Effects of short-term resistance training and pulsed electromagnetic fields on bone metabolism and joint function in severe haemophilia A patients with osteoporosis: a randomized controlled trial

Parhampour, Behrouz; Torkaman, Giti; Hoorfar, Hamid; Hedayati, Mehdi; Ravanbod, Roya

doi:10.1177/0269215513505299

Cited by 37 publications

(85 citation statements)

References 36 publications

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“…In addition, the ROM of these painful joints and the patients' walking abilities improved significantly. These results are also consistent with Parhampour et al x̄mean, SD standard deviation, MD mean difference, p value, level of significance, post-I at 6 weeks of treatment, post-II at 12 weeks of treatment *Nonsignificant; **significant [44] who investigated the effect of resistance training and PEMF on bone metabolism and joint function in patients (20-35 years) with severe hemophilia and showed that PEMF could reduce pain, the most debilitating symptom in hemophilia, significantly in the right and left knees. They added that the patients in the PEMF group claimed to be more comfortable and can perform stair climbing and gentle running with less pain with respect to preintervention status as well as improved functional abilities of these patients.…”

Section: Discussionsupporting

confidence: 91%

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

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Aly

2015

Lasers Med Sci

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Children with hemophilia usually have recurrent joint bleeding that leads to joint damage, loss of range of motion, and restriction of mobility, therefore affecting the quality of life in these children. The purpose of this study was to compare the effects of lowlevel laser therapy (LLLT) to that of pulsed electromagnetic field (PEMF) in treatment of hemarthrosis in children with hemophilia. Thirty boys with hemophilia A with ages ranging from 9 to 13 years were selected and assigned randomly, using sealed envelopes, into two equal intervention groups. The study group I received the traditional physical therapy program in addition to LLLT, whereas the study group II received the same physical therapy program given to the study group I in addition to PEMF. Both groups received the treatment sessions three times per week for three successive months. Pain, laboratory investigations, swelling, and range of motion (ROM) of the affected knee joint, in addition to physical fitness were evaluated before, at the end of the sixth week and at 12 weeks of the treatment program. Laser group showed significant improvement in all measured variables after the sixth week of treatment when compared with PEMF. By 12 weeks of treatment, there was a significant improvement in pain, ROM, ESR and leucocytes levels in laser group compared with PEMF, while there was no significant difference in knee circumferences and the 6-min walk test (6MWT) between both groups. Both groups showed significant improvement at 12 weeks of treatment compared with that at 6 weeks. Both LLLT and PEMF are effective modalities in reducing pain, swelling, increasing ROM and improving physical fitness. Twelve weeks of treatment of both modalities demonstrated significant improvement than 6 weeks of treatment. Laser therapy induced significant improvement than electromagnetic therapy in treatment of hemarthrosis-related problems in children with hemophilia.

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Section: Discussionsupporting

confidence: 91%

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

Eid

Aly

2015

Lasers Med Sci

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“…The participants completed 18 training sessions during 6 weeks, three times a week, and each session lasted for 40‐45 minutes. At the beginning of the exercise protocol, the 10 repetition maximum (10 RM) was determined, and one repetition maximum (1RM) was calculated with the formula: 10 RM = 75% 1 RM . The resistance was fixed at, respectively, 65%, 70% and 75% of 1RM in the first, second and third of each two‐week period.…”

Section: Methodsmentioning

confidence: 99%

The effects of six‐week resistance, aerobic and combined exercises on the pro‐inflammatory and anti‐inflammatory markers in overweight patients with moderate haemophilia A: A randomized controlled trial

