Risks and benefits of sports and fitness activities for people with haemophilia

Mulder, Kathy; Cassis, F.; Seuser, D. R. A.; Narayan, Prakash; Dalzell, R.; Poulsen, W.

doi:10.1111/j.1365-2516.2004.01000.x

Cited by 51 publications

(53 citation statements)

References 5 publications

(5 reference statements)

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“…With the introduction of prophylactic clotting factor replacement therapy, patients had fewer bleeds and were able to participate in physical activities. It is now widely recognized that physical activity and sports are beneficial for patients with hemophilia [6]. Traditionally, balance has often been defined as a task of maintaining a person's center of gravity (COG) over the base of support (BOS) in an upright posture.…”

Section: Introductionmentioning

confidence: 99%

Bicycle ergometer versus treadmill on balance and gait parameters in children with hemophilia

Mohamed

Sherief

2015

Egyptian Journal of Medical Human Genetics

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Background and purpose: Children with hemophilia often bleed inside the joints and muscles, which may impair postural adjustments. These postural adjustments are necessary to control gait and postural balance during daily activities. The inability to quickly recover postural balance could elevate the risk of bleeding.So, the purpose of this study was to compare between the effects of bicycle ergometer and treadmill on balance and gait parameters in children with hemophilia.Materials and methods: Thirty hemophilic boys with the ages ranging from 10 to 14 years had participated in this study. They were assigned randomly into two equal study groups. Group A received a designed physical therapy program and aerobic exercise training by bicycle ergometer. While group B received the same physical therapy program in addition to aerobic exercise training by the treadmill. Both groups received treatment sessions three times per week for three successive months. Stability indices and kinematic gait parameters were evaluated before and after three successive months of treatment.Results: There were non significant differences between the pre-treatment mean values of all measuring variables for the two groups. Significant improvement was observed in the two groups when comparing their pre and post treatment mean values. Also, significant differences were recorded when comparing the post treatment results of the two groups in favor of the study group B.Conclusion: Aerobic exercise, in the form of treadmill training for children with hemophilia, is an excellent supplement to regularly scheduled physical therapy intervention. It improves the degree of stability and gait parameters for those patients. Ó 2014 Production and hosting by Elsevier B.V. on behalf of Ain Shams University.

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Section: Introductionmentioning

confidence: 99%

Bicycle ergometer versus treadmill on balance and gait parameters in children with hemophilia

Mohamed

Sherief

2015

Egyptian Journal of Medical Human Genetics

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“…It is now widely recognized that regular physical activity is an important management tool in haemophilia care. Thus, patients with haemophilia should be encouraged to participate in regular physical activity, tailored to their health status and personal lifestyle [3,4]. The World Federation of Haemophilia (WFH) has formulated recommendations concerning physical activities for patients with haemophilia.…”

Section: Introductionmentioning

confidence: 99%

Physical activity and joint function in adults with severe haemophilia on long-term prophylaxis

Khawaji

Astermark

Åkesson

et al. 2011

Blood Coagulation &Amp; Fibrinolysis

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It has been shown that patients with severe haemophilia treated on demand are not as physically active as their healthy peers and often have a sedentary lifestyle that contributes to chronic joint disease. The use of prophylaxis provides opportunities for participation in physical activities with fewer bleeding episodes. The objective of the study was to describe the type, intensity and duration of physical activity among adult patients with severe haemophilia and to find out whether a joint function dependency exists. Patients with severe haemophilia, divided into two groups (group A: patients who started prophylaxis at the age of ≤3 years and group B: patients who started prophylaxis at the age of >3 years), and 190 controls were included. Physical activity was assessed using the self-report Modifiable Activity Questionnaire. Time involved and intensity of all aspects of physical activity for group A were almost similar to their healthy peers. Group B had significantly lower vigorous, leisure and total physical activities than group A and their healthy peers. Positive significant correlations were found between leisure and total physical activities and joint score in group A, whereas in group B, there was negative significant correlation between only nonweight-bearing activity and joint score. The early start of long-term, primary prophylaxis has been successful in reducing frequency of bleeds and thereby preventing or delaying subsequent chronic joint disease, and enables the patients to lead a physically normal life also during adulthood when patients with haemophilia treated on demand are expected to have substantial joint disease impacting their physical activity.

