The effect of two different hand exercises on grip strength, forearm circumference, and vascular maturation in patients who underwent arteriovenous fistula surgery.
OBJECTIVE
To compare the effect of two different hand exercises on hand strength and vascular maturation in patients who underwent arteriovenous fistula surgery.


METHODS
We recruited 18 patients who had chronic kidney disease and had undergone arteriovenous fistula surgery for hemodialysis. After the surgery, 10 subjects performed hand-squeezing exercise with GD Grip, and other 8 subjects used Soft Ball. The subjects continued the exercises for 4 weeks. The hand grip strength, pinch strength (tip, palmar and lateral pinch), and forearm circumference of the subjects were assessed before and after the hand-squeezing exercise. The cephalic vein size, blood flow velocity and volume were also measured by ultrasonography in the operated limb.


RESULTS
All of the 3 types of pinch strengths, grip strength, and forearm circumference were significantly increased in the group using GD Grip. Cephalic vein size and blood flow volume were also significantly increased. However, blood flow velocity showed no difference after the exercise. The group using Soft Ball showed a significant increase in the tip and lateral pinch strength and forearm circumference. The cephalic vein size and blood flow volume were also significantly increased. On comparing the effect of the two different hand exercises, hand-squeezing exercise with GD Grip had a significantly better effect on the tip and palmar pinch strength than hand-squeezing exercise with Soft Ball. The effect on cephalic vein size was not significantly different between the two groups.


CONCLUSIONS
The results showed that hand squeezing exercise with GD Grip was more effective in increasing the tip and palmar pinch strength compared to hand squeezing exercise with soft ball.
Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea.
Sangwon
S
Kong
Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea.
Kyung Soo
KS
Lee
Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea.
Junho
J
Kim
Department of Rehabilitation Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
Seong Ho
SH
Jang
Arteriovenous fistula; Hand strength; Renal insufficiency; Resistance training