Effects of a 6-Week, Individualized, Supervised Exercise Program for People With Bleeding Disorders and Hemophilic Arthritis

Mulvany, R.; Zucker-Levin, Audrey; Jeng, Michael; Joyce, Catherine M.; Tuller, Janet; Rose, Jonathan M.; Dugdale, Marion

doi:10.2522/ptj.20080202

Cited by 36 publications

(103 citation statements)

References 39 publications

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“…In the study by Hill et al [13], 40% of patients discontinued due to lack of time, other diseases that affect their ability to participate, lack of motivation or interest in the program, or not believing in the benefits of treatment. The dropout rate is similar to that described in the study by Mulvany et al [40] who developed physiotherapy treatments for improving muscle strength and flexibility, and cardiovascular function in 33 patients with congenital coagulopathies (hemophilia and von Willebrand disease), and had a 39% dropout due to problems with transportation and schedules and the disease, although no patient reported any adverse effects as a result of treatment. By contrast, there was a lower experimental mortality rate (17.85%) in the study by Hilberg et al [11], and no patient stopped treatment in the other two studies [10, 12].…”

Section: Discussionsupporting

confidence: 83%

“…Although acupuncture has been used as a treatment of physiotherapy, the article of Lambing et al [44] has not been included in this review because the authors do not apply it as a physiotherapy treatment. Two articles [40, 45], despite their good methodological quality, include patients with other coagulation deficits (von Willebrand disease-vWD).…”

Section: Discussionmentioning

confidence: 99%

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Physiotherapy Treatment in Patients with Hemophilia and Chronic Ankle Arthropathy: A Systematic Review

Cuesta‐Barriuso

Gómez–Conesa

López‐Pina

2013

Rehabilitation Research and Practice

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Haemophilic arthropathy of the ankle causes pain and deterioration in gait, causing disability. Although some physiotherapy modalities are effective in the management of acute bleeding, the results are unknown in chronic arthropathy. Our objective was to determine the most effective physiotherapy procedures for treating the haemophilic arthropathy of the ankle and to assess the methodological quality of the studies. A systematic review was carried out in the Cochrane Database, PubMed, MEDLINE, ISI Web of Knowledge, PEDro, TESEO, and specialized journals (Haemophilia and Haematologica). It included articles with at least one group undergoing any kind of physiotherapy treatment and with pretest and posttest evaluation, published before April 2013. An analysis of variables was performed and assessed the methodological quality of studies. Five studies met the criteria for inclusion. Hydrotherapy treatments, strength training and balance strength, balance training, and sports therapy, have improved range of movement, pain, balance, and subjective physical performance. The proposed methodological analysis was not possible due to the low quality of the studies. Although the results are positive, they lack rigorous evidence on the effects of treatments. Studies are needed to establish the efficacy of the various forms of physiotherapy in the haemophilic arthropathy of the ankle.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Physiotherapy Treatment in Patients with Hemophilia and Chronic Ankle Arthropathy: A Systematic Review

Cuesta‐Barriuso

Gómez–Conesa

López‐Pina

2013

Rehabilitation Research and Practice

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“…Entre los beneficios físicos podemos destacar la mejora de cualidades físicas, como la fuerza [35][36][37][38][39] y la capacidad cardiorrespiratoria, así como la reducción del riesgo de morbilidad y mortalidad cardiovascula 40 , aspecto importante teniendo en cuenta la alta incidencia de este tipo de enfermedades en la tercera edad y el incremento de la esperanza de vida en la población hemofílica, que en países desarrollados hoy en día se acerca a la de la población general [41][42][43] . Entre los psicosociales se encuentran la mejora de la autoestima y la socialización, y con ello un incremento de la calidad de vida 44 .…”

Section: Beneficios De La Práctica Regular De Ejercicio Físico Y Depounclassified

“…Desde el 2006 hasta la actualidad continúa predominando la publicación de estudios observacionales frente a los experimentales, ya que tan sólo hemos encontrado cinco estudios en este período, todos ellos muy recientes [38][39][40]86,87 (tabla 3). En tres de estos trabajos, en línea con estudios anteriores, la mejora de la fuerza fue uno de los objetivos principales del estudio.…”

