The Effects of Plantar Stimulation on Hypotension, Treatment Efficacy and Quality of Life With Adults on Hemodialysis
The Effects of Plantar Stimulation on Hypotension, Treatment Efficacy and Quality of Life With Adults on Hemodialysis
For the end stage renal disease (ESRD) patients undergoing hemodialysis treatment,
 specifically, reflex mediated calf muscle pump stimulation has the potential to significantly
 reduce the number and magnitude of hypotensive episodes thus enhancing the effectiveness of
 the dialysis process. Fewer hemodialysis complications during the patient's hemodialysis
 treatment, would allow treatment sessions to continue to the prescribed volume removal, with
 much reduced patient recovery time, and the costs associated with this recovery.
Recruit individuals who consistently miss their dialysis goal. Maintain the goal over a six
 week period of time. Utilize exogenous calf muscle pump stimulation during each dialysis
 session to enhance fluid return from the lower limbs with the objective of assisting the
 patient in reaching ultrafiltration goal.

 Track number of hypotensive events during dialysis, as well as goal success.
Inclusion Criteria:

 1. 18 years of age or older;

 2. alert and oriented to time, place, and self;

 3. able to read and speak the English language;

 4. currently receiving hemodialysis treatment approximately 3-4 hour sessions, 3 times a
 week;

 5. received hemodialysis treatments continuously for the several previous months; AND

 6. consistently exhibits hypotensive symptoms during dialysis.

 Exclusion Criteria:

 1. receiving hemodialysis as a temporary treatment following a peritoneal dialysis
 complication or an episode of transplant rejection;

 2. receiving hemodialysis at home; OR

 3. if they have a Medical History of any the following conditions: deep venous
 thrombosis, uncontrolled hypertension, pulmonary embolus