Effect of Acupuncture on Functional Capacity in Patients Undergoing Hemodialysis: A Patient-Assessor Blinded Randomized Controlled Trial

Decreased functional capacity (FC) in patients undergoing hemodialysis (HD) is associated with adverse health events and poor survival. Acupuncture is recognized as a safe and effective integrative treatment. The aim of this study is to evaluate the effect of acupuncture treatment on the FC in chron...

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Bibliographic Details
Published in:Healthcare (Basel) 2022-10, Vol.10 (10), p.1947
Main Authors: Correia de Carvalho, Marta, Nunes de Azevedo, José, Azevedo, Pedro, Pires, Carlos, Laranjeira, Manuel, Machado, Jorge Pereira
Format: Article
Language:English
Subjects:
Acupuncture
Care and treatment
Chinese medicine
Chronic kidney failure
Clinical trials
Diabetes
Hemodialysis
Hemodialysis patients
Hypertension
Kidney transplants
Literature reviews
Mortality
Muscle strength
Nephrology
Patient outcomes
Patients
Peritoneal dialysis
Prevention
Renal replacement therapy
Risk factors
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Summary:Decreased functional capacity (FC) in patients undergoing hemodialysis (HD) is associated with adverse health events and poor survival. Acupuncture is recognized as a safe and effective integrative treatment. The aim of this study is to evaluate the effect of acupuncture treatment on the FC in chronic kidney disease with GFR category 5 (CKG G5) patients undergoing HD. In this patient-assessor blinded randomized controlled trial, seventy-two KF patients were randomly assigned to experimental (n = 24), placebo (n = 24) and control groups (n = 24). The primary outcome was the improvement in FC assessed by the 6-Minute Walk Test (6-MWT). Secondary outcomes included assessment of peripheral muscle strength by the Handgrip Strength Test (HGS) and the 30-Second Sit-to-Stand Test (STS-30) at baseline, after treatment and at 12-week follow up. A mixed ANOVA with interaction time*group was used. The experimental group increased walk distance (p < 0.001), lower limbs strength (p < 0.001) and handgrip strength (p = 0.012) after nine acupuncture sessions and stabilized in the follow-up (p > 0.05). In the placebo and control groups the 6-MWT and 30STS results decreased (p < 0.001) and the HGS scores did not change through time (p > 0.05). Acupuncture treatment improved FC and muscle strength in patients undergoing HD.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare10101947