Physiotherapy in the Haemophilic Arthropathy of the Elbow. (ELBOW)

Universidad Católica San Antonio de Murcia

Status: Completed

Conditions: Patients With Hemophilia

Treatments: Other: Educational group; Other: Manual Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02198040

ELBOW

Details and patient eligibility

About

The aim of this study is to assess the effectiveness of two treatments of Physiotherapy: one with joint traction, passive muscles stretching and Proprioceptive Neuromuscular Facilitation (PNF), and the other with education sessions and home exercises, for the improvement of the ROM, biceps strength, perimeter of arm and the perception of pain in PwH and arthropathy of the elbow.

Full description

The intervention was carried out during twelve weeks, performing evaluations before and after treatment, and six months of finalizing this. The treatment of MT group consisted of two sessions per week, one hour each, and the treatment of group E consisted in a session for 90 minutes every two weeks, with daily home exercises. The control group (group C) did not receive any intervention.

Enrollment: 27 patients

Sex: Male

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients over 18 years
• Patients diagnosed with hemophilia A or B
• Patients with hemophilic arthropathy in one or both elbows

Exclusion criteria

• Patients with another medical diagnosis (eg, Von Willebrand's disease)
• Patients with presence of antibodies to FVIII or FIX (inhibitors)
• Patients who had a haemarthrosis of elbow during the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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27 participants in 3 patient groups

Manual Therapy group

Experimental group

Description:

The treatment of this group consisted of two sessions per week, one hour each. We used joint traction, passive muscles stretching and Proprioceptive Neuromuscular Facilitation

Treatment:

Other: Manual Therapy

Educational group

Experimental group

Description:

The treatment had education and home daily exercises for the improvement of the range of motion, biceps strength, perimeter of arm and the perception of pain in patients with haemophilia and arthropathy of the elbow.

Treatment:

Other: Educational group

Control group

No Intervention group

Description:

The control group did not receive any intervention. The patients in this group were assessed by the same reviewers (blinded to the study conditions) and under the same conditions, that patients in the experimental groups.