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Comparing strength and range of motion of the upper limb with AV fistula
access with the contralateral upper limb among patients
treated with hemodialysis
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Abstract: (1526 Views) |
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. |
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| Keywords: Hemodialysis, Arteriovenous fistula, Range of motion, Muscle strength |
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Type of Study: Original |
Subject:
Medicine
Received: 2017 | Accepted: 2017 | Published: 2017
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