Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients

Objective. To examine the relationship of handgrip strength with forearm blood flow (BF) and vascular resistance (VR) in rheumatoid arthritis (RA) patients. Methods. Forearm BF at rest (RBF) and after upper arm occlusion (RHBF), and handgrip strength were examined in 78 individuals (RA=42 and contro...

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Main Authors: Mahmoud A. Alomari, Esraa F. Keewan, Rania A. Shammaa, Khaldoon Alawneh, Said Y. Khatib, Michael A. Welsch
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/580863
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author Mahmoud A. Alomari
Esraa F. Keewan
Rania A. Shammaa
Khaldoon Alawneh
Said Y. Khatib
Michael A. Welsch
author_facet Mahmoud A. Alomari
Esraa F. Keewan
Rania A. Shammaa
Khaldoon Alawneh
Said Y. Khatib
Michael A. Welsch
author_sort Mahmoud A. Alomari
collection DOAJ
description Objective. To examine the relationship of handgrip strength with forearm blood flow (BF) and vascular resistance (VR) in rheumatoid arthritis (RA) patients. Methods. Forearm BF at rest (RBF) and after upper arm occlusion (RHBF), and handgrip strength were examined in 78 individuals (RA=42 and controls (CT)=36). Subsequently, VR at rest (RVR) and after occlusion (RHVR) were calculated. Results. The patients’ RBF (P=0.02) and RHBF (P=0.0001) were less, whereas RVR (P=0.002) and RHVR (P=0.0001) were greater as compared to the CTs. Similarly, handgrip strength was lower in the RAs (P=0.0001). Finally, handgrip strength was directly associated with RBF (r=0.43; P=0.0001), and RHBF (r=0.5; P=0.0001), and inversely related to RVR (r=-0.3; P=0.009) and RHVR (r=-0.3; P=0.007). Conclusion. The present study uniquely identifies an association between regional measures of forearm blood flow and handgrip strength in patients and healthy control. In addition, this study confirms the presence of vascular and muscle dysfunction in patients with rheumatoid arthritis, as evidenced by lower forearm blood flow indices, at rest and following occlusion, and lower handgrip strength as compared to healthy individuals.
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spelling doaj-art-1705c75f509a4c778cf36bedf92cface2025-02-03T01:26:15ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/580863580863Vascular Function and Handgrip Strength in Rheumatoid Arthritis PatientsMahmoud A. Alomari0Esraa F. Keewan1Rania A. Shammaa2Khaldoon Alawneh3Said Y. Khatib4Michael A. Welsch5Division of Physical Therapy, Department of Allied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, JordanDivision of Physical Therapy, Department of Allied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, JordanDepartment of Applied Biology, Faculty of Science and Arts, Jordan University of Science and Technology, Irbid 22110, JordanDepartment of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanDepartment of Physiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, JordanDepartment of Kinesiology, Louisiana State University, Baton Rouge, LA 70803, USAObjective. To examine the relationship of handgrip strength with forearm blood flow (BF) and vascular resistance (VR) in rheumatoid arthritis (RA) patients. Methods. Forearm BF at rest (RBF) and after upper arm occlusion (RHBF), and handgrip strength were examined in 78 individuals (RA=42 and controls (CT)=36). Subsequently, VR at rest (RVR) and after occlusion (RHVR) were calculated. Results. The patients’ RBF (P=0.02) and RHBF (P=0.0001) were less, whereas RVR (P=0.002) and RHVR (P=0.0001) were greater as compared to the CTs. Similarly, handgrip strength was lower in the RAs (P=0.0001). Finally, handgrip strength was directly associated with RBF (r=0.43; P=0.0001), and RHBF (r=0.5; P=0.0001), and inversely related to RVR (r=-0.3; P=0.009) and RHVR (r=-0.3; P=0.007). Conclusion. The present study uniquely identifies an association between regional measures of forearm blood flow and handgrip strength in patients and healthy control. In addition, this study confirms the presence of vascular and muscle dysfunction in patients with rheumatoid arthritis, as evidenced by lower forearm blood flow indices, at rest and following occlusion, and lower handgrip strength as compared to healthy individuals.http://dx.doi.org/10.1100/2012/580863
spellingShingle Mahmoud A. Alomari
Esraa F. Keewan
Rania A. Shammaa
Khaldoon Alawneh
Said Y. Khatib
Michael A. Welsch
Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
The Scientific World Journal
title Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
title_full Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
title_fullStr Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
title_full_unstemmed Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
title_short Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
title_sort vascular function and handgrip strength in rheumatoid arthritis patients
url http://dx.doi.org/10.1100/2012/580863
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