Purpose
Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.

Citations

• Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
  Chao-Lin Lee, Ping-Chen Wang, Yi-Ling Chen, Zen-Yong Chen, Ching-Cherng Uen, Hsien-Yung Lai, Chih-Chung Shiao
  Biomedicines.2024; 12(10): 2364.     CrossRef
• Efficacy of Aerobic and Stretching Exercises in Managing Willis-Ekbom Disease (Restless Leg Syndrome) Among Hemodialysis Patients
  Mohamedalamin Alnoor Altayb Ismail , Islam Daffalla, Taranpreet Singh, Qandeel Rida Siddique, Mohammed Khaleel I. KH. Almadhoun , Rabail Irfan, Moeez Saqib, Muhammad Haris, Zaid Khan, Jaqueline Giselle Farias Fernandes, Asma Iqbal, Syed Faqeer Hussain Bok
  Cureus.2024;[Epub]     CrossRef
• Pharmacological and non-pharmacological treatments for restless legs syndrome in end-stage kidney disease: a systematic review and component network meta-analysis
  Jia-Jin Chen, Tao Han Lee, Yu-Kang Tu, George Kuo, Huang-Yu Yang, Chieh-Li Yen, Pei-Chun Fan, Chih-Hsiang Chang
  Nephrology Dialysis Transplantation.2022; 37(10): 1982.     CrossRef
• Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
  Ying Huang, Hong Chen, Zhao kaifa
  Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef