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Dogan I, Ucar E, Odabas M, Kaya NU, Sadioglu RE, Celik G, Acikgoz E, Sayarlioglu H, Turkmen E, Delibalta B, Aktas N, Cakir SK, Kaya EA, Alsancak S, Ayar Y, Ustunel N, Inan Z, Yildirim T, Sen F, Oruc A, Korkmaz R, Kayadibi H, Ates K. The effect of hand fine motor skills on peritoneal dialysis-related peritonitis. Ther Apher Dial 2024; 28:284-296. [PMID: 37932586 DOI: 10.1111/1744-9987.14079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 10/10/2023] [Accepted: 10/16/2023] [Indexed: 11/08/2023]
Abstract
INTRODUCTION We aimed to evaluate the relationship between the hand fine motor skills of peritoneal dialysis (PD) practitioners and PD-related peritonitis. METHODS This multicenter prospective observational study was conducted with 120 incident PD patients. Patients were divided into two groups who had PD-related peritonitis within the first year as Group 1, and those who did not as Group 2. Hand fine motor skills were evaluated by Nine-Hole Peg Test (NHPT) and Nut Screwing Test (NST). RESULTS Initial NHPT (28.5 ± 6.0 s vs. 25.8 ± 5.0 s, p = 0.011) and NST (82.3 (61.5-102.8) s versus 65.3 (52.3-88.5) s p = 0.023) scores were significantly higher in Group 1 than Group 2. In multivariate logistic regression analysis, NHPT, Body Mass Index, Mini-Mental Test, self PD practitioner, and catheter complications were found to be independent variables in predicting PD-related peritonitis. CONCLUSION Decreased hand fine motor skills of PD patients is a risk factor for peritonitis.
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Affiliation(s)
- Ibrahim Dogan
- Department of Nephrology, Hitit University, Faculty of Medicine, Corum, Turkey
| | - Emel Ucar
- Department of Peritonael Dialysis, Baxter, Baxter International Inc, Ankara, Turkey
| | - Mehtap Odabas
- Department of Nephrology, Hitit University, Faculty of Medicine, Corum, Turkey
| | - Nur Unal Kaya
- Department of Nephrology, Hitit University, Faculty of Medicine, Corum, Turkey
| | | | - Gulden Celik
- Department of Nephrology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Elif Acikgoz
- Department of Nephrology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Hayriye Sayarlioglu
- Department of Nephrology, 19 Mayis University Faculty of Medicine, Samsun, Turkey
| | - Ercan Turkmen
- Department of Nephrology, 19 Mayis University Faculty of Medicine, Samsun, Turkey
| | - Bulbul Delibalta
- Department of Nephrology, 19 Mayis University Faculty of Medicine, Samsun, Turkey
| | - Nimet Aktas
- Department of Nephrology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Selma Kuran Cakir
- Department of Nephrology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Emel Acar Kaya
- Department of Nephrology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Serap Alsancak
- Department of Nephrology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Yavuz Ayar
- Department of Nephrology, Bursa City Hospital, Bursa, Turkey
| | - Narin Ustunel
- Department of Nephrology, Bursa City Hospital, Bursa, Turkey
| | - Zuhal Inan
- Department of Nephrology, Bursa City Hospital, Bursa, Turkey
| | - Tolga Yildirim
- Department of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Fatma Sen
- Department of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Aysegul Oruc
- Department of Nephrology, Uludağ University Faculty of Medicine, Bursa, Turkey
| | - Rahime Korkmaz
- Department of Nephrology, Uludağ University Faculty of Medicine, Bursa, Turkey
| | - Huseyin Kayadibi
- Department of Medical Biochemistry, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey
| | - Kenan Ates
- Department of Nephrology, Ankara University Faculty of Medicine, Ankara, Turkey
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Jarque-Bou NJ, Gracia-Ibáñez V, Vergara M, Sancho-Bru JL. The BE-UJI hand function activity set: a reduced set of activities for the evaluation of the healthy and pathological hand. J Neuroeng Rehabil 2023; 20:122. [PMID: 37735662 PMCID: PMC10514972 DOI: 10.1186/s12984-023-01245-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 09/13/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Hand kinematics during hand function tests based on the performance of activities of daily living (ADLs) can provide objective data to determine patients' functional loss. However, they are rarely used during clinical assessments because of their long duration. Starting with the 20 Sollerman Hand Function Test (SHFT) tasks, we propose identifying a