The hand grip training device: A new therapeutic option in arteriovenous fistula maturation

Autor: Irati Tapia González, Vicent Esteve Simó, Sara Ibañez Pallarés, Fátima Moreno Guzman, Diana Oleas Vega, Miquel Fulquet Nicolás, Verónica Duarte Gallego, Anna Saurina Solé, Mónica Pou Potau, Montse Yeste Campos, Manel Ramírez de Arellano Serna
Rok vydání: 2022
Předmět:
Zdroj: The Journal of Vascular Access. :112972982211221
ISSN: 1724-6032
1129-7298
Popis: Introduction: Postoperative exercise improves arteriovenous fistula maturation for hemodialysis. However, scarce evidence exists about hand grip device on fistula maturation process. Objective: To evaluate the efficacy of a hand grip training program on arteriovenous fistula maturation in population with Chronic Kidney Disease 5-5D. Methodology: Prospective study (15 months). Patients were randomized to handgrip (HG) or control group (CG) postoperatively. HG performed a training program using a hand grip device. CG received conventional care. Upper limb muscle strength (ULMS), Duplex ultrasonography, and clinical arteriovenous fistula maturation were assessed at 4 and 8 weeks postoperatively. Results: At 8 weeks after fistula creation, upper limb muscle strength was increased only in the handgrip group (from 18 ± 6 to 23 ± 9 kg, p = 0.023). Clinical maturation was significantly greater in handgrip group versus control group, both at 4 weeks after intervention (62% vs 23%, p = 0.004) and at 8 weeks (65% vs 27%, p = 0.004). Similarly, the Doppler ultrasonography maturation rates were significantly greater in the HG, both at 4 weeks (HG: 84% vs CG: 47%; p = 0.004) and at 8 weeks (HG: 89% vs CG: 50%; p = 0.002). Conclusions: The hand grip is a useful and safety training device to improve the arteriovenous fistula maturation. This device results a new therapeutic option for maturation in arteriovenous fistula, particularly in distal arteriovenous fistula. Further studies are required to support these results.
Databáze: OpenAIRE
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