Manual therapy reduces the frequency of clinical hemarthrosis and improves range of motion and perceived disability in patients with hemophilic elbow arthropathy. A randomized, single-blind, clinical trial

Cuesta‐Barriuso, Rubén; Pérez-Llanes, Raúl; López‐Pina, José Antonio; Donoso-Úbeda, Elena; Meroño-Gallut, Javier

doi:10.1080/09638288.2021.1894607

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…Safety of this therapy has already been reported in previous articles where myofascial release techniques were applied to patients with haemophilic ankle 11,12 and elbow 13,14,32 arthropathy. This joint release process can decrease the mechanical joint factor which can favour a reduction in the frequency of hemarthrosis 33 …”

Section: Discussionmentioning

confidence: 70%

“…31 However, by applying prolonged interventions at up to 1-h intervals with low fibre elongation, permanent deformation can be achieved without inducing breakage or inflammation with mechanical stress using an applied force of 24-115 kg. 31 Safety of this therapy has already been reported in previous articles where myofascial release techniques were applied to patients with haemophilic ankle 11,12 and elbow 13,14,32 arthropathy. This joint release process can decrease the mechanical joint factor which can favour a reduction in the frequency of hemarthrosis.…”

Section: Discussionmentioning

confidence: 79%

“…10 A number of studies have reported the safety and efficacy of physiotherapy programs based on manual therapy using myofascial techniques in patients with haemophilic arthropathy of the ankle 11,12 and elbow. 13,14 Such studies noted a decrease in the frequency of hemarthrosis during the follow-up period, achieving improvements in range of motion and disability in patients with haemophilic arthropathy. Goto et al 15 described that monitoring the perception of pain combined with use of a prophylactic treatment are key aspects in order to reduce the frequency of bleeding and pain, thus improving joint function.…”

Section: Introductionmentioning

confidence: 98%

“…A number of studies have reported the safety and efficacy of physiotherapy programs based on manual therapy using myofascial techniques in patients with haemophilic arthropathy of the ankle 11,12 and elbow 13,14 . Such studies noted a decrease in the frequency of hemarthrosis during the follow‐up period, achieving improvements in range of motion and disability in patients with haemophilic arthropathy.…”

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of a self‐induced myofascial release protocol using a foam roller in patients with haemophilic knee arthropathy

et al. 2022

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Background: Haemophilic knee arthropathy presents functional and structural alterations and chronic pain. Self-induced myofascial release aims to treat fascial restrictions and improve functionality.Aim: This study investigated the safety and effectiveness of a self-induced myofascial release protocol in patients with haemophilic knee arthropathy.Methods: Twenty-five patients with bilateral haemophilic knee arthropathy were recruited (n = 50 knees). The patients followed an intervention protocol, with daily exercises for 8 weeks. The dependent variables were: safety of the technique (periodic telephone monitoring), joint state (Haemophilia Joint Health Score), pain intensity (visual analogue scale), pressure pain threshold (pressure dynamometer), range of motion (universal goniometer) and hamstring flexibility (Fingertip-To-Floor test). The resulting values were measured at baseline (T0) and after the intervention (T1). Paired t-test compared the means between the assessments. Effect size was obtained using Cohen's d mean difference formula. The minimum detectable change of each variable was calculated.Results: There were no cases of joint bleeding either during or after the procedure.The results showed improvements after the experimental period in joint state (Mean

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Safety and efficacy of a self‐induced myofascial release protocol using a foam roller in patients with haemophilic knee arthropathy

et al. 2022

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“…The increased pressure pain threshold during movement visualization is consistent with the results of a recent study where a 8-week self-induced myofascial release intervention rendered changes in the pain threshold of patients with knee arthropathy. 40 Physiotherapy techniques in which a mechanical effect is applied, such as self-induced myofascial release with a Foam Roller 40 and manual therapy, 41 have shown to be effective in improving the range of motion in patients with haemophilic knee and elbow arthropathy. The increased ankle range of motion reported in our study using immersive virtual reality may be due to the neurophysiological effect associated with the activation of cortical areas.…”

