{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:37:37Z","timestamp":1747186657901,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,3]],"date-time":"2022-07-03T00:00:00Z","timestamp":1656806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The presence of localised oedema can make measurement and removal of excess fluid in haemodialysis challenging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate (i) the effectiveness of intermittent pneumatic compression and neuromuscular electrical stimulation at mobilising oedema and (ii) the impact of localised fluid on bioimpedance measured fluid status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A single centre, cross\u2010over study design. Participants were monitored weekly during mid\u2010week dialysis sessions. Four sessions with each of the interventions and no interventions, with washout periods between, were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Six participants with lower limb oedema and established on haemodialysis for at least 3\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The effectiveness of mobilising oedema and improving haemodynamic stability was assessed by: reduction in ankle circumference; ultrafiltration volume achieved; blood pressure changes; participant symptoms and achievement\u00a0of target weight. The impact of localised fluid on bioimpedance measurements was assessed by comparing measurements across affected tissue with measurements avoiding the site of oedema.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no differences in ultrafiltration volumes, achievement\u00a0of target weight, participant symptoms or reductions in ankle circumference and systolic blood pressure between intermittent pneumatic compression and neuromuscular electrical stimulation sessions compared to control sessions. Measurements of fluid overload with bioimpedance were 1.7 and 1.8\u2009L\u00a0higher when measuring across oedematous tissue compared to non\u2010oedematous tissue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We were unable to demonstrate improved mobilisation of fluid in the participant's lower limb, though there was a low number of study participants and notable interindividual variation observed. Bioimpedance offers potential for monitoring fluid management in individuals with lower limb oedema but specific protocols are necessary.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.12438","type":"journal-article","created":{"date-parts":[[2022,7,3]],"date-time":"2022-07-03T11:49:53Z","timestamp":1656848993000},"page":"93-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Measurement and mobilisation of localised oedema in haemodialysis"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3463-6704","authenticated-orcid":false,"given":"Ryan","family":"Longley","sequence":"first","affiliation":[{"name":"Department of Medical Physics and Engineering Leeds Teaching Hospitals Trust Leeds England"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine University of Leeds Leeds England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David F.","family":"Keane","sequence":"additional","affiliation":[{"name":"Department of Medical Physics and Engineering Leeds Teaching Hospitals Trust Leeds England"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine University of Leeds Leeds England"},{"name":"Department of Renal Medicine Leeds Teaching Hospitals Trust Leeds England"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03650807"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1492-7535.2004.01106.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/11.supp2.16"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2001.1348"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr605"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10201014"},{"issue":"11","key":"e_1_2_11_8_1","first-page":"779","article-title":"Potential use of bioelectrical impedance of the \u2018whole body\u2019 and of body segments for the assessment of body composition: comparison with densitometry and anthropometry","volume":"43","author":"Fuller N.J.","year":"1989","journal-title":"European Journal of Clinical Nutrition"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0268355520938283"},{"key":"e_1_2_11_10_1","unstructured":"Guyton A. &Hall J. 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