Section: Estudios Experimentales Sobre La Condición Física En El Paciunclassified

“…En este caso, a pesar de la mejora de algunas de las variables estudiadas, los resultados no mostraron mejorías estadísticamente significativas. Por su parte, Mulvany et al 39 también desarrollaron un programa de ejercicios individualizado, aunque de menor duración (6 semanas) y supervisado, con ejercicios dirigidos a la mejora de la fuerza, del rango de movilidad articular y de la resistencia aeróbica. Participaron un total de 33 pacientes entre hemofílicos y von Wilebrand, tanto niños como adultos, todos ellos con artropatía.…”

Section: Estudios Experimentales Sobre La Condición Física En El Paciunclassified

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Hemofilia: ejercicio y deporte

Querol

Pérez‐Alenda

Gallach

et al. 2011

Apunts. Medicina de l'Esport

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Resumen El ejercicio físico y el deporte constituyen uno de los pilares básicos en el tratamiento de la hemofilia. Este trabajo describe un resumen de las características de la hemofilia y, a través de una exhaustiva revisión bibliográfica, se analiza la importancia de la condición física, en relación con la prevención y el tratamiento de las lesiones musculoesqueléticas en el paciente hemofílico.La hemofilia es una enfermedad hematológica hereditaria, con lesiones ortopédicas características. Afecta a individuos varones y presenta un déficit de factores de la coagulación que provoca hemorragias incluso espontáneas (en pacientes graves sin tratamiento). Las lesiones más frecuentes son: hemartrosis, sinovitis, hematomas musculares y artropatía hemofílica. La condición física del paciente hemofílico, instrumentada mediante terapia sustitutiva de factores de la coagulación, es fundamental y requiere fisioterapia, ejercicio físico y deporte.Basándonos en las recomendaciones de los comités de expertos de la Federación Mundial de Hemofilia (WFH) y utilizando las principales bases de datos, mediante estrategias de búsqueda con palabras clave, se obtuvieron 756 referencias, de las que tan sólo 74 superaron los criterios de inclusión.Las publicaciones se agruparon por áreas temáticas, diferenciando artículos de revisión, trabajos observacionales y experiencias clínicas, estudios experimentales y actuaciones intervencionistas sobre parámetros concretos de la condición física.Se concluye con la evidencia de la importancia de la recomendación del ejercicio físico y deporte en la hemofilia, el consenso en su idoneidad para el bienestar físico, psíquico y social de los pacientes, y la necesidad de incrementar los trabajos científicos al respecto. © 2010 Consell Català de l'Esport. Abstract Physical exercise and sports is one of the basic foundations in the treatment of haemophilia. This article gives a brief description of the characteristics of haemophilia, and through an exhaustive literature review, the importance of the physical condition, as regards prevention and treatment of musculoskeletal lesions in the haemophilic patient, is also analysed.Haemophilia is a hereditary haematological disease, characteristic orthopaedic lesions. It affects males and has a deficiency of clotting factors which causes haemorrhages, including spontaneous (in severe patients without treatment). The most common lesions are: haemarthrosis, synovitis, muscle haematomas and haemophilic arthritis. The physical condition of the haemophilic patient, controlled by clotting factor replacement therapy, is fundamental and requires physiotherapy, physical exercise and sport.Based on the recommendations by expert committees of the World Haemophilia Foundation (WFH) and using major data bases and search strategies with key words, 756 references were obtained, of which on 74 passed the inclusion criteria.The publications were grouped by subject area, differentiating review articles, observational studies and clinical experiences, experimental studies and ...

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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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Effects of a 6-Week, Individualized, Supervised Exercise Program for People With Bleeding Disorders and Hemophilic Arthritis

Cited by 36 publications

References 39 publications

Physiotherapy Treatment in Patients with Hemophilia and Chronic Ankle Arthropathy: A Systematic Review

Physiotherapy Treatment in Patients with Hemophilia and Chronic Ankle Arthropathy: A Systematic Review

Hemofilia: ejercicio y deporte

Exercise for haemophilia

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