et al. 2019

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Introduction Overweight increases the secretion of pro‐inflammatory cytokines and serves as a major risk factor for arthropathy and cardiovascular diseases (CVD). This condition is becoming increasingly prevalent among patients with haemophilia (PWH). Different forms of exercise training could favourably modify weight‐related complications, cardiovascular risk factors and the inflammation. Aim To investigate the effects of resistance, aerobic and combined exercises on the pro‐inflammatory and anti‐inflammatory markers in overweight patients with moderate haemophilia A. Methods Forty‐eight patients with moderate haemophilia A, aged 35‐55 years, and body mass index (BMI) of 25‐30 kg/m2 were randomly assigned to resistance training (RT, n = 12), aerobic (AT, n = 12), combined training (CT, n = 12) and control (n = 12) groups. The patients participated in 45‐minutes exercise sessions three times a week for 6 weeks. Waist circumference (WC), waist‐to‐hip ratio (WHR), fat mass, fat‐free mass, interleukin‐10 (IL‐10), adiponectin, tumour necrosis factor‐α (TNF‐α), interleukin‐6 (IL‐6) and high sensitive C‐reactive protein (hs‐CRP) were measured before and after the 6 weeks of training. Results There was significant decrease in WC, WHR, BMI and weight in the AT, RT and CT groups as compared to the control group. Total HJHS scores decreased in the AT, RT, CT groups compared to the control groups (P ≤ 0.001). The decrease in hs‐CRP, IL‐6 and TNF‐α in the CT group was significant compared to the control group (P ≤ 0.02). The increase in IL‐10 and adiponectin was not significant in the RT, AT and CT groups compared to the control group. Conclusion CT was the most effective training mode for decreasing the pro‐inflammatory cytokines and increasing anti‐inflammatory markers in overweight patients with haemophilia A.

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“…It is reassuring to note the predominance of active intervention with patient participation, rather than the passive modalities of treatment. There is reasonable evidence emerging that exercise via its effect on pain, joint range of motion (ROM), strength and mobility can have a positive impact on maximizing mobility and function, behaviour and quality of life in PWH . Similarly, manual therapy—controlled use of manual force applied to articular and soft‐tissue structures through mobilization and stretching to improve biomechanical elasticity—shows some potential benefit, particularly on pain .…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Scope of practice of haemophilia physiotherapists: A European survey

et al. 2019

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Introduction European guidelines on the care of haemophilia recommend ready access to a range of services provided by a multidisciplinary team of specialists including physiotherapy. However, the scope of physiotherapy provided is unknown. Methods The Physiotherapists Committee of the European Association for Haemophilia and Allied Disorders (EAHAD) conducted a web‐based survey to quantify the role and scope of practice of physiotherapists involved in haemophilia care. The survey was sent to more than 200 physiotherapists registered on the EAHAD database. Questions concerned their work practices including assessment and treatment activities and level of autonomy. Results Eighty physiotherapists from twenty‐four European countries responded. Considerable heterogeneity exists in roles, responsibilities, and clinical practice of physiotherapists, particularly in access to and type of physiotherapy treatment provided, as well as the skill set and autonomy of physiotherapists to make independent assessment and treatment decisions. Discussion This pan‐European survey establishes a context to support physiotherapy role development and professional identity. Key recommendations include the following: (a) establishing a pan‐European network to support collaboration and education for physiotherapists working in haemophilia, (b) developing a core skills and capability framework to ensure person‐centred approaches are central as well as working in partnership with those with the condition to maximize early recovery, support self‐management and enablement in remaining active and independent, (c) regular training, standardized validation and maintenance of competency for assessment tools, (d) well‐designed randomized clinical studies with larger numbers of participants from multiple sites should be the focus of future research.

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Effects of short-term resistance training and pulsed electromagnetic fields on bone metabolism and joint function in severe haemophilia A patients with osteoporosis: a randomized controlled trial

Abstract: Resistance training is effective for improving bone formation and joint function in severe haemophilia A patients with osteoporosis.

Cited by 37 publications

References 36 publications

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

The effects of six‐week resistance, aerobic and combined exercises on the pro‐inflammatory and anti‐inflammatory markers in overweight patients with moderate haemophilia A: A randomized controlled trial

Scope of practice of haemophilia physiotherapists: A European survey

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