reduced set of ADLs that provides similar kinematic information to the original full set in terms of synergies, ranges of motion and velocities. METHODS We followed an iterative method with the kinematics of 16 hand joints while performing the 20 ADLs of the SHFT. For each subject, ADLs were ordered according to their influence on the synergies obtained by means of a principal component analysis, the minimum number of ADLs that represented the original kinematic synergies (maximum angle of 30° between synergies), and the maintained ranges of joint movements (85% of the original ones) were selected for each subject. The set of the most frequently selected ADLs was verified to be representative of the SHFT ADLs in terms of motion strategies, ranges of motion and joint velocities when considering healthy subjects and Hand Osteoarthritis patients. RESULTS A set of 10 tasks, the BE-UJI activity set, was identified by ensuring a certain (minimum) similarity in synergy (maximum mean angle between synergies of 25.5°), functional joint ranges (maximum differences of 10°) and joint velocities (maximum differences of 15°/s). The obtained tasks were: pick up coins from purses, lift wooden cubes, pick up nuts and turn them, write with a pen, cut with a knife, lift a telephone, unscrew jar lids and pour water from a cup, a jar and a Pure-Pak. These activities guarantee using the seven commonest handgrips in ADLs. CONCLUSION The BE-UJI activity set for the hand function assessment can be used to obtain quantitative data in clinics as an alternative to the SHFT. It reduces the test time and allows clinicians to obtain objective kinematic data of the motor strategies, ranges of motion and joint velocities used by patients.
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Affiliation(s)
- Néstor J Jarque-Bou
- Biomechanics and Ergonomics Group, Department of Mechanical Engineering and Construction, Universitat Jaume I, Avinguda Vicent Sos Baynat, s/n., 12071, Castellón, Spain.
| | - Verónica Gracia-Ibáñez
- Biomechanics and Ergonomics Group, Department of Mechanical Engineering and Construction, Universitat Jaume I, Avinguda Vicent Sos Baynat, s/n., 12071, Castellón, Spain
| | - Margarita Vergara
- Biomechanics and Ergonomics Group, Department of Mechanical Engineering and Construction, Universitat Jaume I, Avinguda Vicent Sos Baynat, s/n., 12071, Castellón, Spain
| | - Joaquín L Sancho-Bru
- Biomechanics and Ergonomics Group, Department of Mechanical Engineering and Construction, Universitat Jaume I, Avinguda Vicent Sos Baynat, s/n., 12071, Castellón, Spain
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Salinas SA, Elgalhud MATA, Tambakis L, Salunke SV, Patel K, Ghenniwa H, Ouda A, McIsaac K, Grolinger K, Trejos AL. Comparison of Machine Learning Techniques for Activities of Daily Living Classification with Electromyographic Data. IEEE Int Conf Rehabil Robot 2022; 2022:1-6. [PMID: 36176093 DOI: 10.1109/icorr55369.2022.9896565] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Advances in data science and wearable robotic devices present an opportunity to improve rehabilitation outcomes. Some of these devices incorporate electromyography (EMG) electrodes that sense physiological patient activity, making it possible to develop rehabilitation systems able to assess the patient's progress when performing activities of daily living (ADLs). However, additional research is needed to improve the ability to interpret EMG signals. To address this issue, an off-line classification approach for the 26 upper-limb ADLs included in the KIN-MUS UJI dataset is presented in this paper. The ADLs were performed by 22 subjects, while seven EMG signals were recorded from their forearms. From variable-length EMG time windows, 18 features were computed, and 13 features more were extracted from frequency domain windows. The classification performance of five different machine learning techniques, including Support Vector Machines (SVM), Convolutional Neural Networks (CNN), Gated Recurrent Unit (GRU) network, XGBoost, and Random Forests, were compared. CNN performed best amongst individual models, with an accuracy above 80%, compared to SVM with 77%, GRU with 73.9%, and the tree-based models below 64%. Ensemble learning with four CNN models achieved an even higher accuracy of 86%. These results suggest that the CNN ensemble model is capable of classifying EMG signals for most ADLs, which could be used in off-line quantitative assessment of robotic rehabilitation outcomes.
