Effect of resistance and aerobic exercises on bone mineral density, muscle strength and functional ability in children with hemophilia

Eid, Mohamed A.; Ibrahim, Mohamed F.; Aly, Sobhy M.

doi:10.1016/j.ejmhg.2013.12.002

Cited by 22 publications

(65 citation statements)

References 36 publications

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“…Similarly, five articles [20][21][22][23]25] scored 6 points out of 9, mainly as a result from not describing the method of randomization and comparison between groups. Finally, two articles [19,24] scored 5 points, the main methodological deficiencies being blinding and randomization, while another article only reached a score of 4 points [27]. Based on the scores performed with the PEDro scale, we are able to conclude overall the medium-high methodological quality of the selected articles.…”

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

confidence: 82%

“…In a first phase, after discarding the 116 articles repeated among the various documentary sources, the titles and abstract of the remaining 67 studies were analyzed. Finally, following the selection process, only 10 articles [19][20][21][22][23][24][25][26][27][28] met the established criteria. Figure 1 shows the flow diagram with the selection made according to the criteria described above.…”

Section: Search Resultsmentioning

confidence: 99%

“…Also noteworthy is the intervention based on balance, gait and ergonomic bicycle isometric exercises, carried out by Eid, et al [24] and Mohamed, et al [25].…”

Section: Results Of Effect Size Calculationmentioning

confidence: 99%

“…The development of home exercise programs and ergonomic bicycle and treadmill exercises to develop muscle strength, gait and proprioception were the most used therapeutic tools in the studies analyzed in the present review [19][20][21]24,25,27,28]. Joint traction (level I-II) and active and passive kinesitherapy are also used in the approach of hemophilic arthropathy [22,23].…”

Section: Description Of Applied Treatmentsmentioning

confidence: 99%

“…On the other hand, two articles scored 8 points [22,25], the failure to describe the method of randomization being the main methodological deficiency. Three studies [20,21,24] scored 7 points, while one article scored 6 points [19], and only one [27] 5 points. This qualitative analysis presents medium-high scores due to proper randomization, the simple blind design and low experimental death, among other variables measured in the studies.…”

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

confidence: 99%

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Effectiveness of Physiotherapy in the Treatment of Hemophilic Arthropathy a Systematic Review

R¹

2017

Ann Hematol Oncol

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Hemophilia is a congenital coagulopathy characterized by musculoskeletal bleeding. The recurrence of bleeding in one joint causes joint deterioration known as hemophilic arthropathy. This arthropathy is characterized by chronic pain, and loss of joint mobility, muscle strength and proprioception. Prophylactic medical treatment with physiotherapy may improve the physical conditions of patients with hemophilia.Method: A systematic search was conducted in PubMed, Science Direct, Isi Web and the specialized journal Haemophilia. The information on the intervention, control condition, study methodology and the main findings of each study were extracted and summarized critically. The methodological quality of the selected studies was evaluated using the Van Tulder and PEDro scales. Results:Data from 10 studies fulfilled the selection criteria. Physiotherapy programs through home exercise programs and ergonomic bicycle and treadmill exercises to develop muscle strength, gait and proprioception produced significant improvements in pain perception, joint range of motion and muscle strength. Similarly, manual therapy is safe and effective in improving chronic pain and joint mobility. Finally, educational physiotherapy improves the perception of pain and the quality of patients with hemophilia. The results were less clear for social perception and attributional bias. The overall methodological quality of the study was medium-high. The power of the results, through the size of the effect was medium-high. Conclusion:Physiotherapy interventions through educational physiotherapy, manual therapy, stretching, muscle strength protocols and cycling exercises improve pain perception, functionality, proprioception and muscle strength, and quality of life and perception of disease in patients with hemophilic arthropathy.

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Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

confidence: 82%

Section: Search Resultsmentioning

confidence: 99%

“…Also noteworthy is the intervention based on balance, gait and ergonomic bicycle isometric exercises, carried out by Eid, et al [24] and Mohamed, et al [25].…”

Section: Results Of Effect Size Calculationmentioning

confidence: 99%

Section: Description Of Applied Treatmentsmentioning

confidence: 99%

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

confidence: 99%

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Effectiveness of Physiotherapy in the Treatment of Hemophilic Arthropathy a Systematic Review

R¹

2017

Ann Hematol Oncol

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Exercise for haemophilia

Strike

Mulder

Michael

2016

Cochrane Database of Systematic Reviews

117

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These results must be considered with caution. There is a lack of confidence in the results due to the small number of included studies and the inability to pool the results due to the heterogeneity of outcome measures. Most exercise interventions produced improvement in one or more of the measured outcomes including pain, range of motion, strength and walking tolerance. Hydrotherapy may be more effective than land exercises for pain relief in adults. Functional exercises such as treadmill walking and partial weight bearing exercises seem to be more effective than static or short arc exercises for improving muscle strength. These findings are consistent with the many non-controlled intervention reports in the haemophilia literature. No adverse effects were reported as a result of any of the interventions. However, some groups used prophylactic factor prior to exercise and other groups studied only subjects with moderate haemophilia. Therefore, the safety of these techniques for persons with severe haemophilia remains unclear.

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Establishing an online physical exercise program for people with hemophilia

Wagner

Seuser²,

Krüger

et al. 2019

Wien Klin Wochenschr

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SummaryBackgroundHemophilia is a congenital bleeding disorder with an estimated frequency of 1:10,000 births. Repeated joint bleeding is a hallmark of the disorder and leads to painful hemophilic arthropathy. Regular exercise can help improve joint stability and function, reduce the risk of injury and bleeding and improve physical fitness and quality of life. This method paper describes an online training concept aiming to offer access to appropriate exercise instructions for people with hemophilia who are not able to attend regular training at a hemophilia center.MethodsThe online exercise program is accessible through the homepage of the Department of Physical Medicine, Rehabilitation and Occupational Medicine of the Medical University Vienna as well as through scanning a QR code printed on information material using a smart phone or tablet.ResultsThe program contains exercises to improve mobility, coordination, muscular strength and flexibility. A brief introduction is given by a hematologist, a pediatrician and a physiatrist. An introductory video informs about contraindications and essential precautions, such as medical attendance and sufficient factor therapy to consider before starting the training. Another video gives advice on the exercise composition. The demonstrated exercises are explained by a physician and are available for adults and children. To individualize training recommendations and offer further diagnostic tools and physical treatment options as necessary, the Department of Physical Medicine, Rehabilitation and Occupational Medicine of the Medical University of Vienna will establish consultation hours for people with hemophilia.ConclusionAs hemophilia is an orphan disease, patients are mainly treated in specialized centers. For patients who live far from these centers or have limited access to a training there for other reasons, the physical medicine consultation hour and the implementation of online exercise instructions offer individually adapted exercise information for a regular home-based training to benefit from increased physical fitness and joint stability.

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Effect of resistance and aerobic exercises on bone mineral density, muscle strength and functional ability in children with hemophilia

Cited by 22 publications

References 36 publications

Effectiveness of Physiotherapy in the Treatment of Hemophilic Arthropathy a Systematic Review

Effectiveness of Physiotherapy in the Treatment of Hemophilic Arthropathy a Systematic Review

Exercise for haemophilia

Establishing an online physical exercise program for people with hemophilia

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