Comparing strength and range of motion of the upper limb with AV fistula access with the contralateral upper limb among patients treated with hemodialysis
Researcher Bulletin of Medical Sciences,
Vol. 22 No. 1 (2017),
,
Page e1
Abstract
Introduction:The arteriovenous (AV) fistula is a gold standard method for safe and effective repeated vascular access for patients on hemodialysis (HD). The patients, with AV-fistula access in their upper limb, have some limitations in using the involved limb both in daily living and during the dialysis process. The aim of this study was to compare range of motion (ROM), muscle strength and arm circumference of fistula created limb with the contralateral upper limb.
Material and Methods: 23 patients (50-85 year), receiving HD through AV fistula in one of their upper limbs, at least for 3 months, were enrolled. ROM, muscle strength, and arm circumference of both upper limbs were measured using goniometer, dynamometer and tape-measure, respectively. Then the values of the both sides were compared together.
Results: In ROM tests shoulder forward flexion, backward extension, internal rotation, external rotation, horizontal extension, and horizontal adduction, and in muscle strength tests shoulder abduction and hand grip were significantly (p<0.05) more limited or weaker at the fistula side. Arm circumference was significantly greater at the fistula created limb.
Conclusion: The upper limb, which is involved during HD process, is weaker and has more limited ROM in comparison with the contralateral limb. We suggest more attention to develop specific exercise programs for maintaining the abilities of the limb with AV-fistula access.
- Hemodialysis
- Arteriovenous fistula
- Range of motion
- Muscle strength
How to Cite
References
Chen CT, Lin SH, Chen JS, Hsu YJ: Muscle wasting in hemodialysis patients: new therapeutic strategies for resolving an old problem. ScientificWorldJournal 2013, 2013:643954.
Smith GE, Gohil R, Chetter IC: Factors affecting the patency of arteriovenous fistulas for dialysis access. J Vasc Surg 2012, 55(3):849-855.
Kong S, Lee KS, Kim J, Jang SH: The effect of two different hand exercises on grip strength, forearm circumference, and vascular maturation in patients who underwent arteriovenous fistula surgery. Ann Rehabil Med 2014, 38(5):648-657.
Hurton S, Embil JM, Reda A, Smallwood S, Wall C, Thomson L, Zacharias J, Dascal M, Trepman E, Koulack J: Upper extremity complications in patients with chronic renal failure receiving haemodialysis. J Ren Care 2010, 36(4):203-211.
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.
Tuna Z OD, Önder D, İnal S: Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. JCEI 2015, 6(2):110-114.
Capitanini A, Galligani C, Lange S, Cupisti A: Upper limb disability in hemodialysis patients: evaluation of contributing factors aside from amyloidosis. Ther Apher Dial 2012, 16(3):242-247.
Chung YC, Yeh ML, Liu YM: Effects of Intradialytic Exercise on the Physical Function, Depression, and Quality of Life for Hemodialysis Patients: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Clin Nurs 2016.
Cheema BS, Chan D, Fahey P, Atlantis E: Effect of progressive resistance training on measures of skeletal muscle hypertrophy, muscular strength and health-related quality of life in patients with chronic kidney disease: a systematic review and meta-analysis. Sports Med 2014, 44(8):1125-1138.
Cheema BS, Singh MA: Exercise training in patients receiving maintenance hemodialysis: a systematic review of clinical trials. Am J Nephrol 2005, 25(4):352-364.
Smart N, Steele M: Exercise training in haemodialysis patients: a systematic review and meta-analysis. Nephrology (Carlton) 2011, 16(7):626-632.
Mustata S, Groeneveld S, Davidson W, Ford G, Kiland K, Manns B: Effects of exercise training on physical impairment, arterial stiffness and health-related quality of life in patients
- Abstract Viewed: 0 times
- PDF Downloaded: 0 times