Pulsed Nd:YAG laser: effects on pain, postural stability, and weight-bearing pattern in children with hemophilic ankle arthropathy

Elnaggar, Ragab K

doi:10.1007/s10103-019-02889-z

Cited by 10 publications

(25 citation statements)

References 29 publications

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“…[ 3 , 6 , 7 , 15 ] All authors agree on the multidisciplinary approach to patients with hemophylia, confirming the need for physiotherapy and its safety with respect to bleeding related to exercise, [ 7 ] but unclear conclusions are available with respect to the best intervention to recommend. [ 3 ] Most of the authors reported benefits by physiotherapy programs based on the recovery of flexibility, strength, balance, proprioception, and aerobic capacity both through land-based and aquatic exercise [ 8 , 10 , 14 , 16 ] as well by physical modalities (transcutaneous electrical nerve stimulation laser, ultrasounds, neuromuscular electrical stimulation, electromagnetic fields, and kinesiotaping) [ 5 , 17 , 18 ] and joint mobilizations. [ 15 , 16 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of rehabilitation on pain and function in people affected by hemophilia

et al. 2021

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Introduction: Literature provides unclear evidence of the effectiveness of many physiotherapy interventions on pain intensity, quality of life, and functional ability in hemophilic patients, and suggests that rehabilitation programs should be focused on functional goals and the disability of patients. Aim: The aim of the present study is to present the outcome of a case series of patients with hemophilia in which a rehabilitation program has been carried out on the basis of a specific individual patient's functional impairment. Methods: Fifty-one patients were enrolled: 32 patients (Rehab Group) received a rehabilitative treatment, 19 patients for different reasons (living far from the hospital, family problems) did not receive rehabilitation (Control Group). The rehabilitation program was planned with respect to the emergent problems: musculoskeletal pain, joint range of motion limitation, muscle flexibility, walking difficulties, the appearance of hematomas/hemartro, and postural problems. All the patients were assessed at baseline (T0), after 1 month (T1), and after 3 months (T2) through visual analogic scale for musculoskeletal pain, the Hemophilia Joint Health Score for joint range of motion, the Functional Independence Score in Hemophilia for disability, and postural assessment by visual inspection. Results: A significant reduction of pain and improvement of Hemophilia Joint Health Score and Functional Independence Score in Hemophilia score was found in the Rehab Group along with the follow-up. Pain in the Control Group was lower with respect to the other group at baseline and significantly decreased after 1 month. Conclusion: A rehabilitation program focused on individual impairment of patients with hemophylia determined satisfying results in terms of pain control, functional, and disability improvement in 3 months follow-up.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of rehabilitation on pain and function in people affected by hemophilia

et al. 2021

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“…Only one study did not state the session frequency 35 . In all of the interventions, strength and balance were trained; 5 studies incorporated flexibility; 28,30,32,33,35 two studies include mobilization exercises 34,36 and one study included flexibility and mobilization exercises; 37 three studies contain gait training exercises 29,33,36 and in another, aerobic exercises were included 33 …”

Section: Resultsmentioning

confidence: 99%

“…One study compared an exercise program with another physiotherapy intervention, specifically home exercising with a self‐monitoring program (feedback and activity monitor) versus home exercising without an activity monitor 32 . Another study compared a combined exercise and laser protocol with a combined exercise and placebo protocol, specifically an active pulsed Nd:YAG laser and physical exercises versus placebo laser and physical exercises 36 . One study compared an exercise program with different aerobic training: treadmill versus bicycle ergometer 33 …”

Section: Resultsmentioning

confidence: 99%

“…Of these, 25 were selected for the full text review and 212 were excluded because they did not meet the eligibility criteria. Ten studies were included in the systematic review [28][29][30][31][32][33][34][35][36][37] (Figure 1). We observed a very high concordance between the reviewers when selecting the studies (kappa = 0.809, p < 0.001).…”

Section: Study Selectionmentioning

confidence: 99%

“…29 Only one study did not state the session frequency. 35 In all of the interventions, strength and balance were trained; 5 studies incorporated flexibility; 28,30,32,33,35 two studies include mobilization exercises 34,36 and one study included flexibility and mobilization exercises; 37 three studies contain gait training exercises 29,33,36 and in another, aerobic exercises were included. 33 One study compared an exercise program with another physiotherapy intervention, specifically home exercising with a self-monitoring program (feedback and activity monitor) versus home exercising without an activity monitor.…”

Section: Interventionmentioning

confidence: 99%

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Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

et al. 2022

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Introduction Balance training is important to improve balance and to decrease the risk of falls in patients with haemophilia (PWH). Aim To analyse the current knowledge about the effectiveness of physical exercise on postural balance in PWH. Methods A systematic search for clinical trials, published before November 2021, was conducted using the following electronic databases: PubMed/MEDLINE, Web of Science, Embase, Wiley Online Library and the Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers extracted the data and assessed the risk of bias. The certainty of the evidence was analyzed using GRADE. Results A total of ten studies involving 304 patients were included. The studies performed strength and balance exercises, and some included flexibility, mobilization, and/or aerobic exercises in their training programs. Postural balance was evaluated using a force platform and the one leg stand test was the most frequently used. Only five exercise programs achieved a significant increase in balance (pre‐post) with a strength, postural balance, flexibility, and aerobic intervention. In general, the quality rate of the risk of bias was fair but the overall quality of the evidence across the studies was very low. Conclusion Five studies showed that there is a positive change in balance after the intervention. However, there is currently an unclear demonstration of evidence for the use of physical exercises to improve postural balance in people with haemophilia. Further studies with a higher methodological quality are needed.

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Low-energy laser therapy application on knee joints as an auxiliary treatment in patients with polyarticular juvenile idiopathic arthritis: a dual-arm randomized clinical trial

et al. 2021

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Pulsed Nd:YAG laser: effects on pain, postural stability, and weight-bearing pattern in children with hemophilic ankle arthropathy

Cited by 10 publications

References 29 publications

Effectiveness of rehabilitation on pain and function in people affected by hemophilia

Effectiveness of rehabilitation on pain and function in people affected by hemophilia

Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

Low-energy laser therapy application on knee joints as an auxiliary treatment in patients with polyarticular juvenile idiopathic arthritis: a dual-arm randomized clinical trial

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