Evidence of increased axillary blood flow velocity without increased handgrip strength and endurance in persons with a fibromuscular axillary arch

Scafoglieri, Aldo; Maeseneer, Michel De; Debondt, Arianne; Boulet, Cedric; Tresignie, Jonathan; Mey, Johan De; Clarys, Jan Pieter

doi:10.5603/fm.2015.0112

Cited by 2 publications

(1 citation statement)

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“…Previous study [53] has found that 30 times/ minute of grip exercise can effectively improve venous blood flow, which is the best frequency of grip exercise after PICC. In addition, a study [54] has found that the patient's use of the grip ball in the palm of the hand can give the patient a sense of reality, enhance the afterload of the upper arm muscle group contraction, and effectively promote blood At the same time, some studies [55,56] believe that the use of electronic grips to guide patients to make fist exercises can enhance the effect of grip exercises. When the frequency of electronic grips is 25 times/minute and the exercise duration is 2 minutes, the blood flow and speed of patients can reach the maximum, this maximizes patient benefit.…”

Section: Discussionmentioning

confidence: 99%

Quantified versus willful handgrip exercises for the prevention of PICC-related thrombosis: A meta-analysis and systematic review

Luo¹,

Jin

et al. 2023

Medicine

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Background: Thrombosis is a common yet serious complication in patients with peripherally inserted central venous catheter (PICC), the prevention of thrombosis is very important to the prognosis of PICC patients. We aimed to evaluate the effects of quantified versus willful grip exercises for the prevention of PICC-related thrombosis, to provide evidence to the clinical nursing care of PICC patients.Methods: Two authors searched PubMed et al databases for randomized controlled trials (RCTs) comparing the effects of quantified versus willful grip exercises in PICC patients up to August 31, 2022. Quality assessment and data extraction were independently performed by 2 researchers, and meta-analysis was performed using RevMan 5.3 software.Results: 15 RCTs involving 1741 PICC patients were finally included in this meta-analysis. Synthesized outcomes indicated that compared with willful grip exercises, quantified grip exercises reduced the incidence of PICC-related thrombosis (odds ratio = 0.19, 95% confidence interval [CI]: 0.12-0.31) and infection (odds ratio = 0.30, 95% CI: 0.15-0.60) in PICC patients, increased the maximum venous velocity (mean difference = 3.02, 95% CI: 1.87-4.17) and mean blood flow (mean difference = 3.10, 95%CI: 1.57-4.62) in PICC patients (all P < .05). There were no publication biases amongst the synthesized outcomes (all P > .05).Conclusion: Quantified grip exercises can effectively reduce the occurrence of PICC-related thrombosis and infection, improve the venous hemodynamics. Limited by study population and regions, large-sample, and high-quality RCTs are still needed in the future to further evaluate the effects and safety of quantified grip exercises in PICC patients.Abbreviations: CI = confidence interval, OR = odds ratio, PICC = peripherally inserted central venous catheter, RCTs = randomized controlled trials.

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Section: Discussionmentioning

confidence: 99%