Effectiveness of myofascial therapy on hemophilic arthropathy: A systematic review and meta-analysis of clinical trials

Haghpanah, Sezaneh; Razeghi, Mohsen; Sayadi, Mehrab; Ramzi, Mani; Zarei, Tahereh; Hosseini-Bensenjan, Mahnaz

doi:10.1016/j.heliyon.2022.e12552

Cited by 2 publications

(2 citation statements)

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“…For instance, whilst elastic resistance yields similar muscle activity, 22 and strength gains, 20 when intensity is matched to those achieved by free weights in healthy adults, the optimal resistance training modality in PWH remains unknown. In fact, previous systematic reviews among this population were focused on general exercise, aerobic exercise, balance exercise and manual therapy in physical therapy modalities 23–28 . Quantifying the effect of modalities and durations of resistance training on muscle strength may help to implement more effective programmes for PWH.…”

Section: Introductionmentioning

confidence: 99%

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Effects of resistance training on muscle strength in adults with haemophilia: A systematic review and meta‐analysis

Núñez‐Cortés,

Pérez‐Alenda,

Calatayud

et al. 2024

Haemophilia

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IntroductionAlthough resistance training is frequently prescribed for people with haemophilia (PWH), no previous meta‐analyses have quantified the effect of this intervention on muscle strength, nor the implications of the intervention's modality and duration.Aim(1) To determine the effects of resistance training on muscle strength in adults with haemophilia; (2) To determine the most effective duration and modality among the exercise protocols.MethodsA systematic search from inception until 28 November 2023 was conducted in PubMed, Embase, Web of Science, CENTRAL and CINAHL databases. We included randomised controlled trials or before‐after studies that involved resistance training without other physiotherapy co‐interventions. Study selection, data extraction and risk of bias assessment were independently performed by two reviewers. Disagreements were resolved in consultation with a third author. The level of evidence was determined according to the GRADE methodology.ResultsSeven studies were included. Measurements of knee extensor strength and elbow extensor strength were included in the meta‐analysis. Subgroup analysis showed significant effects for both elastic resistance protocols (SMD: 0.54; 95% CI: 0.02–1.07) and conventional training (isometric and weight‐based equipment) (SMD: 0.88; 95% CI: 0.50–1.25), demonstrating small and moderate effect sizes respectively. Additionally, both protocols of duration 5–7 weeks (SMD: 1.16, 95% CI: 0.63–1.69) as well as those of duration ≥8 weeks (SMD: 0.57, 95% CI: 0.20–0.94) showed a significant difference.ConclusionResistance training is effective in improving muscle strength of the knee and elbow extensors in PWH. Both elastic resistance and conventional training show benefits.

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Section: Introductionmentioning

confidence: 99%

“…In fact, previous systematic reviews among this population were focused on general exercise, aerobic exercise, balance exercise and manual therapy in physical therapy modalities. [23][24][25][26][27][28] Quantifying the effect of modalities and durations of resistance training on muscle strength may help to implement more effective programmes for PWH.…”

mentioning

confidence: 99%

Effects of resistance training on muscle strength in adults with haemophilia: A systematic review and meta‐analysis

Núñez‐Cortés,

Pérez‐Alenda,

Calatayud

et al. 2024

Haemophilia

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Efficacy of rehabilitation interventions on functioning in patients with hemophilic arthropathy: A systematic review with meta-analysis

Lippi,

de Sire,

Turco

et al. 2024

BMR

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BACKGROUND: Hemophilic arthropathy is a detrimental condition that crucially affects functional outcomes in hemophilic patients. In recent years, due to the advances in systemic therapies, growing attention has been raised in the rehabilitation field in order to improve functional outcomes of hemophilic patients. However, the optimal rehabilitation modalities in these patients are far from being fully characterized. OBJECTIVE: The present study aimed to assess the effects of different rehabilitation interventions on physical functioning and health-related quality of life of hemophilic arthropathic patients. METHODS: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. Five databases were systematically searched for randomized controlled trials (RCTs) published until June 22nd, 2023. The selection criteria included adult patients with hemophilia A and B receiving rehabilitation interventions. The outcomes were muscle strength, physical function, pain intensity, physical performance, and health-related quality of life. RESULTS: Out of 1,743 identified records, 17 studies were included in the qualitative synthesis. Rehabilitation interventions were categorized into exercise intervention, fascial therapy, and multimodal intervention. The findings suggested positive outcomes in terms of muscle modifications, range of motion improvements, joint health enhancements, pain intensity reduction, and quality of life improvements. More in detail, meta-analyses showed significant improvements in pain intensity [ES: -1.10 cm (-1.37, -0.82), p< 0.00001], joint health [ES: -1.10 (-1.38, -0.82), p< 0.00001], In accordance, exercise interventions showed significant benefits in terms of joint health [ES: -2.54 (-3.25, -1.83), p< 0.00001)] and quality of life [ES: 1.17 (0.48, 1.86), p< 0.0000)]. CONCLUSION: Rehabilitation interventions have a positive impact on functional outcomes and health-related quality of life of hemophilic arthropathic patients. Further studies are needed to better elucidate the role of a comprehensive intervention combining different rehabilitation approaches to treat hemophilic arthropathy.

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Effectiveness of myofascial therapy on hemophilic arthropathy: A systematic review and meta-analysis of clinical trials

Cited by 2 publications

References 47 publications

Effects of resistance training on muscle strength in adults with haemophilia: A systematic review and meta‐analysis

Effects of resistance training on muscle strength in adults with haemophilia: A systematic review and meta‐analysis

Efficacy of rehabilitation interventions on functioning in patients with hemophilic arthropathy: A systematic review with meta-analysis

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