Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis

Objective: This study aims to evaluate upper extremity problems, upper extremity and hand functions in haemodialysis patients with chronic renal failure and to investigate differences between diabetic and non-diabetic patients. Materials and Methods: Demographic characteristics, upper extremity sym...

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Główni autorzy: Aslı Gençay Can, Canan Çelik, Mustafa Özer, Serdar Kahvecioğlu
Format: Artykuł
Język:English
Wydane: Galenos Yayinevi 2017-12-01
Seria:Türk Osteoporoz Dergisi
Hasła przedmiotowe:
Dostęp online:http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/upper-extremity-problems-and-functioning-in-patien/16998
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author Aslı Gençay Can
Canan Çelik
Mustafa Özer
Serdar Kahvecioğlu
author_facet Aslı Gençay Can
Canan Çelik
Mustafa Özer
Serdar Kahvecioğlu
author_sort Aslı Gençay Can
collection DOAJ
description Objective: This study aims to evaluate upper extremity problems, upper extremity and hand functions in haemodialysis patients with chronic renal failure and to investigate differences between diabetic and non-diabetic patients. Materials and Methods: Demographic characteristics, upper extremity symptoms, The Quick Disabilities of the Arm, Shoulder and Hand Survey-Turkish scores (Q-DASH-T), Duruoz Hand Index scores, upper extremity locomotor system and neurologic system examinations of 150 haemodialysis patients were evaluated. Results: The most frequently detected problems in upper extremities were shoulder periarthritis (18%) and rotator cuff problems (12%) in all haemodialysis patients. Clinical shoulder periarthritis was detected in 25.4% of diabetic patients and 13.2% of non-diabetic patients whereas there was no statistically significant difference between the groups. Clinical rotator cuff problems were detected in 13.5% of diabetic patients and 10.9% of non-diabetic patients since there was no statistically significant difference between the groups. Carpal tunnel syndrome was detected significantly higher in diabetics compared to non-diabetics (23.7% and 2.2%, respectively). Shoulder circumference, elbow extension, first finger abduction and opposition muscle function weaknesses were significantly more frequent in the diabetic group. In all haemodialysis patients, impaired Q-DASH-T score and Duruoz Hand Index were detected as 30.7% and 16.7% respectively. There were no significant differences in terms of upper extremity and hand functions between diabetic haemodialysis patients compared to non-diabetics. Conclusion: The most common upper extremity problems were shoulder periarthritis and rotator cuff problems in all haemodialysis patients regardless from the presence of diabetes. Carpal tunnel syndrome was found to be more prevalent in diabetic haemodialysis patients compared to non-diabetics. Regardless from the presence of diabetes, impaired upper extremity and hand functions were detected in 30.7% and 16.7% of all haemodialysis patients, respectively.
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spelling doaj.art-e12ed70e7dba4f96b84bfb9abb78db2c2023-02-15T16:12:11ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532017-12-01233869210.4274/tod.44153Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving HaemodialysisAslı Gençay Can0Canan Çelik1Mustafa Özer2Serdar Kahvecioğlu3Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, TürkiyeGiresun Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Giresun, TürkiyeSağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Bursa, TürkiyeSağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, Bursa, TürkiyeObjective: This study aims to evaluate upper extremity problems, upper extremity and hand functions in haemodialysis patients with chronic renal failure and to investigate differences between diabetic and non-diabetic patients. Materials and Methods: Demographic characteristics, upper extremity symptoms, The Quick Disabilities of the Arm, Shoulder and Hand Survey-Turkish scores (Q-DASH-T), Duruoz Hand Index scores, upper extremity locomotor system and neurologic system examinations of 150 haemodialysis patients were evaluated. Results: The most frequently detected problems in upper extremities were shoulder periarthritis (18%) and rotator cuff problems (12%) in all haemodialysis patients. Clinical shoulder periarthritis was detected in 25.4% of diabetic patients and 13.2% of non-diabetic patients whereas there was no statistically significant difference between the groups. Clinical rotator cuff problems were detected in 13.5% of diabetic patients and 10.9% of non-diabetic patients since there was no statistically significant difference between the groups. Carpal tunnel syndrome was detected significantly higher in diabetics compared to non-diabetics (23.7% and 2.2%, respectively). Shoulder circumference, elbow extension, first finger abduction and opposition muscle function weaknesses were significantly more frequent in the diabetic group. In all haemodialysis patients, impaired Q-DASH-T score and Duruoz Hand Index were detected as 30.7% and 16.7% respectively. There were no significant differences in terms of upper extremity and hand functions between diabetic haemodialysis patients compared to non-diabetics. Conclusion: The most common upper extremity problems were shoulder periarthritis and rotator cuff problems in all haemodialysis patients regardless from the presence of diabetes. Carpal tunnel syndrome was found to be more prevalent in diabetic haemodialysis patients compared to non-diabetics. Regardless from the presence of diabetes, impaired upper extremity and hand functions were detected in 30.7% and 16.7% of all haemodialysis patients, respectively.http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/upper-extremity-problems-and-functioning-in-patien/16998Haemodialysisrenal failureupper extremity problems
spellingShingle Aslı Gençay Can
Canan Çelik
Mustafa Özer
Serdar Kahvecioğlu
Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
Türk Osteoporoz Dergisi
Haemodialysis
renal failure
upper extremity problems
title Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
title_full Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
title_fullStr Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
title_full_unstemmed Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
title_short Upper Extremity Problems and Functioning in Patients with end Stage Renal Failure Receiving Haemodialysis
title_sort upper extremity problems and functioning in patients with end stage renal failure receiving haemodialysis
topic Haemodialysis
renal failure
upper extremity problems
url http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/upper-extremity-problems-and-functioning-in-patien/16998
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