Physiotherapy in the Management of Patients with Inhibitors

Beeton, Karen; Buzzard, Brenda M.

doi:10.1002/9780470757260.ch26

Cited by 7 publications

(2 citation statements)

References 33 publications

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“…The literature describes the haematological and immunological aspects of inhibitor treatment and there are reports of orthopaedic surgery in inhibitor patients. However, with the exception of two chapters in a book [5,6], there appear to be no specific papers on rehabilitation or physiotherapy for haemophilia patients with inhibitors. Based on the literature and our own clinical (anecdotal) experience, this article therefore provides advice on rehabilitation for haemophilia patients with inhibitors and discusses the benefits and risks of physical activities, and thus whether or not these patients should participate in sports.…”

Section: Introductionmentioning

confidence: 99%

The role of rehabilitation and sports in haemophilia patients with inhibitors

Heijnen

2008

Haemophilia

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Treatment of haemophilia patients with inhibitors against factor VIII/IX (FVIII/IX) is still challenging and recurrent haemarthroses cause arthropathy with associated restrictions on participation in physical activities and sports. Rehabilitation is a multidisciplinary approach which includes physiotherapy, occupational therapy, psychology, social work and technical applications like prostheses, orthoses (splints and braces), shoe adaptations, walking aids and adaptations in the house and work situation, but also education. The theoretical principles and practical advice regarding rehabilitation and physiotherapy for both children and adults with haemophilia without inhibitors are highly applicable for patients with inhibitors. Hydrotherapy is useful in the treatment of painful or stiff joints and/or muscles after an acute haemarthrosis, muscle bleeds and chronic arthropathy. In addition, it is of use in cases of chronic synovitis and to start mobilization after long periods of bed rest or during the weaning of a splint. In cases of bleeding and arthropathy, adequate treatment of pain is very important, as are functional exercises. Everyone should be physically active for 30-60 min day(-1). Participation in sports is recommended for people with haemophilia, the best sport being swimming. Children should participate in sports appropriate to their size and physical characteristics.

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Section: Introductionmentioning

confidence: 99%

The role of rehabilitation and sports in haemophilia patients with inhibitors

Heijnen

2008

Haemophilia

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“…Hydrotherapy, for example, not only reduces pain but also decreases bleeding frequency and instability in target joints and improves range of motion and muscle girth [67]. Isometric and isotonic exercise, ultrasound, pulsed short-wave diathermy and transcutaneous electrical nerve stimulations are other modalities of physiotherapy used both acutely and chronically in the rehabilitation of hemophilia patients following hemarthrosis [68].…”

Section: Physiotherapymentioning

confidence: 99%

Management of joint bleeding in hemophilia

Simpson¹,

Valentino

2012

Expert Review of Hematology

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Hemarthrosis, the hallmark of severe hemophilia, is the major cause of serious bleeding events, disability and reduced quality of life in patients with factor VIII or factor IX deficiency. Joint bleeding is one of the greatest challenges confronting individuals treating hemophilia, and its economic impact is enormous. This article reviews the current management of hemophilic joint bleeding and discusses the potential impact of novel therapies.

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Physiotherapy in the Management of Hemophilia

Beeton¹,

Tuffley²

2005

Textbook of Hemophilia

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Physiotherapy in the Management of Patients with Inhibitors

Cited by 7 publications

References 33 publications

The role of rehabilitation and sports in haemophilia patients with inhibitors

The role of rehabilitation and sports in haemophilia patients with inhibitors

Management of joint bleeding in hemophilia

Physiotherapy in the Management of Hemophilia

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