Comparison of supervised physiotherapy program verses convensional exercises in the management of hemarthrosis in haemophilic patients

Abstract

Hemophilia is a hereditary lifelong blood disease with a problem of blood clotting affecting males. The nature of the condition influence the person to bleed intraarticularly and intermuscularly. Without intervention it can extend to chronic synovitis and severe joint hemarthropathy. Purpose and Background: Physiotherapeutic interventions are available that may help to prevent and treat the hemophilic patients. Our main objective was to find the most effective physiotherapy procedures for treating haemophilic patients in clinic with respect to conventional therapy at home, In patients of haemophilia with hemarthrosis of knee. The physiotherapy aim was to reduce pain and increase range of flexion and extension of knee and increase the strength of quadriceps muscle Design: Pre-test post-test comparative study. Method: 30 haemophilic children's, Taken from the Haemophiliac Federation (India). Males aged between 7-13 years with mean age 10 years having complicated knee hemarthrosis. These children's were randomly divided into two groups A and B of 15 children in each group. Group A-Supervised physiotherapy program performed in the clinic Group B-Conventional Exercises at home. And was compared by repeated measures for 6 months. Result: The major findings revealed that both the programs were effective in the management of hemophilia but The ROM-flexion, ROM-extension, VAS and the scores of MMT-10 scale improved in subjects who received the supervised physiotherapy program in the clinic than those who received the conventional assisted exercises at home.