Upper extremity functions and physical activity in chronic maintenance hemodialysis patients: A case-control study
Continuous hemodialysis (HD) treatment causes many complications in patients. The aim of this study is to evaluate the upper extremity functional capacity, physical activity level, and physical functions of patients receiving continuous HD treatment. Fifty HD patients and fifty healthy subjects were...
Saved in:
| Published in | Medicine (Baltimore) Vol. 102; no. 41; p. e35668 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Hagerstown, MD
Lippincott Williams & Wilkins
13.10.2023
|
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Summary: | Continuous hemodialysis (HD) treatment causes many complications in patients. The aim of this study is to evaluate the upper extremity functional capacity, physical activity level, and physical functions of patients receiving continuous HD treatment. Fifty HD patients and fifty healthy subjects were included in the study. Hand grip strength with Dynamometer, range of motion of upper extremity with Digital Goniometer, functional level of the upper extremity with the Turkish version of the Shoulder, Arm, and Hand Problems Questionnaire (The DASH-T), physical activity levels with international physical activity questionnaire short form and physical functions with the human activity profile (HAP) were evaluated. The mean grip strength of the subjects in the control group was 23.3 ± 1.44 kg, while the mean grip strength of the HD patients with fistula was 15.75 ± 3.08 kg (P < .05). In all joint range of motion measurements; the values of HD patients were significantly lower than the control group (P < .05). The DASH symptom scores of the individuals in the HD group (mean 19.19 ± 1.41) were significantly higher than the control group (mean 5.75 ± 1.41) (P < .05). The number of individuals with low-level activity in the HD group (72%) was higher than the control group (34%) (P < .01). The maximum activity score score of the HAP (mean 68.7 ± 1.4) and the adjusted activity score of the HAP (mean 42.54 ± 3.02) were lower in the HD group (P < .0001). HD treatment adversely affects hand grip strength, the range of motion, upper extremity functions, physical activity, and physical function levels of the patients. |
|---|---|
| Bibliography: | Received: 24 August 2023 / Received in final form: 23 September 2023 / Accepted: 25 September 2023 The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. The authors have no funding and conflicts of interest to disclose. All procedures performed in studies involving human participants were by the ethical standards of the institutional and/or national research committee at which the studies were conducted (IRB approval number 23/23) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. All the participants were informed, and it was made clear that their participation was voluntary and withdrawal could be done at any time. Informed consent was obtained from all individual participants. All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by FCAA, AD, and NU. The first draft of the manuscript was written by FCAA and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. How to cite this article: Aktas Arslan FC, Demirguc A, Ulug N. Upper extremity functions and physical activity in chronic maintenance hemodialysis patients: A case-control study. Medicine 2023;102:41(e35668). *Correspondence: Fatma Cansu Aktas Arslan, Department of Therapy and Rehabilitation, Sakarya University of Applied Sciences, Akyazi Health Services Vocational School, Yeni Mahalle Seyit Ahmet Tarim Street, 54400, Akyazi/Sakarya, Turkey (e-mail: fatmacansu@subu.edu.tr). ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0025-7974 1536-5964 1536-5964 |
| DOI: | 10.1097/MD.0000000000035668 |