Pooja Shah *1 <\/sup>, Bharat Tiwari 2<\/sup>, Kinnari Vala 3<\/sup>, Anshuman Saha 4<\/sup>, Harda Shah 5<\/sup>.<\/strong><\/p>\n *1<\/sup> MPT Student (Cardiopulmonary Sciences), College of Physiotherapy Institute of Kidney diseases and research centre – Institute of Transplantation Sciences [IKDRC-ITS], Gujarat university of transplantation sciences [GUTS], Ahmedaba, Gujarat India. Pooja Shah: 0000-0003-4191-9390<\/p>\n Bharat Tiwari: 0000-0001-7405-9548<\/p>\n Anshuman Saha: 0000-0002-7717-8056<\/p>\n Harda Shah: 0000-0003-0994-2590<\/p>\n Kinnari vala: 0000-0003-3426-5675<\/p>\n Corresponding Author: <\/strong>Dr. Pooja Shah, Institute of kidney Diseases and Research Center, Institute of Transplant Sciences, IKDRC-ITS College of Physiotherapy, Civil Hospital Campus, Ahmedabad 380016, Gujarat India. E-Mail: <\/strong>poojashah.7598@gmail.com<\/p>\n ABSTRACT: <\/strong><\/p>\n A 10year old female with polyneuropathy associated with chronic kidney disease presented with knee joint pain, bilateral ankle joint stiffness, numbness in distal extremities and had difficulty in walking without assistance. She was on maintenance hemodialysis twice a week. Her comorbidity included hypertension. She was almost bed bound and dependent with respect to all activities of daily living. Examinations revealed generalized muscle weakness, poor balance and diffused DTRs. The NCV study showed motor sensory axonal neuropathy. Polyneuropathies could be a consequence of systemic illness. In case like such coordination of clinical care becomes the crucial component in management. Multifactorial exercise rehabilitation improved muscle strength, functional ability and fatigue along with pain relief. Exercise is a supportive therapy for neuropathic patients associated with CKD that ought to be viewed more in a serious way.<\/p>\n Key words<\/strong>: <\/strong>Polyneuropathy, Chronic kidney disease, Physical exercise.<\/p>\n REFERENCES<\/strong><\/p>\n [1]. White CM, Pritchard J, Turner-Stokes L. Exercise for people with peripheral neuropathy. Cochrane Database Syst Rev. 2004 Oct 18;(4):CD003904. PMID: 15495069. \n\t\t\t <\/p>\n","protected":false},"excerpt":{"rendered":" Type of Article: \u00a0Case Report Volume 10; Issue 4 (August 2022) Page No.: 4326-4330 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2022.139 Significance of Physiotherapy Management in Polyneuropathy in Pediatric Patient with CKD: A Case Report Pooja Shah *1 , Bharat Tiwari 2, Kinnari Vala 3, Anshuman Saha 4, Harda Shah 5. *1 MPT Student (Cardiopulmonary Sciences), College of Physiotherapy Institute of
2<\/sup> BPT, MPT, PhD Scholar, Institute- Head of the department at College of Physiotherapy IKDRC-ITS, Ahmedabad, Gujarat India.
3<\/sup> MD Pediatrics,\u00a0 Fellowship in Pediatrics Nephrology, Associate Professor at\u00a0 IKDRC-ITS, GUTS, Ahmedabad, Gujarat India.
4<\/sup> MD Pediatrics, Fellowship in Pediatrics Nephrology, Associate Professor IKDRC-ITS, GUTS, Ahmedabad, Gujarat India.
5<\/sup> BPT, MPT, PhD Scholar, Institute- Senior lecturer at College of Physiotherapy IKDRC-ITS, GUTS, Ahmedabad 380016, Gujarat India.<\/p>\n
[2]. Latronico N, Bolton CF. Critical illness polyneuropathy and myopathy: a major cause of muscle weakness and paralysis. Lancet Neurol. 2011 Oct;10(10):931-41. PMID: 21939902.
[3]. Baumgaertel MW, Kraemer M, Berlit P. Neurologic complications of acute and chronic renal disease. Handb Clin Neurol. 2014;119:383-93. PMID: 24365307.
[4]. Kosmadakis GC, Bevington A, Smith AC, Clapp EL, Viana JL, Bishop NC, Feehally J. Physical exercise in patients with severe kidney disease. Nephron Clin Pract. 2010;115(1):c7-c16. PMID: 20173344.
[5]. Chen, Titi, Cleland, Bruce, Nankivell, Brian J. Rapidly progressing polyneuropathy in a dialysis patient: The Case. Kidney International 2016;89(6).
[6]. Afshar R, Shegarfy L, Shavandi N, Sanavi S. Effects of aerobic exercise and resistance training on lipid profiles and inflammation status in patients on maintenance hemodialysis. Indian J Nephrol. 2010 Oct;20(4):185-9. PMID: 21206679
[7]. Koufaki P, Greenwood SA, Macdougall IC, Mercer TH. Exercise therapy in individuals with chronic kidney disease: a systematic review and synthesis of the research evidence. Annu Rev Nurs Res. 2013;31:235-75. PMID: 24894142.
[8]. Nardone A, Godi M, Artuso A, Schieppati M. Balance rehabilitation by moving platform and exercises in patients with neuropathy or vestibular deficit. Arch Phys Med Rehabil. 2010 Dec;91(12):1869-77. PMID: 21112428.
[9]. Juliana Barcellos de Souza Cristiane Lima Carqueja Abrah\u00e3o Fontes Baptista. Physical rehabilitation to treat neuropathic pain Revista Dor 2016;17(suppl 1).
[10]. Michelle H. Cameron, MD, PT, OCS, and Li. Polyneuropathy in Physical Rehabilitation. Evidence-Based Examination, Evaluation, and Intervention. 2021.
[11]. Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P, Gollhofer A, Bloch W, Baumann FT. Exercise intervention studies in patients with peripheral neuropathy: a systematic review. Sports Med. 2014 Sep;44(9):1289-304. PMID: 24927670.<\/p>\n
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