Deran OSKAY, Zeynep TUNA, Salih İNAL, Dilan ÖNDER

Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula

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 (p0.05) hariç hasta grubunda daha zayıftı (p

Arteriovenöz fistül aracılı hemodiyaliz yapılan hastalarda el disfonksiyonunun değerlendirilmesi

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

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