Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial

  • Diane Mastnardo, BS, LMT Case Western Reserve University and MetroHealth Medical Center
  • Janice M. Lewis, BA, LMT Case Western Reserve University and MetroHealth Medical Center
  • Kristi Hall, LMT Case Western Reserve University and MetroHealth Medical Center
  • Catherine M. Sullivan, MS, RD, LD Case Western Reserve University and MetroHealth Medical Center
  • Katrice Cain, MA Case Western Reserve University and MetroHealth Medical Center
  • Jacqueline Theurer, MBA Case Western Reserve University and MetroHealth Medical Center
  • Anne Huml, MD Case Western Reserve University and MetroHealth Medical Center
  • Ashwini R. Sehgal, MD Case Western Reserve University and MetroHealth Medical Center
Keywords: dialysis, massage, muscle cramping

Abstract

Background: Patients on hemodialysis often experience muscle cramps that result in discomfort, shortened treatment times, and inadequate dialysis dose. Cramps have been associated with adversely affecting sleep and health-related quality of life, depression and anxiety. There is limited evidence available about massage in dialysis; however, massage in cancer patients has demonstrated decreases in pain, inflammation, and feelings of anxiety. These correlations indicate massage may be an effective treatment modality for hemodialysis-related lower extremity cramping.

Purpose: To determine the effectiveness of intradialytic massage on the frequency of cramping among hemodialysis patients prone to lower extremity cramping.

Participants: 26 maintenance hemodialysis patients with frequent lower extremity cramps.

Setting: three outpatient hemodialysis centers in Northeast Ohio.

Research Design: randomized controlled trial.

Intervention: The intervention group received a 20-minute massage of the lower extremities during each treatment (three times per week) for two weeks. The control group received usual care by dialysis center staff.

Main Outcome Measure: change in frequency of lower leg cramping.

Results: Patient reported cramping at home decreased by 1.3 episodes per week in the intervention group compared to 0.2 episodes per week in the control group (p=.005). Patient reported cramping during dialysis decreased by 0.8 episodes
in the intervention group compared to 0.4 episodes in the control group (p=0.44).

Conclusion: Intradialytic massage appears to be an effective way to address muscle cramping. Larger studies with longer duration should be conducted to further examine this approach.

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Published
2016-03-27
How to Cite
Mastnardo, BS, LMT, D., Lewis, BA, LMT, J. M., Hall, LMT, K., Sullivan, MS, RD, LD, C. M., Cain, MA, K., Theurer, MBA, J., Huml, MD, A., & Sehgal, MD, A. R. (2016). Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial. International Journal of Therapeutic Massage & Bodywork Research Education &Amp; Practice, 9(2), 3–8. https://doi.org/10.3822/ijtmb.v9i2.305
Section
Research