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Support Methods for Internal Shunt in Patients with Kidney Dysfunction

By Keiko Shintani


Two exercise training support methods were tested on 19 patients who had recently undergone an internal shunt procedure: a ball-gripping exercise (Group I), and a gripping exercise performed under increased pressure (Group II). Internal shunt growth was compared between groups by measuring the cross-sectional area of blood vessels. A significant increase (p<0.05) was observed in growth in group II. Participants in group I exhibited a negative attitude toward the support method, with comments such as it was exhausting and I doubt that this exercise has any effect. Participants in group II were consistently positive toward the support method, with comments such as it was regular exercise, the number of puncture failures decreased, I was able to feel confident about the shunt, and I got the real feeling that my blood vessels were thickening. Thus, a support method that systematically encourages gripping under increased pressure was effective in promoting AVF growth

Topics: Chronic kidney failure, Arteriovenous fistula, Gripping exercise, Hemodialysis
Publisher: Niigata Society of Health and Welfare
Year: 2008
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