]>
IRCT20230312057690N1 IRCT 2023-04-17 Shiraz University of Medical Sciences Comparing the effect of isometric and isotonic hand exercises on AVF maturation in patients with chronic renal failure Comparing the effect of isometric and isotonic hand exercises on AVF maturation in patients with chronic renal failure 2023-08-23 anticipated 75 Complete https://irct.ir/trial/69166 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Using the random numbers table, the participants will be recruited into the control and intervention groups. For this purpose, the researchers give a code to the members of the community, and since the number of members of the community is two digits, they give a two-digit code. Then they randomly start from a table point in the row direction. According to the type of digits of the codes (two digits), they will select the same number of digits in the direction of the table row. After reaching the desired house, they will choose a number smaller than the number of the population under study. The selected number is actually the code of an individual from the community that is selected as a sample. This work should continue until the number of sample people can be selected, Blinding description: The analyzer of the outcomes will not be informed about the treatment assignments, this means that when presenting the data to her/him, the questionnaires have only one number and it is not clear which group each of these questionnaires belong to. N/A ESRD. Intervention 1: Intervention group1: Isometric exercises: It will be designed by a sports medicine specialist. This exercise program starts in the department under the supervision of a doctor 2 days after surgery and should be continued four times a day for 3 days a week. This exercise program starts with a low intensity 4 times a day (2 times in the morning and 2 times in the evening) in the form of pressing a tennis ball and exercising with dumbbells (half to one kilogram) and pulling bands, and the intensity of these exercises will increase in the following days. Intervention 2: Intervention group2: Isotonic exercises: It will be done using a wrist strengthening spring and a wrist strengthening ring approved by a doctor and sports medicine specialist. In these patients, two days after the surgery, sports are started under the supervision of a doctor. In this way, in the first week, the patients are asked to squeeze and open the wrist strengthening ring 10 to 30 times per minute and repeat this 6 times a day, leaving at least 90 seconds between each set. In the 2nd week, the same thing should be done with the wrist strengthening spring, and in the 3rd and 4th weeks, each set will be increased to a minute. Intervention 3: Control group: After surgery, they receive general training such as not to do hard work, not to take blood and blood pressure samples from the hand, and to do exercise using a plastic ball. This group performs the exercises 10 times, rests for one minute, and again ten times, rests for one minute, and presses the ball ten times for the third time. This group is asked to do this twice in the morning and twice in the evening. If there are no signs of infection, abscess, inflammation, pain and tenderness in the surgery site, these exercises will start 24 hours after the surgery. No - There is not a plan to make this available Justification or reason for not sharing IPD is ethical considerations
public Zinat Mohebbi
Namazi Square
Shiraz Iran (Islamic Republic of) 7168783399 +98 71 3647 4255 azita635@yahoo.com Shiraz University of Medical Sciences scientific Azita Jaberi
Namazi Square
Shiraz Iran (Islamic Republic of) 7168783399 +98 71 3647 4255 azita635@yahoo.com Shiraz University of Medical Sciences Iran (Islamic Republic of) diagnosed with ESRD AVF done for the first time 18 years old and older 18 years no limit Both N18.4 Chronic kidney disease, stage 4 (severe) Rehabilitation Rehabilitation Rehabilitation Intervention group1: Isometric exercises: It will be designed by a sports medicine specialist. This exercise program starts in the department under the supervision of a doctor 2 days after surgery and should be continued four times a day for 3 days a week. This exercise program starts with a low intensity 4 times a day (2 times in the morning and 2 times in the evening) in the form of pressing a tennis ball and exercising with dumbbells (half to one kilogram) and pulling bands, and the intensity of these exercises will increase in the following days. Intervention group2: Isotonic exercises: It will be done using a wrist strengthening spring and a wrist strengthening ring approved by a doctor and sports medicine specialist. In these patients, two days after the surgery, sports are started under the supervision of a doctor. In this way, in the first week, the patients are asked to squeeze and open the wrist strengthening ring 10 to 30 times per minute and repeat this 6 times a day, leaving at least 90 seconds between each set. In the 2nd week, the same thing should be done with the wrist strengthening spring, and in the 3rd and 4th weeks, each set will be increased to a minute. Control group: After surgery, they receive general training such as not to do hard work, not to take blood and blood pressure samples from the hand, and to do exercise using a plastic ball. This group performs the exercises 10 times, rests for one minute, and again ten times, rests for one minute, and presses the ball ten times for the third time. This group is asked to do this twice in the morning and twice in the evening. If there are no signs of infection, abscess, inflammation, pain and tenderness in the surgery site, these exercises will start 24 hours after the surgery. AVF maturation. Timepoint: before and after intervention. Method of measurement: Ultrasonography and physical exam. Shiraz University of Medical Sciences Approved 2023-01-21 Ethics committee of Shiraz University of Medical Sciences Ų£amazi square shiraz Fars Iran (Islamic Republic of)