Safety and effectiveness of fascial therapy in the treatment of adult patients with hemophilic elbow arthropathy: a pilot study

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

doi:10.1080/09593985.2020.1744207

Cited by 12 publications

(11 citation statements)

References 37 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: 78%

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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: 78%

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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“…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 17 .…”

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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“…Although the use of manual therapy in haemophilia is increasing, most of the studies have focused on the lower extremities with regard to mobility 7‐11 . The limited number of studies on manual therapy of the elbow joint has found in the literature 4,12,13 . However, with the increase in life expectancy of haemophilia patients, labour force participation, upper limb functionality and independent daily life have become current issues, and elbow is one of the main joints for these.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10][11] The limited number of studies on manual therapy of the elbow joint has found in the literature. 4,12,13 However, with the increase in life expectancy of haemophilia patients, labour force participation, upper limb functionality and independent daily life have become current issues, and elbow is one of the main joints for these. In addition, the elbow joint may prone to complications such as heterotopic ossification and stiffness.…”

Section: Introductionmentioning

confidence: 99%

The effects of manual therapy and exercises on pain, muscle strength, joint health, functionality and quality of life in haemophilic arthropathy of the elbow joint: A randomized controlled pilot study

et al. 2021

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Introduction Effective physiotherapy interventions are required for haemophilic arthropathy (HA) of the elbow due to its biomechanical differences and contribution to upper limb functionality. Aim To investigate the effects of manual therapy & exercises on bleeding frequency, pain, range of motion (ROM), strength, joint health, functionality and quality of life (QoL) in HA of the elbow. Methods Seventeen participants with HA of the elbow were randomized as Manual Therapy & Exercises Group (MTEG = 9) and Home Exercises Group (HEG = 8). Soft tissue mobilization, joint traction (grade I‐II) and Mulligan's mobilization with movement as manual therapy, and stretching/strengthening exercises were applied to MTEG, while HEG had only same exercises as home programme. The interventions lasted 3 days/weekly for 5 weeks. Bleeding frequency was evaluated with patients’ records; pain with Numeric Pain Scale; ROM with goniometer; strength with digital dynamometer; joint health with HJHS; functionality with Quick‐Disability of Arm, Shoulder and Hand questionnaire; and QoL with Oxford Elbow Score. Results Bleeding frequency and activity pain were decreased, while elbow ROMs and flexor strength were increased in MTEG (P ˂ 0.05). Also significantly improvements were seen in joint health, functionality and QoL in MTEG. HEG showed improvements in activity pain, QoL and some ROMs. MTEG had better results in ROMs, joint health and functionality (P ˂ 0.05). Conclusion Manual therapy & exercises may be used without causing bleeding and pain to increase the functionality, joint health and QoL, and is superior to home exercise for joint health and functionality. Home exercises may be ameliorated in pain, QoL and some ROMs.

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Safety and effectiveness of fascial therapy in the treatment of adult patients with hemophilic elbow arthropathy: a pilot study

Cited by 12 publications

References 37 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

The effects of manual therapy and exercises on pain, muscle strength, joint health, functionality and quality of life in haemophilic arthropathy of the elbow joint: A randomized controlled pilot study

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