{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:12:28Z","timestamp":1792656748797,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,3,5]],"date-time":"2012-03-05T00:00:00Z","timestamp":1330905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This cross\u2010sectional case\u2010control study evaluated upper limb muscle strength and shoulder mobility in hemodialysis (HD) patients with arteriovenous fistula or graft. Twenty\u2010five adult patients on thrice\u2010a\u2010week HD treatment for 6\u2003months at least, were selected for the study. In all the patients and control subjects, handgrip tests and tests of range of motion in the upper extremities were evaluated by physiotherapy tests. Patients on HD showed lower muscle strength than age and sex matched subjects without severe chronic kidney disease (right: 30.1 \u00b1 11.6 vs 40.5 \u00b1 15.1 kg, <jats:italic>P<\/jats:italic> &lt; 0.001; left 29.1 \u00b1 12.9 vs 40.7 \u00b1 11.1 kg, <jats:italic>P<\/jats:italic> &lt; 0.01), and a reduced range of shoulder mobility. The presence of fistula or graft was associated with a greater limitation of both active (74.0\u2003\u00b1\u200318.3 vs 85.2\u2003\u00b1\u20038.8 \u00b0, <jats:italic>P<\/jats:italic> &lt; 0.01) and passive (82.2\u2003\u00b1\u20039.9 vs 87.2\u2003\u00b1\u20036.6 \u00b0, <jats:italic>P<\/jats:italic> &lt; 0.05) extra\u2010rotation than the contralateral limb, with a higher prevalence of impingement (72 vs 36%, <jats:italic>P<\/jats:italic> &lt; 0.05). Muscle strength was related to albumin and inversely to age; whereas \u03b2<jats:sub>2<\/jats:sub>\u2010microglobulin and CRP serum levels were associated with impairment of passive and active extra\u2010rotation of the shoulder that was free from the fistula or graft. In summary, patients on HD have a reduced range of shoulder mobility and marked reduction of muscle strength. The abnormalities are more prevalent in upper limbs with fistula or grafts. The arteriovenous fistula or graft may worsen the disability of the patient's upper limbs presumably due to the obligate position required during the HD sessions. Proper pre\u2010 and post\u2010dialysis exercise programs should be implemented to maintain mobility and strength of the upper limbs.<\/jats:p>","DOI":"10.1111\/j.1744-9987.2011.01056.x","type":"journal-article","created":{"date-parts":[[2012,3,5]],"date-time":"2012-03-05T22:00:35Z","timestamp":1330984835000},"page":"242-247","source":"Crossref","is-referenced-by-count":10,"title":["Upper Limb Disability in Hemodialysis Patients: Evaluation of Contributing Factors Aside From Amyloidosis"],"prefix":"10.1111","volume":"16","author":[{"given":"Alessandro","family":"Capitanini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Galligani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Lange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamasco","family":"Cupisti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2007010009"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.5414\/CNP75218"},{"key":"e_1_2_6_4_2","first-page":"738","article-title":"Effects of exercise training on exercise aerobic capacity and quality of life in hemodialysis patients","volume":"21","author":"Capitanini A","year":"2008","journal-title":"J Nephrol"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1081\/JDI-120005367"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.5301\/JN.2011.6386"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2003.50055"},{"key":"e_1_2_6_8_2","first-page":"94 A","article-title":"Hemodialysis facilities in which more patients exercise have lower risks of mortality and hospitalization: international results from the DOPPS","volume":"16","author":"Elder SE","year":"2005","journal-title":"J Am Soc Nephrol"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2010.00197.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2010.00905.x"},{"issue":"1","key":"e_1_2_6_11_2","first-page":"S315","article-title":"Beta2\u2010microglobuline plasma level and painful shoulder in haemodialysed patients","volume":"34","author":"Barisi\u0107 I","year":"2010","journal-title":"Coll Antropol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658000800302"},{"key":"e_1_2_6_13_2","first-page":"281","article-title":"Assessing the shoulder. History, physical examination, differential diagnosis, and special tests used","volume":"2","author":"Yocum LA","year":"1983","journal-title":"Clin Sports Med"},{"key":"e_1_2_6_14_2","first-page":"70","article-title":"Impingement lesions","volume":"173","author":"Neer CS","year":"1983","journal-title":"Clin Orthop"},{"key":"e_1_2_6_15_2","first-page":"117","article-title":"Painful athletic injuries of the shoulder","volume":"173","author":"Jobe FW","year":"1983","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193607000-00012"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.59.5.453"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.12.1867"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2008.62"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2006.00106.x"},{"key":"e_1_2_6_21_2","first-page":"433","article-title":"Hand function assessment in patients receiving haemodialysis","volume":"133","author":"Duru\u00f6z MT","year":"2003","journal-title":"Swiss Med Wkly"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.3.278"},{"key":"e_1_2_6_23_2","first-page":"347","article-title":"Functional study of hands among patients dialysed for more than 10\u2003years","volume":"8","author":"Chazot C","year":"1993","journal-title":"Nephrol Dial Transplant"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2007.07.011"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:UROL.0000034653.59183.77"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.23584"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e31805930f4"}],"container-title":["Therapeutic Apheresis and Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1744-9987.2011.01056.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1744-9987.2011.01056.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T14:23:47Z","timestamp":1697293427000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1744-9987.2011.01056.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,5]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1111\/j.1744-9987.2011.01056.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1744-9987.2011.01056.x","archive":["Portico"],"relation":{},"ISSN":["1744-9979","1744-9987"],"issn-type":[{"value":"1744-9979","type":"print"},{"value":"1744-9987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,5]]}}}