Ignite Creation Date:
2024-05-06 @ 8:22 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06350552
Status:
COMPLETED
Last Update Posted:
2024-06-04
First Post:
2024-03-19
Brief Title:
Prevalence of Postural Abnormalities in Dialysis Patients
Sponsor:
Pardis Specialized Wellness Institute
Organization:
Pardis Specialized Wellness Institute
Study Overview
Official Title:
Investigating the Prevalence of Hyper Kyphosis and Forward Head Posture in Dialysis Patients
Status:
COMPLETED
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this observational study is to investigate and compare the prevalence of forward head hyper kyphosis and balance in hemodialysis and peritoneal dialysis patients The main questions it mains to answer are
What is the prevalence of forward head posture in hemodialysis and peritoneal dialysis patients What is the prevalence of hyper kyphosis in hemodialysis and peritoneal dialysis patients Is there any relation between postural abnormalities and physical function in hemodialysis and peritoneal dialysis patients
Participants will answer 2 questionnaires and will do some functional tests
What is the prevalence of forward head posture in hemodialysis and peritoneal dialysis patients What is the prevalence of hyper kyphosis in hemodialysis and peritoneal dialysis patients Is there any relation between postural abnormalities and physical function in hemodialysis and peritoneal dialysis patients
Participants will answer 2 questionnaires and will do some functional tests
Detailed Description:
Given the global rise in fall rates and associated medical costs in the past decade it is crucial to identify factors that contribute to fall risk in order to mitigate the occurrence of falls and reduce their adverse consequences
One significant factor that increases the likelihood of falls is the presence of a balance disorder The Forward head posture FHP can adversely affect ones static balance FHP characterized by the bending forward of the lower cervical spine and the bending backward of the upper cervical spine The prevalence of FHP rises as one gets older and has been associated with an elevated risk of falls altered limits of stability and changes in the musculoskeletal structures of the cervical spine FHP can significantly impact respiratory function by weakening the muscles involved in breathing
Alterations in the positioning of the center of gravity can have a detrimental impact on the control of body balance Balance can also be affected by thoracic hyper kyphosis which refers to an excessive curvature of the thoracic spine When compensation in the lumbar spine and hip region is insufficient hyper kyphosis may shift the bodys center of mass forward leading to gait disorders and disrupted balance
Changes in posture like thoracic hyper kyphosis and loss of lumbar lordosis arch seem to contribute to the increased postural instability and leading to a greater likelihood of falls among older adults living in the community Hyper kyphosis may act as an indicator of an elevated risk of falls Internationally thoracic hyper kyphosis has a high prevalence and studies have shown that it is associated with impaired performance in balance gait and cardiopulmonary function tests among older adults
The likelihood of hyper kyphosis and FHP followed by increased falls in elderly individuals and women is attributed to factors such as reduced physical activity lower bone density weaker muscles and decreased overall body strength Considering the presence of these conditions in dialysis patients it is likely that these patients are also at an increased risk of kyphosis and FHP and consequently they face the risk of falls
The study of postural abnormalities in patients undergoing hemodialysis HD and peritoneal dialysis PD makes it possible to identify prevention and safety promotion strategies for individuals with chronic kidney disease Thus the objectives of this study are to identify the prevalence of forward head and hyper kyphosis as well as their adverse outcomes in people with chronic kidney disease undergoing two dialysis modalities
One significant factor that increases the likelihood of falls is the presence of a balance disorder The Forward head posture FHP can adversely affect ones static balance FHP characterized by the bending forward of the lower cervical spine and the bending backward of the upper cervical spine The prevalence of FHP rises as one gets older and has been associated with an elevated risk of falls altered limits of stability and changes in the musculoskeletal structures of the cervical spine FHP can significantly impact respiratory function by weakening the muscles involved in breathing
Alterations in the positioning of the center of gravity can have a detrimental impact on the control of body balance Balance can also be affected by thoracic hyper kyphosis which refers to an excessive curvature of the thoracic spine When compensation in the lumbar spine and hip region is insufficient hyper kyphosis may shift the bodys center of mass forward leading to gait disorders and disrupted balance
Changes in posture like thoracic hyper kyphosis and loss of lumbar lordosis arch seem to contribute to the increased postural instability and leading to a greater likelihood of falls among older adults living in the community Hyper kyphosis may act as an indicator of an elevated risk of falls Internationally thoracic hyper kyphosis has a high prevalence and studies have shown that it is associated with impaired performance in balance gait and cardiopulmonary function tests among older adults
The likelihood of hyper kyphosis and FHP followed by increased falls in elderly individuals and women is attributed to factors such as reduced physical activity lower bone density weaker muscles and decreased overall body strength Considering the presence of these conditions in dialysis patients it is likely that these patients are also at an increased risk of kyphosis and FHP and consequently they face the risk of falls
The study of postural abnormalities in patients undergoing hemodialysis HD and peritoneal dialysis PD makes it possible to identify prevention and safety promotion strategies for individuals with chronic kidney disease Thus the objectives of this study are to identify the prevalence of forward head and hyper kyphosis as well as their adverse outcomes in people with chronic kidney disease undergoing two dialysis modalities
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None