Arm and hand function in hemodialysis patients: A cross sectional analytical study

Autores

DOI:

https://doi.org/10.15448/1980-6108.2020.1.35301

Palavras-chave:

Hemodyalisis, Arteriovenous fistula, Pain, Paresthesia, Hand.

Resumo

Aims: To investigate the arm and hand function in hemodialysis patients.
Methods: Upper limb function using validated questionnaires such as Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), Cochin and Boston were applied to 57 chronic renal failure patients on hemodialysis and 60 healthy controls.Epidemiological data, data on pain and paresthesia in the upper limb and handgrip strength were obtained.

Results: The three questionnaires showed worse performance of upper limb function in chronic renal failure patients than controls: DASH questionnaire with P = 0.05; Cochin questionnaire with P = 0.0004 and Boston questionnaire with P = 0.03. The questionnaire scores were affected by presence of pain (P = 0.05 for DASH and < 0.0001 for Boston questionnaires) and paresthesia (DASH with P = 0.003; Cochin with P = 0.01 and Boston questionnaire with P < 0.0001). Handgrip
strength was lower in hemodialysis patients when compared with controls (P = 0.02) but did not affect the performance of any of the studied questionnaires.

Conclusions: Upper limb function is impaired in hemodialysis patients and the main associations found were with pain and paresthesia.

 

***Função braço e mão em pacientes em hemodiálise: um estudo analítico transversal***

Objetivos: Investigar a função do braço e da mão em pacientes em hemodiálise.

Métodos: A função dos membros superiores foi investigada utilizando-se questionários validados, como Disability of the Arm, Shoulder and Hand Questionnaire (DASH), Cochin e Boston, sendo aplicada a 57 pacientes com insuficiência renal crônica em hemodiálise e 60 controles saudáveis. Foram obtidos dados epidemiológicos tais como dor e parestesia no membro superior e força de preensão manual.


Resultados: Os três questionários apresentaram pior desempenho da função do membro superior em pacientes com insuficiência renal crônica do que os controles: questionário DASH com P = 0,05; questionário de Cochin com P = 0,0004 e questionário de Boston com P = 0,03. Os escores do questionário foram afetados pela presença de dor (P = 0,05 para DASH e <0,0001 para questionários de Boston) e parestesia (DASH com P = 0,003; Cochin com P = 0,01 e Boston com P <0,0001). A força de preensão manual foi menor nos pacientes em hemodiálise quando comparados aos controles (P = 0,02), mas não afetou o desempenho de
nenhum dos questionários estudados.


Conclusões: A função do membro superior é prejudicada em pacientes em hemodiálise e as principais associações encontradas foram com dor e parestesia.


Palavras chave: Hemodiálise; fístula arteriovenosa; dor; parestesia; mão.

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Publicado

2020-03-24

Como Citar

Nisihara, R. M., Fonseca, D., Kavilhuka, J., Tenorio, P., & Skare, T. (2020). Arm and hand function in hemodialysis patients: A cross sectional analytical study. Scientia Medica, 30(1), e35301. https://doi.org/10.15448/1980-6108.2020.1.35301

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