Muscles Cramp and Sleep Disturbances among Hemodialysis Patients


  • Gulshan Roy Chowdhury



Muscle Cramps, Nocturnal Muscle Cramps,Restless Leg Syndrome, Quality of Life, Intradialysis stretching exercise.


Muscle cramps are often experienced by the patients on hemodialysis that result in discomfort, shortened
treatment times, and inadequate dialysis dose.
Up to 50% people with chronic renal failure undergoing dialysis suffer from muscle cramps, especially
involving the lower limbs. The cramps can happen during dialysis or at home. The cramps in this type
of patient are linked to depression, a decline in quality of life, and sleep disorders. The etiology of
cramps in hemodialysis patients is not clear.
Muscle Cramping of the hands, feet, and legs is fairly common among patients onhemodialysis. Muscle
Cramps are also associated with low bloodpressure. However, some Muscle cramping continues even
after a normal bloodpressure. When patients are below dry weight, they also experience muscle cramps.
Thesevere muscle cramps are experienced near the end of the dialysis and persisting for atime after
dialysis is often due to dehydration.(1)
The most frequent sleep disorders seen in patients on dialysis are conditioned insomnia, excessive
daytime sleepiness, obstructive or central sleep apnea, as well as restless legs syndrome (RLS) and
periodic limb movement disorder. Many uremic and non-uremic factors are thought to participate in
the pathogenesis of sleep disorders in these patients. The treatment of sleeping disorders includes nonpharmacological
and pharmacological measures that can improve the functionality and quality of life
in patients on dialysis. (2)

Author Biography

Gulshan Roy Chowdhury

Ph.D Scholar & Faculty, College of Nursing ABVIMS & Dr. R.M.L Hospital, New Delhi