Rehabilitación física en pacientes con artropatía hemofílica: revisión sistemática y metaanálisis sobre dolor

Pacheco-Serrano, Ana I.; Lucena-Antón, David; Moral-Muñoz, José A.

doi:10.1016/j.rcreu.2020.05.012

Cited by 2 publications

(4 citation statements)

References 18 publications

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“…24 This arthropathy is the cause of the progressive development of chronic pain, limitations in the range of motion and functional alterations causing disability in patients with hemophilia. 25 Due to the serious sequelae of hemarthrosis in patients with hemophilia, early diagnosis and treatment is essential to minimize the evolution of arthropathy, with the functional and physical limitations that this process entails. Hence the importance of an early diagnosis and treatment in order to minimize the degenerative evolution to hemophilic arthropathy with the functional and physical limitations that such a process would entail.…”

Section: Limitations In the Physical And Functional Approach And Eval...mentioning

confidence: 99%

Hemophilic Arthropathy: Barriers to Early Diagnosis and Management

Cuesta‐Barriuso¹,

Donoso-Úbeda²,

Meroño-Gallut³

et al. 2022

JBM

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Hemophilia is a congenital coagulopathy characterized by a deficiency of one of the clotting factors. It is characterized by the development of hematomas and hemarthrosis, either spontaneously or after minor trauma. The recurrence of hemarthroses leads to progressive and degenerative joint damage from childhood (hemophilic arthropathy). This arthropathy is characterized by disabling physical effects that limit the functionality and quality of life of these patients. Medical progress achieved over the last decade in the drug treatment of hemophilia has improved the medium and long-term prospects of patients with more effective and long-lasting drugs. The universal use of safer, more effective and prolonged prophylactic treatments may promote the prevention of bleeding, and also therefore, of the development of hemarthrosis and joint damage. A number of imaging instruments have been developed for the assessment of hemarthrosis and hemophilic arthropathy, using ultrasound, magnetic resonance imaging and simple radiology. Different physical examination scores and questionnaires allow the assessment of joint health, self-perceived activity and functionality of patients with hemophilia. The approach to these patients should be interdisciplinary. Assessment of the processes that affect pain in these patients and the development of pain education models should be implemented. Expert advice and information to patients with hemophilia should be based on individual functional prevention diagnoses, advice on available therapies and sports practice, as well as health recommendations.

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Section: Limitations In the Physical And Functional Approach And Eval...mentioning

confidence: 99%

Hemophilic Arthropathy: Barriers to Early Diagnosis and Management

Cuesta‐Barriuso¹,

Donoso-Úbeda²,

Meroño-Gallut³

et al. 2022

JBM

View full text Add to dashboard Cite

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“…After a bleed, the method “Protection, Optimal load, Ice, Compression, Elevation” (POLICE) is recommended first followed by the progressive reestablishment of muscle strength, starting with isometric exercises, concentric isotonic exercises, eccentric isotonic exercises, open kinetic chain and finally closed kinetic chain [ 8 , 9 , 10 , 11 ]. Manual therapy and exercise can be complemented with NMES, TENS, ultrasound, hydrotherapy, and gait reeducation, in addition to the use of therapeutic education to improve the quality of life and the perception of pain in these patients [ 12 , 13 , 14 ]. Moreover, chronic pain appears in 35–50% of people with hemophilia, with 40% of these patients indicating that health professionals do not treat their pain well, requiring a better approach from a biopsychosocial sphere [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Manual therapy and exercise can be complemented with NMES, TENS, ultrasound, hydrotherapy, and gait reeducation, in addition to the use of therapeutic education to improve the quality of life and the perception of pain in these patients [ 12 , 13 , 14 ]. Moreover, chronic pain appears in 35–50% of people with hemophilia, with 40% of these patients indicating that health professionals do not treat their pain well, requiring a better approach from a biopsychosocial sphere [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Hemophilia Patient Experience in a Physical Therapy-Guided Health Education Intervention: A Mixed-Method Design

et al. 2021

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People with hemophilia usually have negative joint consequences due to their illness. Evidence suggests that exercise and therapeutic education bring some benefits. An important factor that affects health interventions was the experience and degree of satisfaction. Thus, it is relevant to analyze qualitative and quantitative data to obtain a complete view of the patient’s experience. As a result, a concurrent nested mixed method with quantitative predominance study design was carried out. Nine people with hemophilia of Hemoaralar with a homogeneous environment participated in this study. The items evaluated were the level of satisfaction through the GCPC-UN-ESU survey and the experience with healthcare interventions through a focus group. A high level of satisfaction was obtained, but some divergences between quantitative and qualitative data were found. Further research about physical therapy and this type of intervention in people with hemophilia should be considered to better address the impact of living with the disease.

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Rehabilitación física en pacientes con artropatía hemofílica: revisión sistemática y metaanálisis sobre dolor

Cited by 2 publications

References 18 publications

Hemophilic Arthropathy: Barriers to Early Diagnosis and Management

Hemophilic Arthropathy: Barriers to Early Diagnosis and Management

Hemophilia Patient Experience in a Physical Therapy-Guided Health Education Intervention: A Mixed-Method Design

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