- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05480397
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION VERSUS DISTRACTIVE TECHNIQUES ON ARTERIOVENOUS FISTULA PUNCTURE PAIN IN HEMODIALYSIS PATIENTS
Statement of the problem:
This study will be conducted to answer the following question:
Is there a difference in the efficacy of TENS and distractive techniques when combined with cryotherapy in managing pain due to arteriovenous fistula puncture and improving quality of life in hemodialysis patients ?
Null Hypotheses:
- TENS has no statistically significant effect on pain management and quality of life in hemodialysis patients undergoing arteriovenous fistula puncture.
- Distractive techniques have no statistically significant effect on pain management and quality of life in hemodialysis patients undergoing arteriovenous fistula puncture.
- There is no statistically significant difference between TENS and distractive techniques in managing pain and improving quality of life in hemodialysis patients undergoing arteriovenous fistula puncture.
Study Overview
Status
Intervention / Treatment
Detailed Description
Subjects' Selection:
The patients will be randomly assigned to 3 groups;
- Group (1) will receive (TENS , cryotherapy and conventional physical therapy program).
- Group (2) will receive (distractive techniques , cryotherapy and conventional physical therapy program).
Group (3) will receive (cryotherapy and conventional physical therapy program). Patients will be assessed for quality of life before and after treatment and will receive 3 sessions per week consisted of TENS, distractive techniques , Cryotherapy and conventional physical therapy program during AVF Puncture during dialysis for 4 weeks.
1-Inclusion criteria:
- Patient age will range from 20 - 60 years who have chronic renal failure from males and females.
- At least one year passed from the installation of AVF and hemodialysis.
- Patients are undergoing hemodialysis three sessions per week and each session lasting for 4 hours.
- Having no traces of skin abnormalities or analgesia in vessels access point.
2-Exclusion Criteria:
The following were considered exclusion criteria:
- Unwillingness to continue with the study.
- Unsuccessful AVF cannulation at the first try.
- Patients having radiation injuries, peripheral vascular diseases, Raynauld's disease, connective tissue disorders, diabetic neuropathy, unconsciousness or disorientation.
- Presence of infection and obstruction of fistula based on the nurse's inspection.
- The presence of auditory and visual disturbances.
- history of verbal disturbances; no addiction or drug dependence to pain medications; no history of mental health diseases; being conscious, having not taken painkillers, narcotics or sedatives at least six hours before hemodialysis.
- Having traces of severe pain in other parts.
- Having pacemakers. The patients will be randomly assigned to 3 groups; Group(1) will receive TENS , cryotherapy and conventional physical therapy program, Group(2) will receive distractive techniques , cryotherapy and conventional physical therapy program and Group(3) will receive cryotherapy and conventional physical therapy program.
All groups will be assessed for quality of life using Kidney Disease Quality of Life Short Form Scale (KDQOL-SF) before and after treatment.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gamal Abdlmohsen Abdelhakim, physical therapist
- Phone Number: 2001092123253
Study Contact Backup
- Name: Amaal Hassan Ibrahim, professor of physical therapy
- Phone Number: 2001200861702
- Email: aebrahim123@hotmail.com
Study Locations
-
-
Menofia
-
Ashmoon, Menofia, Menofia, Egypt
- Recruiting
- Hemodialysis unit, General Ashmoon Hospital
-
Contact:
- Gamal Abdlmohsen Abdelhakim, physical therapist
- Phone Number: 200102123253
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
1-Inclusion criteria:
- Patient age will range from 20 - 60 years who have chronic renal failure from males and females.
- At least one year passed from the installation of AVF and hemodialysis.
- Patients are undergoing hemodialysis three sessions per week and each session lasting for 4 hours.
- Having no traces of skin abnormalities or analgesia in vessels access point.
Exclusion Criteria:
- 2-Exclusion Criteria:
The following were considered exclusion criteria:
- Unwillingness to continue with the study.
- Unsuccessful AVF cannulation at the first try.
- Patients having radiation injuries, peripheral vascular diseases, Raynauld's disease, connective tissue disorders, diabetic neuropathy, unconsciousness or disorientation.
- Presence of infection and obstruction of fistula based on the nurse's inspection.
- The presence of auditory and visual disturbances.
- history of verbal disturbances; no addiction or drug dependence to pain medications; no history of mental health diseases; being conscious, having not taken painkillers, narcotics or sedatives at least six hours before hemodialysis.
- Having traces of severe pain in other parts.
- Having pacemakers
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: • Group (1) will receive (TENS , cryotherapy and conventional physical therapy program).
|
Group (1): Will receive (TENS , cryotherapy and conventional physical therapy ) Massage with ice was done by the researcher over the AVF puncture site . After that, the TENS electrodes will be applied by the researcher 6 centimeters apart closely up and down the skin area for insertion of the needle.
|
EXPERIMENTAL: •Group (2) receive (distractive techniques , cryotherapy and conventional physical therapy)
|
Group (1): Will receive (TENS , cryotherapy and conventional physical therapy ) Massage with ice was done by the researcher over the AVF puncture site . After that, the TENS electrodes will be applied by the researcher 6 centimeters apart closely up and down the skin area for insertion of the needle.
|
EXPERIMENTAL: • Group (3) will receive (cryotherapy and conventional physical therapy program).
|
Group (1): Will receive (TENS , cryotherapy and conventional physical therapy ) Massage with ice was done by the researcher over the AVF puncture site . After that, the TENS electrodes will be applied by the researcher 6 centimeters apart closely up and down the skin area for insertion of the needle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The KDQOL-36, Numerical Rating Scale for pain measurement
Time Frame: one hour for each participant
|
It is a 36-item health-related quality of life instrument adapted from the original 134-item KDQOL, an instrument principally developed to measure quality of life of dialysis patients [25]. |
one hour for each participant
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P.T.REC/012/003723
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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