Safety of fascial therapy in adult patients with hemophilic arthropathy of ankle. A cohort study

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

doi:10.1016/j.msksp.2018.03.003

Cited by 13 publications

(19 citation statements)

References 15 publications

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“…The use of myofascial release techniques is proposed as a tool to reduce fascial restrictions and restore healthy tissue (17), which may have a potential effect on the perception of pain in the affected region. The results of reduced joint pain in patients with haemophilic elbow arthropathy are consistent with those related to myofascial induction in the approach to neck and lower back pain (34), pain associated with lateral epicondylitis (35) and haemophilic ankle arthropathy (21,29).…”

Section: Discussionsupporting

confidence: 60%

“…These restrictions, typical in haemophilic arthropathy, can affect intra-articular stress, synovial hypertrophy and the compression of periarticular structures, promoting the development of haemarthrosis or microbleeds in the joints. The safety of fascial therapy has been demonstrated in previous articles, where myofascial release techniques were applied to patients with haemophilic ankle arthropathy (21,29).…”

Section: Discussionmentioning

confidence: 93%

“…The current study found an improvement in joint health in both elbows following intervention and follow-up. These changes in joint health have been described in the ankle joint (21,29), with flexion and extension movements being 2 of the 8 items of the measuring instrument (HJHS) exhibiting the greatest differences after the intervention.…”

Section: Discussionmentioning

confidence: 94%

“…The use of strength and proprioception programmes (25,26) and therapeutic exercise does not appear to cause haemarthrosis (27). Similarly, with the application of manual therapy techniques (10,19,21,28,29), no haemarthrosis or muscle haematomas have been reported.…”

Section: Discussionmentioning

confidence: 95%

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Manual therapy effectively decreases the frequency of joint bleeding improves joint health and reduces pain in hemophilic elbow arthropathy: A prospective cohort study

Pérez-Llanes

Donoso-Úbeda²,

Meroño-Gallut³

et al. 2020

J Rehabil Med-CC

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Objective: To verify the safety and effectiveness of manual therapy intervention using fascial therapy in adult patients with haemophilic elbow arthropathy. Methods: Prospective cohort study. A total of 28 patients with haemophilic elbow arthropathy was recruited in 3 cities in Spain. Patients received onefascial therapy session per week for 3 weeks. The dependent variables were: frequency of joint bleeding, joint pain (visual analogue score) and joint status (Hemophilia Joint Health Score). Outcomes were measured at baseline (T0), post-treatment (T1) and after 3 months' follow-up (T2). Using Student's t-test, the means obtained in the evaluations were compared. The analysis of variance (ANOVA) test of repeated measures provided the intra-subject effect. The chosen level of significance was p < 0.05. Results: A total of 28 patients were recruited according to the selection criteria. No joint bleeding occurred during or after the intervention. The primary outcome, frequency of bleeding, improved after intervention (p <0.001). The secondary variables joint status and joint pain improved after the experimental period (p <0.001). There were significant changes in the repeated measures factor in the frequency of haemarthrosis (F = 20.61; p = 0.00), joint status (F = 64.11; p = 0.00) and perceived pain (F = 33.15; p = 0.00). Conclusion: Manual therapy using fascial therapy did not produce haemarthrosis in patients with haemophilic elbow arthropathy. Fascial therapy can improve the perception of pain and joint state,

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 95%

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Manual therapy effectively decreases the frequency of joint bleeding improves joint health and reduces pain in hemophilic elbow arthropathy: A prospective cohort study

Pérez-Llanes

Donoso-Úbeda²,

Meroño-Gallut³

et al. 2020

J Rehabil Med-CC

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“…The mechanical stimulus to the fascia (in the form of either pressure or tangential compression) triggers a secondary conjunctive cellular response and promotes cellular communication through piezoelectric and mechanotransduction mechanisms [ 12 ]. Although pilot and cohort studies [ 13 , 14 ] have proven that this technique is safe in patients with hemophilic arthropathy of the ankle, clinical studies need to be conducted with a large sample size in order to confirm that this technique is indeed suitable.…”

Section: Introductionmentioning

confidence: 99%

Self-Myofascial Release Intervention and Mobile App in Patients With Hemophilic Ankle Arthropathy: Protocol for a Randomized Controlled Trial

Meroño-Gallut¹,

Cuesta‐Barriuso²,

Pérez-Llanes³

et al. 2020

JMIR Res Protoc

Self Cite

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Background Hemophilic ankle arthropathy is manifested by degenerative functional alterations and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain, and reduce tissue sensitivity. Objective This study aims to evaluate the safety and efficacy of a protocol using self-myofascial release with a foam roller to be applied in patients with hemophilic ankle arthropathy. Methods Patients with ankle arthropathy (N=70) will be recruited, enrolled, and assigned to one of two groups—experimental or control—in a 1:1 allocation ratio. Patients will be recruited from 5 centers in different regions of Spain. Patient data will be collected at baseline, posttreatment, and follow-up. The primary outcome will be frequency of ankle joint bleeding (self-reported). The secondary outcomes will be ankle range of motion (measured with a digital goniometer); joint pain (measured with a visual analog scale and an algometer); joint status (measured using the Hemophilia Joint Health Score); muscle strength (measured with a dynamometer); functionality of lower limbs (measured using the 6-minute walking test); activity (self-reported); and muscle flexibility (measured using the fingertip-to-floor test). The treatment program includes 11 exercises that must be administered bilaterally. A mobile app will be developed where each patient will be able to observe the exercises to be carried out. Each session will last 15 minutes with 5 physiotherapy sessions per week for a period of 3 months. It is expected that patients with hemophilia who receive the foam roller intervention will show improvement in mobility, pain, and status of the ankle joint; muscle strength; and function in the lower extremities. Results The study has been approved by the institutional review board of the University of Murcia. Patient recruitment will begin in September 2020, and the intervention period will last until June 2021. Data collection will take place between September 2020 and October 2021. Conclusions This protocol describes a randomized clinical trial to examine the safety and efficacy of a self-myofascial release intervention using a foam roller in patients with hemophilic ankle arthropathy. Trial Registration ClinicalTrials.gov NCT03914287; http://clinicaltrials.gov/ct2/show/NCT03914287. International Registered Report Identifier (IRRID) PRR1-10.2196/15612

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Effectiveness of myofascial therapy on hemophilic arthropathy: A systematic review and meta-analysis of clinical trials

Haghpanah

Razeghi

Sayadi

et al. 2022

Heliyon

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Safety of fascial therapy in adult patients with hemophilic arthropathy of ankle. A cohort study

Cited by 13 publications

References 15 publications

Manual therapy effectively decreases the frequency of joint bleeding improves joint health and reduces pain in hemophilic elbow arthropathy: A prospective cohort study

Manual therapy effectively decreases the frequency of joint bleeding improves joint health and reduces pain in hemophilic elbow arthropathy: A prospective cohort study

Self-Myofascial Release Intervention and Mobile App in Patients With Hemophilic Ankle Arthropathy: Protocol for a Randomized Controlled Trial

Effectiveness of myofascial therapy on hemophilic arthropathy: A systematic review and meta-analysis of clinical trials

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