of Aquatic Exercise and Balneotherapy: A Summary of Systematic Reviews Based on Randomized Controlled Trials of Water Immersion Therapies, Journal of epidemiology.
Isaac,Sh. & Jacob,D.A (2016). Effectiveness of intradialytic stretching exercise on muscle cramps among patients undergoing hemodialysis.Asian Journal of Phytomedicine and Clinical Research. 4(2), 80 - 86.
Doss,J.J.(2014). Effectiveness of Foot Massage on Level of Pain among Patients with Cancer. Asian J. Nur. Edu. & Research 4(2): April- June 2014; Page 228-231.
Jean, G., Souberbielle, J.C. & Chazot, CH.( 2017). Vitamin D in Chronic Kidney Disease and Dialysis Patients. Nutrients. 9(4): 328.
Kafkia T., Julkunen K.V& Krepia D.S.(2014). Assessment and management of
pain in hemodialysis patients: A pilot study. Prog Health Sci, 4, 53-60.
Koncicki, H.M., Brennan,K., Vinen,K.&Davison,S.N.(2015). An Approach to Pain Management in End Stage Renal Disease: Considerations for General Management and Intradialytic Symptoms. Seminars in Dialysis, 28 (4),384–391
Kottgen,A., Floeg,J. , Busch, M., Titze,S. (2015). Disease burden and risk profile in referred patients with moderate chronic kidney disease. Journal of Nephrology Dialysis Transplantation, 30(3), 246-249.
Lekha .J. (2016). Effectiveness of intradialytic stretching exercises on prevention and reduction of muscle cramps among patients undergoing haemodialysis at psg hospitals Coimbatore, Master of Science in Nursing, Branch I Medical Surgical Nursing .
Lekha.J., Abraham,E.J.& Malarvizhi,G.(2017). Effectiveness of Intradialytic Stretching Exercises on Prevention and Reduction of Muscle Cramps among Patients undergoing Haemodialysis at PSG Hospitals Coimbatore. IOSR Journal of Nursing and Health Science.6(2) , PP 47-53.
Lindsay, M. Bearne,L.M.& Hurley,M.V.(2010). thermotherapy and cryotherapy. Rheumatology.Available at https://www.sciencedirect.com/topics/nursing-and-health-professions/heat-therapy
Lynch,P.G., Abate, M., Suh, H. & Wadhwa,N.K.(2014). Magnesium and Muscle Cramps in End Stage Renal Disease Patients on Chronic Hemodialysis. Advances in Nephrology. Volume 2014, Article ID 681969, 6 pages. available at http://dx.doi.org/10.1155/2014/681969.
Main Management Department statistics and Medical Records Department of Cairo university hospitals (2017).
Malanga, G.A., Yan, N. & Stark, J. ( 2015). Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgraduate Medicine.1–9.
Mastnardo,D. , Lewis,J.M., Hall, K., Sullivan,C.M., Cain, K., Theurer, J., Huml,A. &Sehgal, A.R. (2016). Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial. Int J Ther Massage Bodywork.; 9(2): 3–8.
Mohmadi,K. Shahgholian, N.Valiani, M. &Mardanparvar, H. (2016). The effect of acupressure on muscle cramps in patients undergoing hemodialysis. Iran J Nurs Midwifery Res. 2016 Nov-Dec; 21(6): 557–561.doi: 10.4103/1735-9066.197684
Morris, B. (2014). Effect of Intradialytic Stretching Exercise on Muscle Cramps among Patients undergoing hemodialysis. Tamil Nadu Nurses and Midwives Council Journal of Medical and Surgical Nursing, 2; 8-11.
Nall, R. (2017).Two Ways That the Kidneys Maintain Homeostasis available at https://www.livestrong.com/article/345745-two-ways-that-the-kidneys-maintain-homeostasis.
Nivetha, K., Aruna, S.& Gowri,M. P.(2017). effectiveness of intradialytic stretching exercise on bio chemical variables among patient undergoing hemodialysis in selected hospital. International Journal of Development Research. 7(9), pp.15240-15243.
Patel,S., Patel, J., Patel, M. & Sen, D. (2015). Say yes to warm for remove harm: amazing wonders of two stages of water!, European Journal of Pharmaceutical and Medical Research, 2(4), 444-460.
Petiprin, A. (2016). Wiedenbach’s Helping Art of Clinical Nursing. Retrieved from http://www.nursing-theory.org/theories-and models/wiedenbach-the-helping-art-of-clinical-nursing.php.
Petrofsky, J., Berk,L., Bains,G., Khowailed,I.K., Hui,T., Granado,M., Laymon,M. & Lee, H.(2013). Moist Heat or Dry Heat for Delayed Onset Muscle Soreness. J Clin Med Res.; 5(6): 416–425.
Poornazari,M., Dehghani, Kh., Shahbazi,S. & Sardashti,F.Kh.(2017). Impact of a designed isotonic exercise program on pain intensity of muscle cramps in legs of patients undergoing hemodialysis; a randomized clinical trial. J Nephropharmacol. 6(2): 85–89. Available at http://www.jnephropharmacology.com
Raymond, Colette B. (2011). Treatment of leg cramps in patients with chronic kidney disease receiving hemodialysis. CANNT Journal. 21(3).available at http://www.biomedsearch.com/article/Treatment-leg-cramps-in-patients/267334035.html.
Salem, S.S. & Elhadary,SH.M.(2017).Effectiveness of Intra-dialytic Stretching Exercises on Leg Muscle Cramp among Hemodialysis Patients. IOSRJournal of Nursing and Health Science 6 (2), 47-53
Thomas L, D’ Silva F. Effectiveness of a nurse-led program regarding self care management among hemodialysis patients. Int J Health Sci Res. 2015; 5(6):419-423.
Turkmen K, Erdur FM, Guney (2012). Sleep quality, depression, and quality of life in elderly hemodialysis patients. Int J Nephrol Renovasc Dis ;5:135–142.
Ulu, M.S& Ahsen,A.(2015). Muscle Cramps During Hemodialysis What can we Do? New Approachs for Treatment and Preventing. Eur.J. Gen Med; 12(3):277-281.
Wiedenbach, E. (1964). Clinical nursing: A helping art. New York: Springer.
World Kidney Day: Chronic Kidney Disease. 2015; http://www.worldkidneyday.org/faqs/chronic-kidney-disease/
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