Hemophilia Arthropathy
Conditions
Keywords
hemophilia, physiotherapy, exercise, reaction time, joint health, arthropathy
Brief summary
This randomised controlled study was conducted to investigate the comprehensive physiotherapy combined with home exercises on individuals with hemophilic arthropathy in the lower extremity. There are two groups in the study: home exercises and comprehensive physiotherapy combined with home exercises. Is physiotherapy combined with home exercises superior to home exercises on joint health, bleeding frequency, reaction time, dynamic balance, muscle strength? The aim of this study is to increase the compliance of hemophilic individuals to physiotherapy and adapt home exercises to their lives with weekly sessions.
Detailed description
Introduction: The positive effects of physiotherapy and exercise on joint health, frequency of hemartrosis (FoH) in patient with hemophilic arhropathy (PwHA) are well explained in the literature. However, adaptation problems to physiotherapy sessions (usually 3 times a week) may cause PwHA to ignore the need for therapy. It may be more beneficial for PwHA to adapt physiotherapy and exercise into daily live. Aim: To investigate the effect of a once-a-week physiotherapy combined with home exercises on joint health, FoH, muscle strength, pain, reaction time and dynamic balance. Methods: 20 patients have hemophilic arthropathy in knee and/or ankle were randomly divided into 2 groups, named home exercise (HE) and comprehensive physiotherapy combined with home exercise (CPcwHE). In the clinical assessment, HJHS, manuel muscle tester, Fitlight® system for reaction time, functional reach test for dynamic balance were used and questioned the number of bleedings in the last 6 weeks for FoH. The CP group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week. The HE group performed the exercises given to CP at home 3 times a week. Evaluations were repeated at the end of 6 weeks.
Interventions
OTHERHome exercise
Home exercise are done at home without the supervision of a specialist.
OTHERManual therapy
Manual therapy is special techniques for soft tissues and joints applied by a physiotherapist.
DEVICENeuromuscular electrical stimulation
Home exercise are done at home without the supervision of a specialist. Manual therapy is special techniques for soft tissues and joints applied by a physiotherapist. Neuromuscular electrical stimulation is the application of electrical current to the muscle through special electrodes in order to increase muscle strength. Supervised exercise is done under the supervision of a physiotherapist.
OTHERSupervised exercise
Supervised exercise is done under the supervision of a physiotherapist.
Sponsors
Yuzuncu Yil University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomised controlled study
Eligibility
Sex/Gender
MALE
Age
10 Years to 32 Years
Healthy volunteers
No
Inclusion criteria
-Clinical diagnosis of hemophilia -Clinical diagnosis of hemophilic arthropathy in ankle and/or
Exclusion criteria
* Clinical diagnosis of any neurological disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemophilia Joint Health Score | 6 weeks | Joint health (Max values= 84, min values=0. As the value increases, joint health worsens.) |
| Reaction time | 6 week | Dynamic balance |
Countries
Turkey (Türkiye)
Outcome results
None listed