The hand grip training device: A new therapeutic option in arteriovenous fistula maturation.

Introduction: Postoperative exercise improves arteriovenous fistula maturation for hemodialysis. However, scarce evidence exists about hand grip device on fistula maturation process.

Objective: To evaluate the efficacy of a hand grip training program on arteriovenous fistula maturation in population with Chronic Kidney Disease 5-5D.

Upper limb isometric exercise protocolled programme and arteriovenous fistula maturation process.

Introduction: Arteriovenous fistula (AVF) is the gold standard for vascular access (VA) for end-stage chronic kidney disease (CKD) patients. Post-operative exercises may help to improve maturation. Nevertheless, scarce scientific evidence has been reported about their utility to date.

Elderly patients, isometric exercise, and native vascular access maturation: An unsolved question?

Introduction: The number of elderly patients undergoing hemodialysis is steadily increasing. The choice and management of vascular access (VA) in these patients are difficult, and the role of postoperative isometric exercises on native VA maturation in the elderly population is not clearly established.

Objectives: To assess the effect of postoperative isometric exercises on native VA maturation in patients older than 75 years with advanced chronic kidney disease.

Thermotherapy: Improving the vascular access cannulation procedure.

Introduction And Objectives: Vascular access is essential to perform an adequate hemodialysis. Needle cannulation in vascular access is usually painful. There is little scientific evidence on the analgesic effect of thermotherapy.

Administration of calcimimetics after dialysis: same effectiveness, better gastrointestinal tolerability.

Introduction: Cinacalcet has proved effective to control secondary hyperparathyroidism in patients on haemodialysis (HD). Some studies have reported an appropriate secondary hyperparathyroidism control and a better compliance after intradialytic use of calcimimetics.

Objectives: To assess the effect of post-dialysis calcimimetics use on mineral bone disorders and calcimimetics gastrointestinal tolerability in our HD unit.

Benefits of a low intensity exercise programme during haemodialysis sessions in elderly patients.

Background: Elderly patients on haemodialysis (HD) are a steadily increasing group. They show a high complexity, dependency and comorbidity. Multiple benefits from exercise in HD patients have been reported; however, they have not been specifically evaluated in an elderly population.

Efficacy of neuromuscular electrostimulation intervention to improve physical function in haemodialysis patients.

Background: Haemodialysis (HD) patients are characterised by muscle wasting, decreased physical function and poor quality of life. The objective was to analyse the effect of an intradialysis NMES training programme in muscular strength, functional capacity and quality of life in our HD patients.

Material: HD patients were assigned to NMES (ESG) or control group (CG) in a 12-week single-centre prospective study.