Effects of a supervised therapeutic exercise program on musculoskeletal health and gait in patients with haemophilia: A pilot study.

Autor: Deniz V; Department of Physiotherapy and Rehabilitation, Gazi University Faculty of Health Sciences, Ankara, Turkey., Guzel NA; Department of Physiotherapy and Rehabilitation, Gazi University Faculty of Health Sciences, Ankara, Turkey., Lobet S; Service d'hématologie, Cliniques universitaires Saint-Luc, Bruxelles, Belgium.; Université catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Neuromusculoskeletal Lab (NMSK), Brussels, Belgium.; Cliniques universitaires Saint-Luc, Secteur de kinésithérapie, Brussels, Belgium., Antmen AB; Department of Pediatric Hematology and Oncology, Acıbadem Hospital, Adana, Turkey., Sasmaz HI; Department of Pediatric Hematology, Çukurova University Faculty of Medicine, Adana, Turkey., Kilci A; Faculty of Sport Sciences, Çukurova University, Adana, Turkey., Boyraz OC; Faculty of Sport Sciences, Çukurova University, Adana, Turkey., Gunaştı O; Division of Sport Physiology, Department of Physiology, Faculty of Medicine, Çukurova University, Adana, Turkey., Kurdak SS; Division of Sport Physiology, Department of Physiology, Faculty of Medicine, Çukurova University, Adana, Turkey.
Jazyk: angličtina
Zdroj: Haemophilia : the official journal of the World Federation of Hemophilia [Haemophilia] 2022 Jan; Vol. 28 (1), pp. 166-175. Date of Electronic Publication: 2021 Oct 22.
DOI: 10.1111/hae.14444
Abstrakt: Introduction: Episodes of bleeding in patients with haemophilia (PwH) are associated with haemophilic arthropathy, limitations in physical performance, reduced quality of life (QoL), and gait disorders.
Aim: This non-randomized, controlled, interventional, prospective, single-centre pilot study aimed to assess the effects of an 8-week supervised therapeutic exercise program on musculoskeletal health, gait kinematic parameters (GKP), functional capacity, and QoL in adult PwH.
Methods: Nineteen PwH were allocated to an exercise group (n = 10) or a control group (n = 9). The patients in the exercise group followed an 8-week supervised therapeutic exercise program. The Haemophilia Joint Health Score (HJHS), a two-dimensional video-based gait kinematic analysis (2D-GKA), the 6-min walking test (6MWT), and the Haemophilia Quality of Life Questionnaire for Adults (Haem-A-Qol) were used as the outcome measures at baseline, after the exercise program (at the 8th week), and at the 6th-month follow-up.
Results: A significant improvement was observed in the exercise group in the HJHS-Total and Haem-A-Qol Total scores and the 6MWT value after the exercise program. Moreover, the 2D-GKA revealed improvement in most of the GKP (knee extension during the midstance and late swing phases, ankle dorsiflexion during the midstance phase, and ankle plantar flexion during the preswing phase). However, the gain obtained by the exercise program was not maintained at the 6th-month follow-up for the HJHS-Total and Hem-A-QoL-Total scores and GKP.
Conclusion: The 8-week supervised therapeutic exercise program was successful in achieving improvement in joint health, GKP, functional capacity, and QoL in PwH.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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