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“…Además, se ha visto que este daño articular permanente se asocia a una reducción de la densidad mineral ósea 20 , incluso en niños con artropatía incipiente 21 . El paciente hemofílico necesita tratamientos complementarios, basados en la rehabilitación y la fisioterapia, junto con programas de ejercicio físico y deporte que mejoren la salud musculoesquelética de estos pacientes y ayuden a la prevención de los sangrados y a su recuperación 19,[22][23][24][25][26][27][28][29][30] , incluso en países donde el tratamiento sustitutivo es limitado 31,32 o en pacientes con inhibidores 33 .…”

Section: Aproximación a La Terapia Físicaunclassified

“…Hay que tener en cuenta que el contacto no es la única causa de lesión en este tipo de pacientes, además de que deportes con baja incidencia de lesiones pueden dar lugar a ellas, aunque poco frecuentes, graves o muy graves en esta población. En esta línea, algunos investigadores abogan por hacer un estudio de la biomecánica del deporte o ejercicio físico, un test de aptitud física y un análisis ortopédico del paciente, que puedan ayudar a guiar la fisioterapia preventiva y la elección del deporte 27,59,67 . De esta forma, una fisioterapia previa podrá subsanar las deficiencias encontradas, como acortamientos musculotendinosos, sinovitis o atrofia muscular, que junto con las adaptaciones ortopédicas necesarias 76 prepararán al paciente para la práctica deportiva, minimizando así el riesgo de lesión 19 .…”

Section: Hemofilia Ejercicio Y Deporteunclassified

“…Para evitar el desequilibrio muscular mediante ejercicios repetitivos, ésta no debe tener lugar antes de los ocho años de edad 67 . Como estamos viendo, aunque la práctica deportiva no está exenta de riesgos, ya que éstos no pueden ser totalmente eliminados, una buena selección del tipo de deporte hará que los beneficios superen a los riesgos 27 , beneficios que no sólo abarcan el bienestar físico, sino que también favorecen el bienestar emocional y social de las personas con hemofilia. Es por ello por lo que, en la actualidad, el consenso sobre la idoneidad de la inclusión de las actividades deportivas en el manejo global de la hemofilia está bastante generalizado 44 .…”

Section: Hemofilia Ejercicio Y Deporteunclassified

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Hemofilia: ejercicio y deporte

Querol

Pérez‐Alenda

Gallach

et al. 2011

Apunts. Medicina de l'Esport

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Resumen El ejercicio físico y el deporte constituyen uno de los pilares básicos en el tratamiento de la hemofilia. Este trabajo describe un resumen de las características de la hemofilia y, a través de una exhaustiva revisión bibliográfica, se analiza la importancia de la condición física, en relación con la prevención y el tratamiento de las lesiones musculoesqueléticas en el paciente hemofílico.La hemofilia es una enfermedad hematológica hereditaria, con lesiones ortopédicas características. Afecta a individuos varones y presenta un déficit de factores de la coagulación que provoca hemorragias incluso espontáneas (en pacientes graves sin tratamiento). Las lesiones más frecuentes son: hemartrosis, sinovitis, hematomas musculares y artropatía hemofílica. La condición física del paciente hemofílico, instrumentada mediante terapia sustitutiva de factores de la coagulación, es fundamental y requiere fisioterapia, ejercicio físico y deporte.Basándonos en las recomendaciones de los comités de expertos de la Federación Mundial de Hemofilia (WFH) y utilizando las principales bases de datos, mediante estrategias de búsqueda con palabras clave, se obtuvieron 756 referencias, de las que tan sólo 74 superaron los criterios de inclusión.Las publicaciones se agruparon por áreas temáticas, diferenciando artículos de revisión, trabajos observacionales y experiencias clínicas, estudios experimentales y actuaciones intervencionistas sobre parámetros concretos de la condición física.Se concluye con la evidencia de la importancia de la recomendación del ejercicio físico y deporte en la hemofilia, el consenso en su idoneidad para el bienestar físico, psíquico y social de los pacientes, y la necesidad de incrementar los trabajos científicos al respecto. © 2010 Consell Català de l'Esport. Abstract Physical exercise and sports is one of the basic foundations in the treatment of haemophilia. This article gives a brief description of the characteristics of haemophilia, and through an exhaustive literature review, the importance of the physical condition, as regards prevention and treatment of musculoskeletal lesions in the haemophilic patient, is also analysed.Haemophilia is a hereditary haematological disease, characteristic orthopaedic lesions. It affects males and has a deficiency of clotting factors which causes haemorrhages, including spontaneous (in severe patients without treatment). The most common lesions are: haemarthrosis, synovitis, muscle haematomas and haemophilic arthritis. The physical condition of the haemophilic patient, controlled by clotting factor replacement therapy, is fundamental and requires physiotherapy, physical exercise and sport.Based on the recommendations by expert committees of the World Haemophilia Foundation (WFH) and using major data bases and search strategies with key words, 756 references were obtained, of which on 74 passed the inclusion criteria.The publications were grouped by subject area, differentiating review articles, observational studies and clinical experiences, experimental studies and ...

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Risks and benefits of sports and fitness activities for people with haemophilia

Cited by 51 publications

References 5 publications

Bicycle ergometer versus treadmill on balance and gait parameters in children with hemophilia

Bicycle ergometer versus treadmill on balance and gait parameters in children with hemophilia

Physical activity and joint function in adults with severe haemophilia on long-term prophylaxis

Hemofilia: ejercicio y deporte

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