Kinesiological Analysis in Chronically Dialyzed Patients

Overview

The reduced motor aktivity of patients having chronic dialyzation treatment is in particular the consequence of an impaired metabolism.An adverse effect is exerted also by the frequent incidence of further complicating disease and psychosocialfactors.In a group of 25 patients (12 women, 13 men) mean age 65 years (range 35-85 years) and duration of dialyzation treatment of 1.5 to 162 months (average 49.8 months) a kinesiological analysis was made with the objective to assess the extent of their motor aktivity and degree of affection of different components of the locomotor apparatus.The examination gave the following results:1. The mobility of the joint of the extremities was restricted in particular in flexion of shoulder, elbow, wrist, hip and knee joint in 64% of the patients.2. The mobility of the spine was restricted in all segments. The most frequent restriction was flexion - in 88%.3. Reduced muscular strength was more marked on the side with an arteriovenous fistula (avf). 4. Shortening of the muscles was recorded in 23 cases, i.e. in 92%, in particular of the m. trapezius and flexors of the knee joint.5. Impaired stereotype of the gait was found in 72% of the patients.6. Slight disorders of taxis and coordination of movements esere more marked on the side of the avf.7. 76% patients have a poor posture which is the results of a more complex affection.

Key words:
kinesiological analysis - chronic dialysis - motor testy.