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The Effect of Leg Crossing on Reducing Orthostatic Hypotension in Hemodialysis Patients
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  • Journal title : Journal of muscle and joint health
  • Volume 22, Issue 3,  2015, pp.160-166
  • Publisher : Korean Society of Muscle and Joint Health
  • DOI : 10.5953/JMJH.2015.22.3.160
 Title & Authors
The Effect of Leg Crossing on Reducing Orthostatic Hypotension in Hemodialysis Patients
Kim, Si Sook; Choi, Kyung Sook; Won, Sam Soon; Kim, In Young;
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 Abstract
Purpose: The purpose of this study is to examine the effect of leg crossing on reducing orthostatic hypotension and orthostatic hypotension symptoms in hemodialysis patients. Methods: A one-group pretest-posttest design was used. A total of 40 post-hemodialysis adult patients were enrolled, excluding the case of intradialysis hypotension, unbalance of standing with leg crossing, adding antihypertensive medications. Blood pressure (BP) and heart rate (HR) were measured in supine and standing positions. After a week, BP and HR were measured in supine and standing with leg crossing position. Orthostatic hypotension symptoms were also measured by self-reported structured questionnaire in standing without leg crossing and with leg crossing position. Results: We found out that systolic blood pressure, diastolic blood pressure, and mean arterial pressure increased significantly in standing with crossing leg position applied (p=.006, p=.001, p=.006). However, presences of orthostatic hypotension symptoms were not significantly decreased in standing with leg crossing position (p=.500, p=.318, p=.306, p=.241, p=.356, p=.500, p=.241, p=.308). Conclusion: This study shows that leg crossing is effective for reducing orthostatic hypotension without additional cost or instruments. Leg crossing as one of the preventive interventions to reduce orthostatic hypotension is easier and simpler to be implemented in hemodialysis patients.
 Keywords
Orthostatic hypotension;Hemodialysis;Leg crossing;
 Language
Korean
 Cited by
 References
1.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. http://dx.doi.org/10.3758/brm.41.4.1149 crossref(new window)

2.
Harms, M. P., Wieling, W., Colier, W. N., Lenders, J. W., Secher, N. H., & van Lieshout, J. J. (2010). Central and cerebrovascular effects of leg crossing in humans with sympathetic failure. Clinical Science, 118(9), 573-581. http://dx.doi.org/10.1042/cs20090038 crossref(new window)

3.
Inagaki, H., Kuroda, M., Watanabe, S., & Hamazaki, T. (2001). Changes in major blood components after adopting the supine position during haemodialysis. Nephrology, Dialysis, Transplantation, 16(4), 798-802. http://dx.doi.org/10.1093/ndt/16.4.798 crossref(new window)

4.
Kaufmann, H., Malamut, R., Norcliffe-Kaufmann, L., Rosa, K., & Freeman, R. (2012). The orthostatic hypotension questionnaire (OHQ): Validation of a novel symptom assessment scale. Clinical Autonomic Research, 22(2), 79-90. http://dx.doi.org/10.1007/s10286-011-0146-2 crossref(new window)

5.
Kidney Disease Outcomes Quality Initiative [K/DOQI] Workgroup. (2005). K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. American Journal of Kidney Diseases, 45(Suppl 3), 16-153. http://dx.doi.org/10.1053/j.ajkd.2005.01.019 crossref(new window)

6.
Kim, Y. H., Yang, K. H., & Park, K. S. (2013). Fall experience and risk factors for falls among the community-dwelling elderly. Journal of Muscle and Joint Health, 20(2), 91-101. http://dx.doi.org/10.5953/jmjh.2013.20.2.91 crossref(new window)

7.
Mills, P. B., Fung, C. K., Travlos, A., & Krassioukov, A. (2015). Nonpharmacologic management of orthostatic hypotension: A systematic review. Archives of Physical Medicine and Rehabilitation, 96(2), 366-375. e6. http://dx.doi.org/10.1016/j.apmr.2014.09.028 crossref(new window)

8.
Ryan, D. J., Cunningham, C. J., & Fan, C. W. (2012). Non-pharmacological management of orthostatic hypotension in the older patient. Reviews in Clinical Gerontology, 22(02), 119-129. http://dx.doi.org/10.1017/s0959259811000220 crossref(new window)

9.
Sasaki, O., Nakahama, H., Nakamura, S., Yoshihara, F., Inenaga, T., Yoshii, M., et al. (2005). Orthostatic hypotension at the introductory phase of haemodialysis predicts all-cause mortality. Nephrology, Dialysis, Transplantation, 20(2), 377-381. http://dx.doi.org/10.1093/ndt/gfh614 crossref(new window)

10.
Valbusa, F., Labat, C., Salvi, P., Vivian, M. E., Hanon, O., Benetos, A., et al. (2012). Orthostatic hypotension in very old individuals living in nursing homes: The PARTAGE study. Journal of Hypertension, 30(1), 53-60. http://dx.doi.org/10.1097/hjh.0b013e32834d3d73 crossref(new window)

11.
van Dijk, N., de Bruin, I. G., Gisolf, J., de Bruin-Bon, H. R., Linzer, M., van Lieshout, J. J., et al. (2005). Hemodynamic effects of leg crossing and skeletal muscle tensing during free standing in patients with vasovagal syncope. Journal of Applied Physiology, 98(2), 584-590. http://dx.doi.org/10.1152/japplphysiol.00738.2004

12.
Velseboer, D. C., de Haan, R. J., Wieling, W., Goldstein, D. S., & de Bie, R. M. (2011). Prevalence of orthostatic hypotension in Parkinson's disease: A systematic review and metaanalysis. Parkinsonism & Related Disorders, 17(10), 724-729. http://dx.doi.org/10.1016/j.parkreldis.2011.04.016 crossref(new window)

13.
Yamamoto, K., Kobayashi, N., Kutsuna, T., Ishii, A., Matsumoto, T., Hara, M., et al. (2012). Excessive fall of blood pressure during maintenance hemodialysis in patients with chronic renal failure is induced by vascular malfunction and imbalance of autonomic nervous activity. Therapeutic Apheresis and Dialysis, 16(3), 219-225. http://dx.doi.org/10.1111/j.1744-9987.2011.01053.x crossref(new window)

14.
Yamamoto, N., Sasaki, E., Goda, K., Nagata, K., Tanaka, H., Terasaki, J., et al. (2006). Treatment of post-dialytic orthostatic hypotension with an inflatable abdominal band in hemodialysis patients. Kidney International, 70(10), 1793-1800. http://dx.doi.org/10.1038/sj.ki.5001852 crossref(new window)