PMR Versus MLD on RLS and Sleep Quality in Hemodialysis Patients

Inclusion Criteria: * Male and female adults ranging from 35- 65 years old. * Able to communicate verbally and agree to participate in the study. * On maintenance arteriovenous fistula (AVF) hemodialysis 3 times weekly. * None of the research participants had a lower extremity dialysis graft, and they were all taking medication to maintain their health. * Prior to the study procedure, all patients underwent a nephrologist assessment * All patients had good compliance with their dialysis treatment (not missing more than 2 dialysis sessions in the prior 3 months Exclusion Criteria: * Peripheral neuropathy or vascular diseases of the lower limbs. * Skin diseases including acute psoriasis or eczema. * Recent fractures or lower limbs surgeries. * Feet injuries including severe muscle weakness, bruises, ulcers, Open wounds or recent burns