{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:20:02Z","timestamp":1791912002764,"version":"4.3.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Postoperative exercise improves arteriovenous fistula maturation for hemodialysis. However, scarce evidence exists about hand grip device on fistula maturation process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the efficacy of a hand grip training program on arteriovenous fistula maturation in population with Chronic Kidney Disease 5-5D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Prospective study (15\u2009months). Patients were randomized to handgrip (HG) or control group (CG) postoperatively. HG performed a training program using a hand grip device. CG received conventional care. Upper limb muscle strength (ULMS), Duplex ultrasonography, and clinical arteriovenous fistula maturation were assessed at 4 and 8\u2009weeks postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At 8\u2009weeks after fistula creation, upper limb muscle strength was increased only in the handgrip group (from 18\u2009\u00b1\u20096 to 23\u2009\u00b1\u20099\u2009kg, p\u2009=\u20090.023). Clinical maturation was significantly greater in handgrip group versus control group, both at 4\u2009weeks after intervention (62% vs 23%, p\u2009=\u20090.004) and at 8\u2009weeks (65% vs 27%, p\u2009=\u20090.004). Similarly, the Doppler ultrasonography maturation rates were significantly greater in the HG, both at 4\u2009weeks (HG: 84% vs CG: 47%; p\u2009=\u20090.004) and at 8\u2009weeks (HG: 89% vs CG: 50%; p\u2009=\u20090.002).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The hand grip is a useful and safety training device to improve the arteriovenous fistula maturation. This device results a new therapeutic option for maturation in arteriovenous fistula, particularly in distal arteriovenous fistula. Further studies are required to support these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298221122129","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T05:51:15Z","timestamp":1665640275000},"page":"584-591","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The hand grip training device: A new therapeutic option in arteriovenous fistula maturation"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9747-8702","authenticated-orcid":false,"given":"Irati","family":"Tapia Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Functional Unit Vascular Access, Nephrology Department, Consorci Sanitari Terrassa, Barcelona, Spain"},{"name":"Nephrology Department, Consorci Sanitari Terrassa, Barcelona, Spain"},{"name":"Department of Medicine, Universitat Aut\u00f3noma de Barcelona, Barcelona, 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