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Dynamic and static balance functions in hemodialysis patients and non-dialysis dependent CKD patients

Nobuyuki Shirai1,2, Suguru Yamamoto2, Yutaka Osawa3

  • 1Department of Rehabilitation, Niigata Rinko Hospital, Niigata, Japan.

Therapeutic Apheresis and Dialysis : Official Peer-Reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
|September 20, 2022
PubMed

Insights

Patients on hemodialysis (HD) show poorer dynamic and static balance compared to non-dialysis dependent (ND) chronic kidney disease (CKD) patients, increasing fall risk.

Area of Science:

  • Nephrology
  • Gerontology
  • Physical Therapy

Background:

  • Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) face a high risk of falls.
  • Balance impairments in HD patients compared to non-dialysis dependent (ND) CKD patients are not fully understood.

Purpose of the Study:

  • To evaluate and compare dynamic and static balance functions between HD and ND-CKD patients.
  • To identify specific balance deficits in HD patients.

Main Methods:

  • A cross-sectional study involving 91 ND-CKD and 65 HD patients.
  • Dynamic balance assessed using the timed up-and-go (TUG) test.
  • Static balance evaluated by measuring the center of pressure (CoP) length with eyes open and closed.

Main Results:

  • HD patients exhibited significantly longer TUG times and CoP lengths (eyes open and closed) than ND-CKD patients.
  • Multiple regression analysis indicated that dialysis treatment independently influenced TUG and CoP length with eyes open.

Conclusions:

  • Hemodialysis patients demonstrate impaired dynamic and static balance compared to their non-dialysis dependent CKD counterparts.
  • These findings highlight a significant balance deficit in HD patients, potentially contributing to their elevated fall risk.
Abstract

Keywords:
balance functionchronic kidney diseasehemodialysispostural stability

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