Influence of aquatic training on the motor performance of patients with haemophilic arthropathy

Abstract

Thirteen patients with haemophilia A took part in this study voluntarily. They underwent an aquatic training programme over a 9-week period (27 sessions; three sessions per week; 1 h per session). Their motor performance was assessed by the following cardio-respiratory and mechanical variables before and after the training programme: oxygen uptake (VO(2), mL min(-1)), relative oxygen uptake (rel VO(2), mL min(-1).kg(-1)), carbon dioxide (CO(2), mL min(-1)), respiratory quotient (R), heart rate (bpm) and the distance covered in 12 min (the Cooper test, m). Nine patients successfully completed the intervention and measurement protocols without bleeding or other adverse events. After the proposed training programme, significant differences between the pre-test and post-test were observed. Patients' aerobic capacity increased considerably, and their oxygen uptake improved by 51.51% (P < 0.05), while their relative oxygen uptake went up by 37.73% (P < 0.05). Their mechanical capacity also increased considerably (14.68%, P < 0.01). Our results suggest that 27 specially designed aquatic training sessions for our patients with haemophilia A had a positive effect on their motor performance and considerably improved their aerobic and mechanical capacity without causing adverse effects.

Multidiciplinary Treatment of a Haemophilic Person with Total Hip Replacement Surgery- A Case Report

“…Also, it's important first to relieve pain in arthropathic joints, and next to decrease the functional limitations [19]. Vallejo et al in clinical study with 13 persons with haemophila reported that 27 sessions, three times per week of aquatic training, had a positive effect on their motor performance and considerably improved their aerobic and mechanical capacity without causing adverse effects [9].…”

“…Pain and inflammation in hemophilic arthropathy may be reduced with non-steroid anti-inflammatory drugs [7,8], physical therapy [7], and aquatic training [9]. The aims of the rehabilitation procedure are prevention and reduction of joint and muscle contractures, improvement in muscle strength and coordination, pain reduction, improvement in functional status, education and improvement of quality of life [10].…”

Hemofilia: ejercicio y deporte

“…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 .…”

“…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.…”

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

“…The onset of arthropathy presents with radiological alterations (decreased joint interline, bone deformity, and the development of the various physiotherapy techniques such as electrotherapy [12], strength and proprioception training [13], and aqua fitness training [14], further progress is needed identify and design a protocol for the physiotherapeutic approach in patients with hemophilic arthropathy. Conducting studies with a good methodological design that evaluate the safety and efficacy of well-defined protocols is fundamental for the generalized use of physiotherapy in patients with hemophilia [15].…”