Dialysis-related spondyloarthropathy

Brahee, Deborah D.; Guebert, Gary M.; Virgin, Brad

doi:10.1067/mmt.2001.112560

Cited by 5 publications

(8 citation statements)

References 11 publications

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“…As a result, the percentage of patients with multiple disabilities has also increased. In addition, dialysis-related complications, including malnutrition, dialysis-related amyloidosis, and skeletal joint disabilities, are still unsolved problems that significantly decrease patients' quality of life [6][7][8][9][10][11][12][13][14]. Many clinical workers in dialysis centers in developed countries may recognize the clinical relevance for patients with multiple disabilities, sarcopenia, joint pain, and fatigue, despite advances in dialysis technologies.…”

Section: Introductionmentioning

confidence: 99%

Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients

Hoshino

2021

Nutrients

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With the growing number of dialysis patients with frailty, the concept of renal rehabilitation, including exercise intervention and nutrition programs for patients with chronic kidney disease (CKD), has become popular recently. Renal rehabilitation is a comprehensive multidisciplinary program for CKD patients that is led by doctors, rehabilitation therapists, diet nutritionists, nursing specialists, social workers, pharmacists, and therapists. Many observational studies have observed better outcomes in CKD patients with more physical activity. Furthermore, recent systematic reviews have shown the beneficial effects of exercise intervention on exercise tolerance, physical ability, and quality of life in dialysis patients, though the beneficial effect on overall mortality remains unclear. Nutritional support is also fundamental to renal rehabilitation. There are various causes of skeletal muscle loss in CKD patients. To prevent muscle protein catabolism, in addition to exercise, a sufficient supply of energy, including carbohydrates, protein, iron, and vitamins, is needed. Because of decreased digestive function and energy loss due to dialysis treatment, dialysis patients are recommended to ingest 1.2-fold more protein than the regular population. Motivating patients to join in activities is also an important part of renal rehabilitation. It is essential for us to recognize the importance of renal rehabilitation to maximize patient satisfaction.

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Section: Introductionmentioning

confidence: 99%

Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients

Hoshino

2021

Nutrients

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“…Also organized physical activity is known to be more motivating, guarantees expert supervision and heart functions monitoring. There are number of studies conducted to evaluate a use of individual physiotherapy interventions for those with motor system disorders due to dialysis and after kidney transplantation [14,[53][54][55][56][57][58]. Those studies provided clear evidence that the role of the physiotherapist is absolutely crucial in the multidisciplinary care team working with HD patients.…”

Section: Problem Statementmentioning

confidence: 99%

Exercise Therapy – Additional Tool for Managing Physical and Psychological Problems on Hemodialysis

Mahrová¹,

Švagrová²

2013

Hemodialysis

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Section: Clinical Presentationmentioning

confidence: 99%

“…2). CT is the best method for detection of small areas of osteolysis in cortical bone, and may be helpful in the assessment of the distribution and extent of destructive changes (8,13,25,27).…”

Section: Computed Tomographymentioning

confidence: 99%

“…The clinical presentation of destructive spondyloarthropathy may be variable. Mild to moderate neck or back pain and stiffness are among the reported clinical symptoms (1,8,11,27), although the patients described by Leone et al (5), Sundaram et al (28), and Falbo et al (29) were largely asymptomatic. Radiculopathy, myelopathy, and spinal cord compromise that may require surgical decompression and stabilization have also been reported (3,16,22,24,25,30–34).…”

Section: Clinical Presentationmentioning

confidence: 99%

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Imaging in the Dialysis Patient: Imaging in Dialysis Spondyloarthropathy

Theodorou

Resnick

2002

Seminars in Dialysis

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Destructive spondyloarthropathy has recently been described in patients who undergo maintenance hemodialysis for chronic renal disease. The condition most frequently involves the lower segment of the cervical spine, although the craniocervical junction also may be affected. Although the pathogenesis of destructive spondyloarthropathy remains unclear, the disorder is thought to relate to a hemodialysis-associated amyloidosis. It appears that the disease correlates with the duration of hemodialysis, although it has been reported in patients with chronic renal insufficiency not associated with hemodialysis. Radiographic features simulate those of an infectious process, encompassing a range of abnormalities from superficial erosions to large bony defects. Computed tomography (CT) images reveal osteolytic areas, with bone sclerosis of adjacent vertebral endplates, and minimal osteophytosis. The intervertebral spaces appear narrow or obliterated. On magnetic resonance imaging (MRI), the disorder may show the imaging characteristics of spondylodiskitis. The absence of high signal intensity on T2-weighted images generally helps to eliminate the diagnosis of an infection. With progression of the disease, collapse of a vertebral body and spinal instability may occur. Severe complications of destructive spondyloarthropathy in long-term dialysis patients may include spinal cord compromise, necessitating surgical decompression, with or without spinal stabilization.

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Dialysis-related spondyloarthropathy

Cited by 5 publications

References 11 publications

Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients

Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients

Exercise Therapy – Additional Tool for Managing Physical and Psychological Problems on Hemodialysis

Imaging in the Dialysis Patient: Imaging in Dialysis Spondyloarthropathy

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