Educational Physiotherapy in Haemophilia

Real Fundación Victoria Eugenia

Status: Completed

Conditions: Haemophilia

Treatments: Other: Educational physiotherapy group

Study type: Interventional

Funder types: Other

Identifiers

NCT02825706

EducationalPhys

Details and patient eligibility

About

Although arthropathy is a serious problem in patients with hemophilia due to the associated morbidity and incapacity, to the best of the investigators knowledge, no studies have looked at the effect of educational physiotherapy for its clinical improvement.

This contribution presents the results of educational physiotherapy program applied for 15 weeks with home exercises - in patients with hemophilic arthropathy. After treatment, experimental group showed improved a significant reduction of pain, and best quality of life al illness behaviour. During treatment no patient showed elbow haemarthrosis, which underlines the safety of this physiotherapy program.

Enrollment: 20 patients

Sex: Male

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients diagnosed with hemophilia A or B
• Patients over 18 years
• Patients with hemophilic arthropathy with at least 1 involved joint (elbow, knee or ankle)
• having signed the informed consent document.

Exclusion criteria

• Patients diagnosed with other congenital bleeding disorders (i.e. von Willebrand disease)
• Patients who developed antibodies to FVIII or FIX (inhibitors)
• Those not able to ambulate as a result of hemophilic arthropathy or any other disability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

Experimental group

Experimental group

Description:

The patients in experimental group received 60-minute educational sessions every two weeks about the pathophysiology of hemophilia, clinical manifestations, postural advice and prevention advice to avoid recurrent bleeding. Likewise, doubts on the clinical progress of hemophilic arthropathy, functional limitations and management of joint pain were resolved. In parallel with the educational sessions, patients followed a 15-week home exercise program performed once a day, 6 days a week. The program included muscle stretching exercises; isometric exercises; proprioceptive exercises on one leg with visual support; and a 20-minute walk. Low-intensity exercises with 20-25 repetitions were included.

Treatment:

Other: Educational physiotherapy group

Control group

No Intervention group

Description:

The patients in the control group did not receive any educational sessions and did no exercise at all at home.