The project intends to study the effects of hand grip exercise performed after the surgery on the consequence of surgically created connection between artery and vei
- Conditions
- Health Condition 1: null- Chronic Kidney Disease type V patients visiting surgery clinic for creation of Arterio venous fistula for the purpose of haemodialysis
- Registration Number
- CTRI/2017/04/008283
- Lead Sponsor
- Departmental Funds Study trial is funded by Department of Surgical Disciplines AIIMS New Delhi
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 200
1. CKD 4-5 patients visiting surgery clinic for creation of AVF for the purpose of haemodialysis
2. 18 to 65 years years of age both male and female
3. Presence of thrill / bruit at operated site after AV-fistula surgery.
4. Patient is able to follow instructions
5. Patients are ready for regular follow up
6. Able to provide informed written consent
1. History of previous surgery on upper limb
2. Ipsilateral central venous stenosis or occlusions of vein that is not amenable to correction
3. Non-compliance with medical care or follow up
4. Patient suffering from psychiatry problems
5. Contraindications or unable to perform handgrip exercise:
A) upper extremity arthritis, musculoskeletal or neurologic problem that prevents arm exercise
B) Hypertension - SBP >180, DBP >90;
C) Hypotension - SBP <90, DBP <60
D) Documented coronary artery disease or episode of angina pectoris
E) NYHC IV heart failure
6. Unable to give consent or patient refusal
7. Absence of thrill / bruit at operated site after AV-fistula surgery.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method to study the efficacy of hand grip exercise on the outcome AV-fistula surgery. <br/ ><br> <br/ ><br>Efficacy means: Maturation and success of AV fistula surgery. <br/ ><br> <br/ ><br>Objective definition of maturation of AV-fistula <br/ ><br> <br/ ><br>1 Cross sectional luminal diameter of draining vein 4mm measured using duplex ultrasonography <br/ ><br> <br/ ><br>2 Intra-access flow rate in draining vein 500ml/hr measured using duplex ultrasonography <br/ ><br>Timepoint: 0 weeks <br/ ><br>4 weeks <br/ ><br>8 weeks <br/ ><br>
- Secondary Outcome Measures
Name Time Method ILTimepoint: 0