Hemophilia a, Joint Position Sense, Muscle Strength, Quality of Life (QOL)
Conditions
Brief summary
The goal of this clinical trial is to learn if there are effect of close kinetic chain exercises on muscle strength, joint position sense and Quality of life in children with haemophilia? Null hypothesis It will be hypothesized that: There is no effect of close kinetic chain exercises on muscle strength, joint position sense and Quality of life in children with haemophilia.
Detailed description
Sample size estimation will be carried out to determine the recruited number of children selected randomly from Out Patient clinic of Atfal Misr hospital, Cairo governorate to participate in this study. The study targets male children with hemophilia A. They will be selected based on the following: Inclusion criteria: 1. Their chronological age will be 5-7yeasr. 2. All children will receive prophylaxis therapy. 3. They will able to stand and walk independently. 4. They will be able to follow instructions during evaluation and treatment. Exclusive criteria: The children will be excluded if they have one of the following: 1. Visual or auditory problem. 2. Radiographic changes as bone erosions, destruction, or joint subluxation, or congenital or acquired skeletal deformities in both lower limbs. 3. Surgical procedures performed six weeks prior to or during study. 4. Bleeding in joint 2 week prior to assessment.
Interventions
OTHERExercise
Close kinetic chain (CKC) exercises : 1. Supine wall push exercise: Start position: supine with the both leg against wall, other limb straight. Exercise action: push against wall for thirty seconds. 2. Wall push against Swiss ball exercise: Start position: Supine with a Swiss ball between patient's legs and the wall. Exercise action: push against the wall for thirty seconds. 3. Supine half bridging exercise: Start position: Lying on back, knees bent Exercise action: keeping spine neutral and hinging up from the hips, move into a bridge.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
5 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
* 1\. Their chronological age will be 5-7yeasr. 2. All children will receive prophylaxis therapy. 3. They will able to stand and walk independently. 4. They will be able to follow instructions during evaluation and treatment.
Exclusion criteria
* The children will be excluded if they have one of the following: 1. Visual or auditory problem. 2. Radiographic changes as bone erosions, destruction, or joint subluxation, or congenital or acquired skeletal deformities in both lower limbs. 3. Surgical procedures performed six weeks prior to or during study. 4. Bleeding in joint 2 week prior to assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| a) Assessment of muscle strength: | baseline only | The isometric muscle strength of bilateral knee extensors muscles will be measured with a handheld dynamometer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| b) Assessment of knee joint position sense. | baseline only | Knee joint position sense will be measures with a Saunders digital inclinometer. |
Other
| Measure | Time frame | Description |
|---|---|---|
| c) Assessment of Quality of life. | baseline only | The Haemo-QoL questionnaire is a quality of life assessment instrument for children with haemophilia. |
Countries
Egypt
Contacts
Primary ContactYASMEIN EL-TANANY, M.Sc. in Physical Therapy
Outcome results
None listed