RecruitingNot ApplicableNCT06960304

Effect of a Structured Physical Exercise Program on Arteriovenous Fistula Maturation for Hemodialysis in Chronic Kidney Disease Patients

Sponsor

Unidade Local de Saúde de Coimbra, EPE

Enrollment

128 participants

Start Date

Jan 16, 2025

Study Type

INTERVENTIONAL

Conditions

Chronic Kidney Disease Requiring Hemodialysis

Summary

For patients living with Chronic Kidney Disease who are preparing to start hemodialysis, having a well-functioning arteriovenous fistula (AVF) is essential. Although the AVF is considered the best type of vascular access, its maturation process does not always go as expected-studies show that in 28% to 53% of cases, the fistula does not mature properly, making effective dialysis more difficult. There is growing interest in using physical exercise as a way to support AVF maturation. International guidelines even recommend arm exercises for this purpose. However, there is still no clear agreement on what type of exercise, how often, or how intense it should be. This study aims to evaluate whether a structured exercise program focused on the AVF arm can help improve the fistula's development and overall function.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a structured physical exercise program can improve the health of a dialysis access site called an arteriovenous fistula (AVF) — a surgically created connection between an artery and a vein in the arm used for kidney dialysis. Researchers want to see if exercise improves blood flow through the fistula. **You may be eligible if...** - You are 18 or older - You have an arteriovenous fistula (AVF) in your upper arm - You have no significant memory or thinking problems and can follow exercise instructions **You may NOT be eligible if...** - You have had a previous AVF in the same arm that stopped working - You have an injury or condition causing pain or loss of function in the arm with the fistula - You have a muscle or joint condition such as severe arthritis or myopathy - You have a neurological condition or have had a stroke or peripheral nerve damage Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERPhysical exercise program

Evaluation of AVF maturation using clinical and ultrasound criteria, after applying a structured physical exercise program.

Locations(1)

Unidade Local de Saude de Coimbra

Coimbra, Coimbra District, Portugal

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NCT06960304

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