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Warner D, Louie D, Campiche J, Kottapalli V, Landry GJ. Immediate effects of hemodialysis on upper extremity and cognitive function. Am J Surg 2021; 221:1276-1278. [PMID: 33685716 DOI: 10.1016/j.amjsurg.2021.02.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 01/29/2021] [Accepted: 02/17/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Subjects undergoing hemodialysis often describe feeling "weak" and "fatigued" after dialysis. This has not previously been quantified. We sought to evaluate upper extremity and cognitive function before and after hemodialysis to see if differences existed and how long recovery takes. METHODS Subjects undergoing hemodialysis in an inpatient hospital dialysis unit were recruited. Subjects underwent assessment of upper extremity strength (grip (GS) and pinch (PS)), dexterity (pegboard assembly (PA)), finger sensation (monofilaments), and cognitive function (mini-mental status exam (MMS)) immediately pre- and post-dialysis, 3 h post-dialysis, and the following morning. Both the dialysis (index) and non-dialysis extremities were evaluated. Results were also stratified for fistulas vs. central venous catheters. Patients were dialyzed at the same flow rate and duration. RESULTS 21 subjects were evaluated, 13 (62%), male, mean age 56 ± 17 years, 15 (71%) diabetic, 15 (71%) fistulas, 6 (29%) central venous catheters. Overall, there were no significant changes in GS, PS, PA, immediately or 3 h after dialysis. MMS was non-significantly reduced 3 h after dialysis (22.8 ± 10.3 vs 27.0 ± 3.5, p = 0.06). PA was significantly improved the following morning (6.4 ± 4.8 assembled units vs 7.5 ± 5.1, p = 0.049). Patients dialyzing through catheters had reduced grip strength 3 h after dialysis compared to fistulas (-4.6 ± 2.7 N from baseline vs 1.4 ± 4.3 N from baseline, p = 0.018) that was resolved by the next day. CONCLUSIONS Hemodialysis in hospitalized inpatients does not cause acute objective deficits in upper extremity or cognitive function, with a significant improvement in hand dexterity the day after dialysis.
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Affiliation(s)
- David Warner
- Division of Vascular Surgery, Oregon Health & Science University, United States
| | - David Louie
- Division of Vascular Surgery, Oregon Health & Science University, United States
| | - John Campiche
- Division of Vascular Surgery, Oregon Health & Science University, United States
| | - Vishal Kottapalli
- Division of Vascular Surgery, Oregon Health & Science University, United States
| | - Gregory J Landry
- Division of Vascular Surgery, Oregon Health & Science University, United States.
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Beaumier M, Ruet A, Boyer A, Lanot A, Guillouet S, Lobbedez T, Béchade C. Hand function assessment in peritoneal dialysis patient: a pilot study. J Nephrol 2020; 34:483-491. [PMID: 32681469 DOI: 10.1007/s40620-020-00761-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 05/23/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND There is variability among centres regarding the utilization of assisted peritoneal dialysis (PD). Functional impairment is one of the leading causes of assisted PD. Tools to assess the patient's ability to manipulate PD devices are required. The objective of this study was to evaluate the feasibility of hand function evaluation in PD patients and to test the association between hand function estimation and assisted PD. METHODS This was a pilot study of adults treated with PD in a dialysis unit in January 2019. Hand function was evaluated by Purdue Pegboard, Jebsen, Jamar and pinch tests. Relative risks were calculated with a Cox model to evaluate the association between each test and assisted PD. RESULTS Among the 43 PD patients included, 16 were autonomous and 27 were assisted in performing dialysis. The Jebsen and Purdue Pegboard tests were completed by 41 patients (95.3%). All patients succeeded in performing the Jamar and pinch tests. The median time to complete all tests was 22 min. After adjustment based on the Charlson comorbidity index, the assembly test of the Purdue Pegboard (RR 0.92 [95% confidence interval (CI) 0.86-0.98]), total Jebsen (RR 1.01 [95% CI 1.00-1.01]) and Jamar test (RR 0.94 [95% CI 0.90-0.99] with the dominant hand; OR 0.94 [95% CI 0.88-0.98] with the non-dominant hand) scores were associated with assisted PD. CONCLUSION The evaluation of hand function of PD patients is feasible in daily practice using the Jebsen, Purdue Pegboard, pinch and Jamar tests and may support choosing the appropriate utilization of assisted PD.
