Volume 27, Issue 3 pp. 412-418
ORIGINAL ARTICLE

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

Nobuyuki Shirai

Nobuyuki Shirai

Department of Rehabilitation, Niigata Rinko Hospital, Niigata, Japan

Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

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Suguru Yamamoto

Corresponding Author

Suguru Yamamoto

Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

Correspondence

Suguru Yamamoto, Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-Dori, Niigata 951-8510, Japan.

Email: [email protected]

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Yutaka Osawa

Yutaka Osawa

Internal Medicine, Niigata Rinko Hospital, Niigata, Japan

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Atsuhiro Tsubaki

Atsuhiro Tsubaki

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan

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Shinichiro Morishita

Shinichiro Morishita

Department of Physical Therapy, School of Health Science, Fukushima Medical University, Fukushima, Japan

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Ichiei Narita

Ichiei Narita

Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

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First published: 20 September 2022

Abstract

Introduction

Chronic kidney disease (CKD) patients undergoing hemodialysis (HD) have a high risk of falls, whereas the impairment in balance function and their types in HD compared with non-dialysis dependent (ND) CKD have not been fully evaluated.

Methods

We conducted a cross-sectional study to assess the balance function in 91 ND-CKD and 65 HD patients. The participants underwent the timed up-and-go (TUG) test to assess dynamic balance and the length of the center of pressure (CoP) with open eyes or closed eyes to evaluate static balance.

Results

TUG, length of CoP with open eyes, and length of CoP with closed eyes were longer in HD patients compared with those with ND-CKD. Multiple regression analysis showed that dialysis treatment independently affected TUG and length of CoP with open eyes.

Conclusion

The dynamic and static balance functions are impaired in HD patients compared with ND-CKD patients.

CONFLICT OF INTEREST

All authors have no conflicts of interest to declare.

DATA AVAILABILITY STATEMENT

The analysis dataset for the current study is available from the corresponding author upon reasonable request.

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