{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T05:11:38Z","timestamp":1779253898064,"version":"3.51.4"},"reference-count":46,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate the efficacy of arteriovenous fistula (AVF) exercise training combined with video-assisted patient education on AVF maturation in adults undergoing maintenance hemodialysis (MHD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective non-randomized controlled trial was conducted at Guangdong Provincial Hospital of Chinese Medicine from September 2023 to November 2024. A total of 88 eligible patients with newly created forearm AVFs were recruited and divided into an intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      = 43) and a control group (\n                      <jats:italic>n<\/jats:italic>\n                      = 45) according to their willingness to perform novel or traditional exercise training. The control group received standard postoperative care, while the intervention group underwent a structured 8-week program that combined supervised AVF exercise training guided by Chinese Medicine theory with video-assisted feedback education. Primary outcomes included AVF maturation rate, time to maturation, and ultrasonographic parameters (brachial artery blood flow, arterial\/venous inner diameter, AVF depth). Secondary outcomes included AVF-related complication rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 8 weeks, the intervention group demonstrated significantly higher brachial artery flow (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), larger brachial artery inner diameter (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), and venous diameter (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), alongside reduced fistula depth (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). The intervention group also demonstrated higher maturation rates (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.030) and shorter median maturation time (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.040) compared to the control group. No significant differences in complication rates were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An optimized exercise training program, combined with video-assisted education, enhances fistula maturation parameters and accelerates functional readiness for hemodialysis, suggesting its potential as a complementary strategy to standard AVF care in MHD populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.chictr.org.cn\/index.html<\/jats:ext-link>\n                      , identifier ChiCTR2400080010.\n                    <\/jats:p>\n                  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