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

Ther Apher Dial. 2023 Jun;27(3):412-418. doi: 10.1111/1744-9987.13931. Epub 2022 Oct 4.

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.

Keywords: balance function; chronic kidney disease; hemodialysis; postural stability.

MeSH terms

  • Accidental Falls
  • Cross-Sectional Studies
  • Humans
  • Postural Balance*
  • Renal Dialysis
  • Renal Insufficiency, Chronic* / therapy