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Affiliation(s)
- Mathilde Beaumier
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France.,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France
| | - Alexis Ruet
- Service de Médecine Physique Et de Réadaptation, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France
| | - Annabel Boyer
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France.,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France
| | - Antoine Lanot
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France.,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France
| | - Sonia Guillouet
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France.,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France
| | - Thierry Lobbedez
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France.,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France
| | - Clémence Béchade
- Centre Universitaire Des Maladies Rénales, CHU de Caen, Avenue Côte de Nacre, CS 30001, 14033, Caen Cedex 9, France. .,U1086 Inserm, "ANTICIPE", Centre de Lutte Contre Le Cancer François Baclesse, 3, Avenue du Général Harris, BP 5026, 14 076, Caen Cedex 05, France.
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Tu IT, Cheng YS, Mo PC, Hsu HY, Kuo LC, Jou IM, Su FC. Classifying hand sensorimotor functions of the chronic kidney disease patients using novel manual tactile test and pinch-holding-up activity. PLoS One 2019; 14:e0219762. [PMID: 31295337 PMCID: PMC6623959 DOI: 10.1371/journal.pone.0219762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 07/02/2019] [Indexed: 11/18/2022] Open
Abstract
Hand function deterioration brings about inconvenience to the daily lives of the chronic kidney disease patients. However, a full spectrum of hand function examination is absent. Therefore, this study aimed to classify the hand sensorimotor functions of the chronic kidney disease patients using the novel sensorimotor assessment tools, manual tactile test (MTT) and pinch-holding-up activity (PHUA) test, and explore the feasibility in comparison with traditional evaluations in the clinical practice. 68 stage-5 chronic kidney disease patients and 50 healthy subjects were recruited in this study. A series of conventional evaluations and two novel hand function tools, manual tactile test and pinch-holding-up activity test were conducted from the perspective of hand dexterity, sensory input threshold, force generation and sensorimotor control. Independent t-test was used to find out group differences and the receiver operating characteristic curve was used to determine accuracy of the tests. In our results, significant reduction of hand dexterity, sensory input, force generation and sensorimotor control was found in patients from an overall perspective. This trend was discovered to be the same when dividing the subjects into the old and young age group. From the receiver operator characteristic curves, nearly all the areas under the curve of all tests were over 0.8. The novel evaluation tools, the manual tactile test and pinch-holding-up activity, were found to have comparable or even better accuracy than the traditional ones. The shape and weight subtests of the manual tactile test displayed the highest accuracy. To sum up, by incorporating the novel and conventional assessment tests, this study built up the fundamental understanding of the hand functions in multiple dimensions and consolidate the clinical merits of applying the two novel tools, manual tactile test and pinch-holding-up activity, on chronic kidney disease patients.
