The effect of resistance training on the frequency of bleeding in haemophilia patients: a pilot study

Tiktinsky, R.; Falk, Bareket; Heim, Michael; Martinovitz, Uri

doi:10.1046/j.1365-2516.2002.00575.x

Cited by 85 publications

(91 citation statements)

References 13 publications

(17 reference statements)

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“…The benefits of physical activity are well recognized, including improvements in physical and psychological well-being, lowering the risk of several diseases, such as cardiovascular disease, diabetes, osteoporosis as well as decreased occurrence of bleeds in patients with haemophilia [7,8].…”

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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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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“…Entre los psicosociales se encuentran la mejora de la autoestima y la socialización, y con ello un incremento de la calidad de vida 44 . Por último, en relación con la clínica hemorrágica y sus secuelas, el ejercicio puede disminuir la frecuencia de los sangrados, las contracturas articulares y la pérdida de la densidad mineral ósea [45][46][47] . A pesar de estos beneficios, la recomendación de realizar actividad física, ejercicio físico y/o deporte en el paciente hemofílico es relativamente reciente 28,29 , ya que hasta hace aproximadamente cuarenta años no había en la literatura científica opiniones a favor de la actividad física, el ejercicio o el deporte en esta población, ya que estas prácticas en los pacientes hemofílicos se asociaban a las lesiones 48 .…”

Section: Beneficios De La Práctica Regular De Ejercicio Físico Y Depounclassified

“…El número de publicaciones durante el presente siglo, aunque creciente, sigue siendo discreto, más aun si tenemos en cuenta que, de los 24 trabajos recogidos por Gomis et al 29 publicados entre los años 2000 y 2006, con la excepción de 6 experiencias 36,37,45,46,82,83 , el resto son estudios presentados en los congresos mundiales de la Federación Mundial de Hemofilia, siendo por tanto limitada la información disponible de los mismos 84,85 . Aunque las intervenciones han sido variadas, ha seguido predominando el entrenamiento de la fuerza muscular, combinado con programas de entrenamiento general u otros enfocados a la mejora de la propiocepción y el equilibrio, del rango de movilidad articular o de la resistencia aeróbica.…”

Section: Estudios Experimentales Sobre La Condición Física En El Paciunclassified

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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“…The clinical manifestations may include increased body temperature, pain, muscle atrophy, abnormal gait, weakness, hemarthrosis, reduced joint range of motion (ROM), or even the development of degenerative alterations in the joint [3]. Hemarthrosis, synovitis, and bruising are the most frequent complications for children with hemophilia and are frequently accompanied by marked muscle atrophy around the joint [4].…”

Section: Introductionmentioning

confidence: 99%

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

Eid

Aly

2015

Lasers Med Sci

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Children with hemophilia usually have recurrent joint bleeding that leads to joint damage, loss of range of motion, and restriction of mobility, therefore affecting the quality of life in these children. The purpose of this study was to compare the effects of lowlevel laser therapy (LLLT) to that of pulsed electromagnetic field (PEMF) in treatment of hemarthrosis in children with hemophilia. Thirty boys with hemophilia A with ages ranging from 9 to 13 years were selected and assigned randomly, using sealed envelopes, into two equal intervention groups. The study group I received the traditional physical therapy program in addition to LLLT, whereas the study group II received the same physical therapy program given to the study group I in addition to PEMF. Both groups received the treatment sessions three times per week for three successive months. Pain, laboratory investigations, swelling, and range of motion (ROM) of the affected knee joint, in addition to physical fitness were evaluated before, at the end of the sixth week and at 12 weeks of the treatment program. Laser group showed significant improvement in all measured variables after the sixth week of treatment when compared with PEMF. By 12 weeks of treatment, there was a significant improvement in pain, ROM, ESR and leucocytes levels in laser group compared with PEMF, while there was no significant difference in knee circumferences and the 6-min walk test (6MWT) between both groups. Both groups showed significant improvement at 12 weeks of treatment compared with that at 6 weeks. Both LLLT and PEMF are effective modalities in reducing pain, swelling, increasing ROM and improving physical fitness. Twelve weeks of treatment of both modalities demonstrated significant improvement than 6 weeks of treatment. Laser therapy induced significant improvement than electromagnetic therapy in treatment of hemarthrosis-related problems in children with hemophilia.

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The effect of resistance training on the frequency of bleeding in haemophilia patients: a pilot study

Cited by 85 publications

References 13 publications

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

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

Hemofilia: ejercicio y deporte

LASER versus electromagnetic field in treatment of hemarthrosis in children with hemophilia

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