Manual therapy in the treatment of ankle hemophilic arthropathy. A randomized pilot study

Cuesta‐Barriuso, Rubén; Gómez–Conesa, Antonia; López‐Pina, José Antonio

doi:10.3109/09593985.2014.902148

Cited by 37 publications

(59 citation statements)

References 26 publications

(31 reference statements)

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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%

“…On the other hand, the 3 articles that assessed post-follow-up [22,23,28] showed that none of the patients with hemophilia dropped out in this last assessment. The evaluation of the quantitative analysis of the selected studies is shown in Table 4.…”

Section: Methodological Variablesmentioning

confidence: 99%

“…Blinding of the therapist and the patient or rater are the only items in which these articles did not achieve a positive score. On the other hand, two articles scored 8 points [22,25], the failure to describe the method of randomization being the main methodological deficiency. Three studies [20,21,24] scored 7 points, while one article scored 6 points [19], and only one [27] 5 points.…”

Section: Qualitative Analysis Of the Level Of Scientific Evidencementioning

confidence: 99%

“…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. Finally, two articles [19,24] scored 5 points, the main methodological deficiencies being blinding and randomization, while another article only reached a score of 4 points [27].…”

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]. -Jamar hand dynamometer -Samples of venous blood -Moderate intensity aerobic exercise training at 65% to 75% of the maximum heart rate achieved in a reference ST performed according to a modified Bruce protocol (EG1).…”

Section: Description Of Applied Treatmentsmentioning

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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