Effectiveness of an Educational Physiotherapy and Therapeutic Exercise Program in Adult Patients With Hemophilia

Cuesta‐Barriuso, Rubén; Torres-Ortuño, Ana; Nieto-Munuera, Joaquín; López‐Pina, José Antonio

doi:10.1016/j.apmr.2016.10.014

Cited by 37 publications

(85 citation statements)

References 32 publications

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“…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%

“…Two articles [23,28] include an educational physiotherapy program in adult patients with hemophilia, and finally one article studies the safety and efficacy of a laser electrotherapy technique in hemophilia [26]. Table 2 details the methodological characteristics of the treatments carried out in the studies under review, as well as the results obtained in each one.…”

Section: Cuestamentioning

confidence: 99%

“…The level of evidence of the studies obtained through the Van Tulder scale shows us that three studies [23,26,28] score a maximum of 9 out of 11 points. Blinding of the therapist and the patient or rater are the only items in which these articles did not achieve a positive score.…”

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

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%

“…Regarding the analysis performed using the PEDro scale, we also obtained a maximum score of 7 points, in two studies [26,28], in which only the therapist's, and the patient's or rater's, blinding is the negative item. 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.…”

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: Search Resultsmentioning

confidence: 99%

Section: Cuestamentioning

confidence: 99%

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

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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Current and Emerging Approaches for Pain Management in Hemophilic Arthropathy

et al. 2022

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Introduction: Hemophilia is an inherited bleeding hematological disorder characterized by the partial or complete deficiency of clotting factor VIII or IX. Hemophilic arthropathy is the consequence of repeated joint bleeding (hemarthrosis) and its management is based on the prevention of acute bleeding through the administration of the deficient clotting factor concentrate or non-factor therapies. In addition, the management of acute and chronic pain is pivotal in hemophilic arthropathy in order to restore function and allow rehabilitation of the joint. Methods:We conducted a qualitative review of the literature regarding current and emerging strategies for pain treatment in hemophilic arthropathy. This review considers systemic and local pharmacological and non-pharmacological interventions for acute and chronic pain management.Results: In hemophilic arthropathy, pain management is based on analgesics such as paracetamol, which represents the first choice for acute and chronic pain in adults and children, in association with opioids for adults. Non-steroidal anti-inflammatory drugs inhibit platelet function, so that the currently preferred drugs are short courses of cyclooxygenase 2 inhibitors. Local treatment with intra-articular injections of corticosteroids is an option for refractory cases and physiotherapy has an important role after hemarthrosis and for the long-term management of chronic pain for both pediatric and adult patients. Conclusions: The management of pain in hemophilia requires more standardization. Meanwhile, the safest drugs should be used at the lowest effective dosage and for periods as short as possible. For the non-pharmacological management of pain in these patients, a multidisciplinary team including hematologists, orthopedic surgeons, rheumatologists, and physiotherapists is warranted.

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Effect of a Fascial Therapy Treatment on Quality of Life in Patients With Hemophilic Elbow Arthropathy: A Randomized Controlled Trial

Cuesta‐Barriuso¹,

Meroño-Gallut²,

Donoso-Úbeda³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Effectiveness of an Educational Physiotherapy and Therapeutic Exercise Program in Adult Patients With Hemophilia

Cited by 37 publications

References 32 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

Current and Emerging Approaches for Pain Management in Hemophilic Arthropathy

Effect of a Fascial Therapy Treatment on Quality of Life in Patients With Hemophilic Elbow Arthropathy: A Randomized Controlled Trial

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