Inclusion Criteria:  Patients willing to participate and provide an informed consent. Patients undergoing primary liver transplantation.  Exclusion Criteria:  Patients with unilateral disorders, such as stroke, carpal tunnel syndrome, broken wrist with nerve damage, Dupuytren contracture, or any similar wrist injury. Patients with systemic neuromuscular diseases such as myasthenia gravis. Patients with a known history of cerebrovascular accident (CVA). Patients undergoing repeat liver transplantation or concomitant pancreas/kidney transplantation at the time of liver transplantation. Patients admitted to the intensive care unit prior to liver transplantation.