Postural Assessment Systems in the Prevention of Haemophilic Arthropathy: A Narrative Review

Scaturro, Dalila; Vitagliani, Fabio; Tomasello, Sofia; Mangano, Maria Silvia; Signa, Gabriele; Mauro, Giulia Letizia

doi:10.3390/jfmk7030068

Cited by 4 publications

(2 citation statements)

References 49 publications

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“…Results of the study presented herein also reveal a lower knee extension strength of both legs and a lower handgrip strength of both hands in PwH, supporting previous studies 7,23,24 . Besides, the SPPB sit to stand test, which indicates the subjects’ strength based functional ability in an everyday setting, showed that PwH perform this task in a slower pace.…”

Section: Discussionsupporting

confidence: 88%

“…This study aimed to provide information on objective functional mobil- .005 Results of the study presented herein also reveal a lower knee extension strength of both legs and a lower handgrip strength of both hands in PwH, supporting previous studies. 7,23,24 Besides, the SPPB function declines, which was also previously described for PwH. 27 Indeed, a vicious circle might occur as it is known that subjective physical performance negatively correlates with kinesiophobia, 28,29 which is also observed in the study presented herein (r s = −0.483).…”

Section: Discussionsupporting

confidence: 83%

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Functional clinical motor performance tests to assess potential fall risks in patients with haemophilia: A case‐control study

Tomschi,

Brühl,

Schmidt

et al. 2024

Haemophilia

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IntroductionPatients with haemophilia (PwH) are at increased risk of falls due to haemophilic arthropathy. Yet, studies on clinical tests associated with the risk of falling are scarce in PwH.Aims(1) To evaluate the feasibility of different clinical motor performance tests associated with the risk of falling in PwH; (2) to evaluate PwH's performance of these tests compared to a control group; (3) to identify possible influencing factors that affect performance.MethodsTwenty‐nine severe and moderate PwH (57.0 years, IQR: 48.0–61.5) and 29 healthy age‐ and BMI‐matched control participants (CG) performed 13 different clinical tests (SPPB, timed up and go, push and release, functional reach, single‐leg stance, knee and grip strength). Haemophilia joint health score (HJHS), kinesiophobia (TSK‐11), subjective physical performance (HEP‐Test‐Q), falls efficiency (FES‐I) and falls were assessed.ResultsNo adverse events occurred. PwH showed impaired performance in all clinical tests, a lower falls efficiency and a higher HJHS than CG. PwH with higher HJHS, lower HEP‐Test‐Q and higher TSK‐11 scores showed higher deficits. Largest discrepancies were observed in the single‐leg stance with eyes open and knee extensor strength, where orthopaedically majorly affected PwH showed worse performance compared to minorly affected PwH and the CG, respectively. The prevalence of ≥1 fall in the last year was 27.6% (PwH) and 10.3% (CG).ConclusionThese clinical tests are feasible in PwH. Impaired joint status, a high kinesiophobia and low physical performance impair performance. These tests can be used by clinicians for gaining specific information on functional motor abilities of patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

Functional clinical motor performance tests to assess potential fall risks in patients with haemophilia: A case‐control study

Tomschi,

Brühl,

Schmidt

et al. 2024

Haemophilia

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Physical therapy for end-stage hemophilic arthropathy: a case report

Gao,

Yang,

Liu

et al. 2023

BMC Musculoskelet Disord

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This report introduces a young adult who has been in bed for more than ten years with end-stage hemophilic arthropathy. He didn’t have access to factor VIII (FVIII) in the early stage of hemophilia due to the high costs of clotting replacement therapy. As a result, he is experiencing some difficulties, such as joint contracture, muscular atrophy, severe pain, and poor function of cardiopulmonary. He came to visit us for a comprehensive rehabilitation program, and, finally, he achieved the basic goal of self-care in daily life.

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Comparison of Efficiency of Closed Kinetic Chain Exercises versus Proprioceptive Exercises in Improving Balance and Gait in Hemophilia: Protocol for a Randomized Controlled Trial (Preprint)

Poyraz İşleyen,

Tarakcı,

Leblebici

et al. 2024

Preprint

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BACKGROUND Inherited bleeding disorders are characterized by prolonged bleeding due to protein deficiencies involved in blood clotting, with hemophilia A and hemophilia B being the most common types. The severity of bleeding in people with hemophilia (PwH) varies on the level of deficient factor and treatment includes coagulation factor concentrates, nonreplacement preparations, gene therapies and physiotherapy methods. Thus, bleeding is prevented, symptoms are reduced and quality of life is improved. OBJECTIVE The aim is to investigate the effects of closed kinetic chain exercises and proprioceptive exercise training on improving balance and walking in PwH. METHODS This study is planned a 3-arm, parallel-group randomized controlled trial. The study will include 63 PWH aged between 13 and 25 years who attend meet the inclusion criteria. The primary outcome measures are medio-lateral swing, anterior-posterior swing, walking speed and hemophilia joint health score. Secondary outcome measures are kinematic assessment of gait, one-leg stand test, 6-Minute Walk Distance (6 MWD) test, proprioception assessment and Hemophilia Functional Independence Score. Participants will be evaluated with Biodex Balance System for postural sway, 10-meters walking test for gait speed, Hemophilia Joint Health Score for joint health, Kinovea 2D motion analysis for kinematic evaluation of gait, one leg stand test for balance measurement, 6 MWD for functional capacity, digital goniometer for proprioception, Functional Independence Score in Hemophilia for functional independence. Participants will be randomly assigned to a closed kinetic chain group, a proprioceptive group, or a controlled group. Following randomization, all participants in exercise training groups will receive a 30-minute education session on joint protection techniques and energy conservation prior to the first exercise session. Closed kinetic chain exercises will include progressive lower limb exercises duration of approximately 45 minutes each session. Proprioceptive exercise training will focus on vibration training, reposition exercises and proprioception exercises will be given to increase proprioceptive input on same duration as the other group. The control group will receive no interventions. All participants will undergo 24 exercise sessions (2 days a week for 12 weeks). After the treatment, the initial measurements will be repeated. RESULTS The study have began in September 2023 and scheduled to be completed in January 2025. CONCLUSIONS The study will investigate the effects of two different exercise on functional parameters in PWH. The effects of different exercise protocols on parameters such as postural sway, walking speed, joint health will be evaluated. It is predicted that both exercise methods may have positive effects on balance and gait. CLINICALTRIAL Clinical Trials.gov NCT05879549

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Postural Assessment Systems in the Prevention of Haemophilic Arthropathy: A Narrative Review

Cited by 4 publications

References 49 publications

Functional clinical motor performance tests to assess potential fall risks in patients with haemophilia: A case‐control study

Functional clinical motor performance tests to assess potential fall risks in patients with haemophilia: A case‐control study

Physical therapy for end-stage hemophilic arthropathy: a case report

Comparison of Efficiency of Closed Kinetic Chain Exercises versus Proprioceptive Exercises in Improving Balance and Gait in Hemophilia: Protocol for a Randomized Controlled Trial (Preprint)

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