Os efeitos de uma sessão de hemodiálise no equilíbrio estático e dinâmico de pacientes renais crônicos dialíticos

• Autor(a) principal: Silva, Monique Mesquita
• Data de Publicação: 2021
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/4123
• topic: Insuficiência renal crônica; Diálise renal; Força muscular; Equilíbrio postural; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL

The treatment of end-stage renal failure must be instituted early and one of the forms of renal replacement therapy (RRT) is hemodialysis (HD), which promotes metabolic changes, loss of muscle strength and resistance, in addition to changes in postural balance. Objectives: To evaluate the effects of a HD session on static and dynamic balance; to correlate lower limb muscle strength (LL) with possible balance changes before and after a HD session; to compare the test performance of chronic renal patients on HD with those of patients on peritoneal dialysis (PD). Methodology: Prospective longitudinal observational study. Eligible participants must have been on TRS for at least three months. Participants answered a data collection form and performed tests to assess lower limb muscle strength, static and dynamic balance through the sit-stand, force platform and Mini-BESTest tests, respectively. Statistical Analysis: After evaluating the data distribution, the test results were submitted to the paired t test to evaluate the differences between means (before and after) and to the Student's t test for the difference of the means between the groups (HD and DP) . Pearson's correlation test was applied to establish the correlation between the data. A significance level of 0.05 was considered. Results: Sixty-eight patients were evaluated (33 on HD and 35 on PD). Most patients in both groups were sedentary and had reduced lower limb muscle strength. A HD session brings negative changes to dynamic balance, but no changes to static balance. The decrease in lower limb muscle strength is correlated with a worse performance in the dynamic balance assessment test and with the speed variable seen in the static balance assessment with the force platform. Conclusion: A HD session is capable of causing negative effects on the results of the dynamic balance assessment and both participants who performed HD or PD have reduced LL muscle strength. We found no significant difference in the pre- and post-HD static balance assessment.