Comparison of the effects of three kinds of hand exercises on improving limb function in patients after transradial cardiac catheterization.
Xinyue Zhang, Zhipeng Bao, Lan Wei and 5 others
PMID 37128485WHAT IT FOUND
After transradial cardiac catheterization, nurse-led handgrip exercise with a dynamometer reduced hand and finger swelling and pain more than finger exercises or acupoint massage by 4 h, with no difference in bleeding or skin temperature.
Key findings
01Handgrip exercise showed less middle finger and palm swelling than finger exercise or acupoint massage at 2 h and 4 h after intervention.
02Pain score at 4 h was lower in the handgrip exercise group than in the finger exercise and acupoint massage groups.
03Skin temperature and degree of bleeding did not differ significantly among the three groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-center trial at an academic medical center. Follow-up was short: edema and pain were measured only up to 4 h after intervention, and bleeding was assessed 24 h after the operation. Three patients withdrew halfway because of protocol violations. The handgrip intensity was set at 10% to 15% of maximum voluntary contraction from a preliminary experiment, and the best intensity for these patients was not tested. All participants had normal coagulation before operation and received dual antiplatelet therapy, and patients with coagulation dysfunction or skin infection were excluded.
Declared interests
Funded by National Natural Science Foundation of China (Grant No. 72204120) and Young Scholars Fostering Funding of the First Affiliated Hospital of Nanjing Medical University (PY2021047). Authors declared no conflict of interest.
The easy way to misread this
Do not conclude that handgrip exercise is safe for every patient after transradial cardiac catheterization. The trial excluded patients with coagulation dysfunction or skin infection, required normal coagulation before operation, and assessed bleeding only 24 h after the operation.