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Type: Journal article
Title: Evaluation of hand function in patients undergoing long term haemodialysis
Author: Limaye, V.
Frankham, A.
Disney, A.
Pile, K.
Citation: Annals of the Rheumatic Diseases, 2001; 60(3):278-280
Publisher: British Med Journal Publ Group
Issue Date: 2001
ISSN: 0003-4967
1468-2060
Statement of
Responsibility: 
V Limaye, A Frankham, A Disney, K Pile
Abstract: OBJECTIVE---Haemodialysis is associated with the deposition of beta 2 microglobulin in musculoskeletal structures, leading to the syndrome of dialysis related amyloidosis and impairment of hand function. This study aimed at assessing hand function using the Sollerman test in a cross section of patients undergoing haemodialysis. METHODS---Recipients of haemodialysis underwent the Sollerman test of hand grip function, which assesses 20 activities of daily living using eight grip types, and the JAMAR grip strength test, visual analogue scales (VAS) for pain (VAS-P) and function (VAS-F), and Health Assessment Questionnaire (HAQ) were determined. Results---Thirty five subjects (26 male), with mean age 53.2 years, participated. The average duration of haemodialysis was 6.2 years (range one month to 25 years). The median Sollerman score was 77, with 19/35 (54%) patients receiving haemodialysis having a score below the lower normal value of 78-80. The log Sollerman score correlated poorly with age (rs=0.16, p=0.35), and significantly with the HAQ score (rs=-0.66, p<0.00005), duration of haemodialysis (rs=-0.39, p<0.05), VAS-F (rs=-0.41, p<0.05), VAS-P (rs=-0.34, p<0.05), and JAMAR score (rs=0.57, p<0.05). Sollerman scores were highly correlated between dominant and non-dominant hands (rs=0.69, p<000005). CONCLUSIONS---Hand dysfunction is a common finding among patients undergoing long term haemodialysis. The Sollerman test accurately reflects patient function as measured by HAQ, VAS-F, and grip strength, but less so pain. Its use for the early detection of dialysis related amyloidosis and in the serial monitoring of the effects of hand treatment programmes is encouraged.
Keywords: Humans; Kidney Failure, Chronic; Amyloidosis; Pain Measurement; Hand Strength; Activities of Daily Living; Renal Dialysis; Linear Models; Health Status; Adult; Aged; Aged, 80 and over; Middle Aged; Female; Male
Description: Copyright © 2001 by the BMJ Publishing Group Ltd.
RMID: 0020011107
DOI: 10.1136/ard.60.3.278
Published version: http://ard.bmj.com/cgi/content/abstract/60/3/278
Appears in Collections:Medicine publications

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