Section: Discussionmentioning

confidence: 99%

180‐degree immersive VR motion visualization in the treatment of haemophilic ankle arthropathy

et al. 2022

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Background: Patients with haemophilic arthropathy suffer chronic pain that affects and restricts their quality of life. Visualization of movement through immersive virtual reality is used for pain management. Aim:To evaluate the efficacy of 180-degree immersive VR motion visualization therapy in patients with haemophilic ankle arthropathy.Methods: Prospective, multicentre pilot study. Fifteen adult patients with bilateral haemophilic ankle arthropathy were recruited (mean age: 42.73 ± 12.36 years). The intervention lasted 4 weeks, with daily home sessions of 180-degree immersive motion visualization. The patients were given virtual reality glasses to use with their smartphones. From the YouTube mobile app® they accessed the recorded video with access from the He-Mirror App®. The study variables were joint state (Haemophilia Joint Health Score), pressure pain threshold (pressure algometer), muscle strength (dynamometry) and range of motion (goniometry). Three evaluations were performed: at baseline (T0), after the intervention (T1) and at the end of a 16-week follow-up period (T2). Results:No patient developed ankle hemarthrosis during the experimental phase. In the repeated measures analysis we found statistically significant differences in joint state (F = 51.38; η 2 p = .63), pressure pain threshold of the lateral malleolus (F = 12.34; η 2 p = .29) and range of motion (F = 11.7; η 2 p = .28). Conclusions: Therapy using immersive motion visualization does not cause hemarthrosis. This intervention can improve joint condition, pressure pain threshold and range of motion in patients with ankle arthropathy. Changes greater than the MDC were reported in more than 40% of patients for the variables pressure pain threshold, anterior tibialis strength and range of motion, which were considered clinically relevant.

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Effects of Physical Therapy on Joint Pain, Joint Range of Motion, Joint Health, Strength, and Mobility in Patients With Hemophilia

Chen

Lin

Kung

2023

Am J Phys Med Rehabil

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Objective: This study investigated the effects of physical therapy, including exercise, manual therapy, and physical agent modality, on joints, muscle strength, and mobility of patients with hemophilia. Methods: PubMed, Embase, MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus were searched from inception to September 10, 2022. Randomized controlled trials comparing pain, range of motion, and health of joints, as well as muscle strength and mobility (timed up and go test) between physical therapy and control groups were included. Results: Fifteen randomized controlled trials with 595 male patients with hemophilia were included. In comparisons between physical therapy and control groups, physical therapy significantly reduced joint pain (standardized mean difference = −0.87; 95% confidence interval, −1.14 to −0.60), increased joint range of motion (standardized mean difference = 0.24; 95% confidence interval, 0.14-0.35), enhanced joint health (standardized mean difference = −1.08; 95% confidence interval, −1.38 to −0.78), improved muscle strength (standardized mean difference = 1.42; 95% confidence interval, 1.16-1.69), and timed up and go test performance (standardized mean difference = −1.25; 95% confidence interval, −1.89 to −0.60). The comparisons demonstrate moderate to high evidentiary quality grades. Conclusions: Physical therapy is effective in reducing pain, increasing joint range of motion, enhancing joint health, as well as improving muscle strength and mobility in patients with hemophilia.

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Manual therapy reduces the frequency of clinical hemarthrosis and improves range of motion and perceived disability in patients with hemophilic elbow arthropathy. A randomized, single-blind, clinical trial

Cited by 5 publications

References 24 publications

Safety and efficacy of a self‐induced myofascial release protocol using a foam roller in patients with haemophilic knee arthropathy

Safety and efficacy of a self‐induced myofascial release protocol using a foam roller in patients with haemophilic knee arthropathy

180‐degree immersive VR motion visualization in the treatment of haemophilic ankle arthropathy

Effects of Physical Therapy on Joint Pain, Joint Range of Motion, Joint Health, Strength, and Mobility in Patients With Hemophilia

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