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Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula

Year 2015, Volume: 6 Issue: 2, 110 - 114, 10.07.2015
https://doi.org/10.5799/ahinjs.01.2015.02.0499

Abstract

Objective: Patients receiving haemodialysis treatment generally tend to avoid using the upper extremity with arteriovenous (AV) fistulae and it results in impairment of hand functions. Limited data are available about impairment associated with hand complications in those patients The aim of this pilot study is to evaluate the handgrip and pinching strengths and functional level of both hands in patients receiving haemodialysis.

Methods: Fifteen chronic renal failure patients receiving haemodialysis (30-83 years) and 11 age-matched healthy volunteers participated in the study. All the patients were undergoing treatment through arteriovenous fistulae in the upper extremity. Handgrip strength with a manual dynamometer and pinch strength with a pinchmeter were measured. Functional level of both hands was evaluated with Nine-Hole Peg Test.

Results: Handgrip strengths of both hands were lower in patients receiving haemodialysis than healthy control group (p<0.01). Lateral, bipod and tripod pinching strengths were also lower in patients (p<0.05) with excepting right hand lateral pinching (p>0.05). 9-Hole Peg Test results in both placement and removal showed a great significant difference in both hands with a statistical significance of p<0.001.

Conclusion: Our first results revealed that chronic renal failure patients receiving haemodialysis treatment through arteriovenous fistulae in the upper extremity have a significant impairment in strength and functional level of hand. The lack of differences between two hands may be concluded that the upper extremity impairment in patients results from the disease course or haemodialysis treatment, not from the vascular access. J Clin Exp Invest 2015; 6 (2): 110-114

Key words: Arteriovenous fistula, dexterity, haemodialysis, hand functions, vascular access

References

  • 1. Hurton S, Embil JM, Reda A. et al. Upper extremity complications in patients with chronic renal failure receiving haemodialysis. J Renal Care 2010;36:203- 211.
  • 2. Calik BB, Yagci N, Cavlak U. Upper extremities function in patients undergoing haemodialysis treatment. Neurosciences 2006;11:180-186.
  • 3. Hsieh RL, Huang HY, Chen SC, et al. Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan: a preliminary study. J Nephrol 2010;23:41-48.
  • 4. Tander B, Akpolat T, Durmus D, Canturk F. Evaluation of hand functions in hemodialysis patients. Renal Failure 2007;29:477–480.
  • 5. V Limaye, A Frankham, A Disney, K Pile. Evaluation of hand function in patients undergoing long term haemodialysis. Ann Rheum Dis 2001;60:278–280.

Arteriovenöz fistül aracılı hemodiyaliz yapılan hastalarda el disfonksiyonunun değerlendirilmesi

Year 2015, Volume: 6 Issue: 2, 110 - 114, 10.07.2015
https://doi.org/10.5799/ahinjs.01.2015.02.0499

Abstract

Amaç: Hemodiyaliz tedavisi alan hastalar genellikle arteriovenöz fistülün olduğu üst ekstremitelerini kullanmaktan kaçınırlar ve bu durum el fonksiyonlarının bozulmasıyla suçlanmaktadır. Bu hastalarda ele ait komplikasyonlara ilişkin bilgiler yetersizdir. Bu pilot çalışmanın amacı, hemodiyaliz tedavisi alan hastalarda her iki elin kavrama ve çimdikleyici kuvvetlerini ve böylece fonksiyonel durumunu incelemektir.Yöntemler: Hemodiyaliz tedavisi alan 15 kronik böbrek yetmezliği hastası (30-83 yaş) ve aynı yaş ortalamasına sahip 11 sağlıklı kontrol çalışmaya katıldı. Hasta grubun tamamı hemodiyaliz tedavisini üst ekstremitede bulunan arterivenöz fistül aracılığıyla alan hastalardı. Kavrama kuvveti manuel dinamometreyle, çimdikleyici kuvvet pinchmetre ile ölçüldü. Her iki elin fonksiyonel durumu Dokuz Delikli Peg Test ile değerlendirildi.Bulgular: Hemodiyaliz tedavisi gören hastalarda her iki elin kavrama kuvvetleri sağlıklı kontrol grubundan daha zayıf bulundu (p<0.01). Lateral, bipod ve tripod çimdikleyici kuvvetleri, sağ elin lateral kavraması (p>0.05) hariç hasta grubunda daha zayıftı (p<0.05). Dokuz Delikli Peg Testi takma ve çıkarma süreleri açısından her iki el arasında istatistiksel olarak belirgin derecede fark bulundu (p<0.001). Sonuç: Çalışmamızın ilk sonuçlarına göre, üst ekstremitede arteriovenöz fistül aracılığıyla hemodiyaliz tedavisi alan kronik böbrek yetmezliği hastalarının kavrama kuvveti ve fonksiyonel durumları kötü bulunmuştur. Ancak hasta grupta iki el arasında fonksiyonel anlamda bir fark olmaması, üst ekstremite disfonksiyonunun fistülden değil, hastalık süreci veya hemodiyaliz tedavisinden kaynaklanıyor olabileceğini göstermektedir

