Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hand function in patients on maintenance hemodialysis.

N R Branz1, R A Newton

  • 1Department of Physical Therapy, School of Allied Health Professions, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.

Physical Therapy
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Genetic association and cellular function of MC1R variant alleles in human pigmentation.

Annals of the New York Academy of Sciences·2003
Same author

A complement component C3-like protein from the tunicate, Styela plicata.

Developmental and comparative immunology·2002
Same author

Head stability in older adults during walking with and without visual input.

Journal of vestibular research : equilibrium & orientation·2002
Same author

Dorsal root ganglion neurons show increased expression of the calcium channel alpha2delta-1 subunit following partial sciatic nerve injury.

Brain research. Molecular brain research·2001
Same author

Efficacy and safety of sildenafil citrate for treatment of erectile dysfunction in a population with associated organic risk factors.

Journal of andrology·2001
Same author

Humoral opsonins of the tunicate, Pyura stolonifera.

Developmental and comparative immunology·2001

Patients on maintenance hemodialysis (MHD) with vascular access experience impaired hand function. Long-term MHD patients show worse grip strength and more edema, indicating a need for early assessment.

Area of Science:

  • Nephrology
  • Physical Therapy
  • Vascular Surgery

Background:

  • Maintenance hemodialysis (MHD) is a life-sustaining treatment for end-stage renal disease.
  • Forearm vascular access is crucial for hemodialysis but may impact limb function.
  • Hand function deficits in MHD patients are not widely recognized.

Purpose of the Study:

  • To evaluate hand function characteristics in patients undergoing maintenance hemodialysis.
  • To compare hand function between the vascular access arm and the contralateral arm.
  • To investigate the influence of dialysis duration on hand function.

Main Methods:

  • Thirty patients on maintenance hemodialysis with forearm vascular access participated.
  • Hand function assessed included grip strength, pinch strength, range of motion, edema, and sensation.

Related Experiment Videos

  • The Grip Function Test and a self-assessment scale were utilized.

    • Main Results:

    • Significant differences in all tested hand function parameters were observed between the vascular access extremity and the contralateral extremity.
    • Long-term MHD patients (dialysis > 2 years) exhibited significantly lower grip and pinch strength compared to short-term patients.
    • Long-term MHD patients also showed significantly higher hand volume (edema) than short-term patients.

    Conclusions:

    • Both the duration of renal failure and the presence of a vascular access contribute to hand function deterioration in MHD patients.
    • This study identifies a previously unrecognized patient group experiencing hand dysfunction.
    • Early baseline and regular periodic hand function assessments by therapists are recommended for MHD patients.