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Affiliation(s)
- I-Te Tu
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
- Division of Nephrology, Department of Internal Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan
| | - Yu-Shiuan Cheng
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Pu-Chun Mo
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Hsiu-Yun Hsu
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan
| | - Li-Chieh Kuo
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan
| | - I-Ming Jou
- Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan
| | - Fong-Chin Su
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
- Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan
- * E-mail:
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Abd El Basset Bakr AM, Hasaneen BM, AbdelRasoul Helal Bassiouni D. Assessment of Nutritional Status in Children With Chronic Kidney Disease Using Hand Grip Strength Tool. J Ren Nutr 2018; 28:265-269. [DOI: 10.1053/j.jrn.2017.12.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 12/06/2017] [Accepted: 12/11/2017] [Indexed: 01/04/2023] Open
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Leal VO, Stockler-Pinto MB, Farage NE, Aranha LN, Fouque D, Anjos LA, Mafra D. Handgrip strength and its dialysis determinants in hemodialysis patients. Nutrition 2011; 27:1125-9. [DOI: 10.1016/j.nut.2010.12.012] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2010] [Revised: 11/25/2010] [Accepted: 12/13/2010] [Indexed: 01/04/2023]
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Tomás MT, Santa-Clara MH, Monteiro E, Baynard T, Carnero EÁ, Bruno PM, Barroso E, Sardinha LB, Fernhall B. Body composition, muscle strength, functional capacity, and physical disability risk in liver transplanted familial amyloidotic polyneuropathy patients. Clin Transplant 2011; 25:E406-14. [PMID: 21418328 DOI: 10.1111/j.1399-0012.2011.01436.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Familial amyloidotic polyneuropathy (FAP) is a neurodegenerative disease leading to sensory and motor polyneuropathies, and functional limitations. Liver transplantation is the only treatment for FAP, requiring medication that negatively affects bone and muscle metabolism. The aim of this study was to compare body composition, levels of specific strength, level of physical disability risk, and functional capacity of transplanted FAP patients (FAPTx) with a group of healthy individuals (CON). METHODS A group of patients with 48 FAPTx (28 men, 20 women) was compared with 24 CON individuals (14 men, 10 women). Body composition was assessed by dual-energy X-ray absorptiometry, and total skeletal muscle mass (TBSMM) and skeletal muscle index (SMI) were calculated. Handgrip strength was measured for both hands as was isometric strength of quadriceps. Muscle quality (MQ) was ascertained by the ratio of strength to muscle mass. Functional capacity was assessed by the six-minute walk test. RESULTS Patients with FAPTx had significantly lower functional capacity, weight, body mass index, total fat mass, TBSMM, SMI, lean mass, muscle strength, MQ, and bone mineral density. CONCLUSION Patients with FAPTx appear to be at particularly high risk of functional disability, suggesting an important role for an early and appropriately designed rehabilitation program.
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Affiliation(s)
- Maria T Tomás
- Exercise and Health Laboratory, Faculty of Human Kinetics, Technical University of Lisbon, Portugal.
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Leal VO, Mafra D, Fouque D, Anjos LA. Use of handgrip strength in the assessment of the muscle function of chronic kidney disease patients on dialysis: a systematic review. Nephrol Dial Transplant 2010; 26:1354-60. [PMID: 20709742 DOI: 10.1093/ndt/gfq487] [Citation(s) in RCA: 95] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Even though handgrip strength (HGS) is considered a simple and reliable method to evaluate muscle function and, indirectly, the nutritional status in clinical settings, there is still no consensus concerning its use in patients with chronic kidney disease (CKD) undergoing dialysis. This study presents a systematic review of the literature on the use of HGS as a parameter for nutritional assessment and a prognostic marker in patients on dialysis. METHODS The MEDLINE database (1966 to October 2009) was consulted for this systematic review by using the search terms hand strength or muscle strength dynamometer and dialysis. Eighteen articles were identified and included in the analysis. RESULTS Similar to the general population, HGS values were associated with age and gender. The analysed studies showed correlation between muscle function estimated by HGS and variables used in the assessment of muscle mass and nutritional status, as well as the prediction of clinical complications. CONCLUSIONS The analysis indicates that HGS is a useful tool for continuous and systematic assessment of muscle mass related to nutritional status in patients on dialysis. However, it is still necessary to standardize the techniques used for HGS, especially with respect to the position of measurement, the evaluation period, the choice of arm side and the diagnostic criterion.
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Affiliation(s)
- Viviane O Leal
- Medical Science Post Graduate Program, Fluminense Federal University, Niterói, Brazil.
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Yeh SCJ, Huang CH, Chou HC. Relationships among coping, comorbidity and stress in patients having haemodialysis. J Adv Nurs 2008; 63:166-74. [DOI: 10.1111/j.1365-2648.2008.04659.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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