References

  • 1. Hurton S, Embil JM, Reda A. et al. Upper extremity complications in patients with chronic renal failure receiving haemodialysis. J Renal Care 2010;36:203- 211.
  • 2. Calik BB, Yagci N, Cavlak U. Upper extremities function in patients undergoing haemodialysis treatment. Neurosciences 2006;11:180-186.
  • 3. Hsieh RL, Huang HY, Chen SC, et al. Changes in physical functional performance and quality of life in hemodialysis patients in Taiwan: a preliminary study. J Nephrol 2010;23:41-48.
  • 4. Tander B, Akpolat T, Durmus D, Canturk F. Evaluation of hand functions in hemodialysis patients. Renal Failure 2007;29:477–480.
  • 5. V Limaye, A Frankham, A Disney, K Pile. Evaluation of hand function in patients undergoing long term haemodialysis. Ann Rheum Dis 2001;60:278–280.
There are 5 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Zeynep Tuna

Deran Oskay This is me

Dilan Önder This is me

Salih İnal This is me

Publication Date July 10, 2015
Published in Issue Year 2015 Volume: 6 Issue: 2

Cite

APA Tuna, Z., Oskay, D., Önder, D., İnal, S. (2015). Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. Journal of Clinical and Experimental Investigations, 6(2), 110-114. https://doi.org/10.5799/ahinjs.01.2015.02.0499
AMA Tuna Z, Oskay D, Önder D, İnal S. Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. J Clin Exp Invest. July 2015;6(2):110-114. doi:10.5799/ahinjs.01.2015.02.0499
Chicago Tuna, Zeynep, Deran Oskay, Dilan Önder, and Salih İnal. “Assessment of Hand Dysfunction in Patients Receiving Hemodialysis through Arteriovenous Fistula”. Journal of Clinical and Experimental Investigations 6, no. 2 (July 2015): 110-14. https://doi.org/10.5799/ahinjs.01.2015.02.0499.
EndNote Tuna Z, Oskay D, Önder D, İnal S (July 1, 2015) Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. Journal of Clinical and Experimental Investigations 6 2 110–114.
IEEE Z. Tuna, D. Oskay, D. Önder, and S. İnal, “Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula”, J Clin Exp Invest, vol. 6, no. 2, pp. 110–114, 2015, doi: 10.5799/ahinjs.01.2015.02.0499.
ISNAD Tuna, Zeynep et al. “Assessment of Hand Dysfunction in Patients Receiving Hemodialysis through Arteriovenous Fistula”. Journal of Clinical and Experimental Investigations 6/2 (July 2015), 110-114. https://doi.org/10.5799/ahinjs.01.2015.02.0499.
JAMA Tuna Z, Oskay D, Önder D, İnal S. Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. J Clin Exp Invest. 2015;6:110–114.
MLA Tuna, Zeynep et al. “Assessment of Hand Dysfunction in Patients Receiving Hemodialysis through Arteriovenous Fistula”. Journal of Clinical and Experimental Investigations, vol. 6, no. 2, 2015, pp. 110-4, doi:10.5799/ahinjs.01.2015.02.0499.
Vancouver Tuna Z, Oskay D, Önder D, İnal S. Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. J Clin Exp Invest. 2015;6(2):110-4.