Range of motion of the ankle joint in male Japanese patients undergoing hemodialysis: influence of diabetes and hemodialysis.

Abstract

[Purpose] The purpose of this study was to analyze ankle range of motion in patients undergoing hemodialysis and those with diabetes. [Participants and Methods] Eight male kidney disease patients without diabetes undergoing hemodialysis and 10 male kidney disease patients with diabetes undergoing hemodialysis were enrolled in this study. For comparison, 27 patients with diabetes not undergoing hemodialysis and 10 healthy participants were included. All participants were divided into 4 groups: patients without diabetes undergoing hemodialysis, patients with diabetes undergoing hemodialysis, patients with diabetes not undergoing hemodialysis, and control group. The measured parameter was the passive range of motion of the ankle joint. [Results] Patients with diabetes not undergoing hemodialysis demonstrated the greatest joint restriction, followed by patients with diabetes undergoing hemodialysis. The main effect of diabetes was observed in ankle range of motion, rather than hemodialysis. There was a significant difference between both the diabetes undergoing hemodialysis and the diabetes not undergoing hemodialysis groups and the other groups. [Conclusion] Limited joint mobility of the ankle in patients undergoing hemodialysis may be affected by diabetes rather than hemodialysis.