Handgrip Exercise for Arteriovenous Fistula Maturation

NCT ID: NCT01061008

Last Updated: 2014-07-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study is to investigate whether post operative progressive forearm exercise is effective in improving arteriovenous fistula maturation in chronic kidney disease patients.

Detailed Description

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The arteriovenous fistula is considered to be the gold standard form of access for haemodialysis patients, however only 37% of haemodialysis patients have this form of access. A possible explanation for this could be the high fistula failure rate due to the lack of maturation. Therefore interventions aimed at enhancing fistula maturation are warranted. One such intervention could be forearm exercise, however this recommendation is not evidence based. Therefore, the purpose of this study is to investigate whether a program of post operative progressive hand grip exercise can improve fistula maturation.

Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Handgrip exercise

Handgrip exercise - patients allocated to this intervention will carry out an eight week post operative progressive handgrip exercise training program

Group Type EXPERIMENTAL

Post operative progressive handgrip exercise

Intervention Type OTHER

As soon as possible post operation the patient will commence an eight week progressive handgrip training intervention

Treatment as usual

Group Type ACTIVE_COMPARATOR

Treatment as usual

Intervention Type OTHER

Continue routine care, with removal of exercise information given to patients(if anye.g. do not give out squeeze balls)

Interventions

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Post operative progressive handgrip exercise

As soon as possible post operation the patient will commence an eight week progressive handgrip training intervention

Intervention Type OTHER

Treatment as usual

Continue routine care, with removal of exercise information given to patients(if anye.g. do not give out squeeze balls)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Stage 4-5 chronic kidney disease, attending for arteriovenous fistula creation in forearm

Exclusion Criteria

* Are under the age of 18years;
* Not able to exercise forearm safely (as decided by the patients consultant)
* Have any other uncontrolled medical condition
* Unable to withstand transiently raised systolic blood pressure by 35 mmHg and diastolic by 25 mmHg
* Or are unable to give consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Betsi Cadwaladr University Health Board

OTHER_GOV

Sponsor Role collaborator

Bangor University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Renal unit, Ysbyty Gwynedd, North West Wales NHS Trust

Bangor, Gwynedd, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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Macdonald 07/4

Identifier Type: OTHER

Identifier Source: secondary_id

REC No : 07/WNo01/4

Identifier Type: -

Identifier Source: org_study_id

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