Biomaterial Database

Hand function in patients on maintenance hemodialysis. 1988

N R Branz, and R A Newton

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

The purpose of this study was to assess characteristics of hand function in 30 subjects on maintenance hemodialysis (MHD) with a forearm vascular access. Hand function was evaluated by measuring subjects' grip and pinch strength, range of motion, edema, and sensation and with the Grip Function Test and self-assessment scale. A difference in all hand function test results was found in the extremity with the vascular access compared with the contralateral extremity. Comparison of short-term subjects (on MHD less than two years) with long-term subjects (on MHD greater than two years) revealed significantly lower handgrip strength (p less than .05) and pinch strength (p less than .05) and significantly higher hand volume (edema) (p less than .05) in the long-term group than in the short-term group. We suggest that both the chronicity of renal failure and the presence of a vascular access may contribute to deterioration of hand function. The presence of hand deterioration in patients on MHD identifies a new patient population and a need for early baseline measurement and periodic assessment by physical therapists or hand therapists as renal rehabilitation team members.

UI	MeSH Term	Description	Entries
D007676	Kidney Failure, Chronic	The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.	ESRD,End-Stage Renal Disease,Renal Disease, End-Stage,Renal Failure, Chronic,Renal Failure, End-Stage,Chronic Kidney Failure,End-Stage Kidney Disease,Chronic Renal Failure,Disease, End-Stage Kidney,Disease, End-Stage Renal,End Stage Kidney Disease,End Stage Renal Disease,End-Stage Renal Failure,Kidney Disease, End-Stage,Renal Disease, End Stage,Renal Failure, End Stage
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D004292	Dominance, Cerebral	Dominance of one cerebral hemisphere over the other in cerebral functions.	Cerebral Dominance,Hemispheric Specialization,Dominances, Cerebral,Specialization, Hemispheric
D005260	Female		Females
D006225	Hand	The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb.	Hands
D006435	Renal Dialysis	Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.	Dialysis, Extracorporeal,Dialysis, Renal,Extracorporeal Dialysis,Hemodialysis,Dialyses, Extracorporeal,Dialyses, Renal,Extracorporeal Dialyses,Hemodialyses,Renal Dialyses
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D001166	Arteriovenous Shunt, Surgical	Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)	Shunt, Surgical Arteriovenous,Surgical Arteriovenous Shunt,Arteriovenous Shunts, Surgical,Shunts, Surgical Arteriovenous,Surgical Arteriovenous Shunts