AI Article Synopsis
- The study aimed to assess the impact of manual therapy on reducing hemarthrosis frequency, enhancing elbow range of motion, and improving disability perception in patients with hemophilia affecting the elbow.
- The research involved 69 patients split into two groups, with the experimental group receiving weekly manual therapy sessions focused on upper limb fascial therapy for three weeks, while the control group did not.
- Results indicated that manual therapy effectively decreased hemarthrosis frequency and improved elbow motion, but overall perceived disability showed no significant change; manual therapy proved safe and beneficial for these patients.
Article Abstract
Purpose: To evaluate the effectiveness of manual therapy in reducing the frequency of clinical hemarthrosis, increasing range of motion and improving the perception of disability in the upper limbs in patients with hemophilic elbow arthropathy.
Materials And Methods: Sixty-nine patients were randomized into experimental ( = 35) and control group ( = 34). The outcome measures were: frequency of clinical hemarthrosis, the elbow range of motion and the perception of disability in the upper limbs (DASH questionnaire). The intervention included one 50 min weekly session, for three weeks, of upper limb fascial therapy according to our treatment protocol.
Results: There were differences ( < 0.001) in the repeated measures analysis for frequency of elbow clinical hemarthrosis ( = 20.64) and range of motion in flexion ( = 17.37) and extension ( = 21.71). No differences were found in the overall perceived disability ( = 0.91; = .37). We found group interaction with the ( < 0.001) in the frequency of elbow clinical hemarthrosis, range of motion and overall perceived disability.
Conclusions: Manual therapy is safe in patients with hemophilia and elbow arthropathy. Fascial therapy reduces the frequency of hemarthrosis, increases the range of motion and improves the perceived disability in the upper limbs. id NCT03009591IMPLICATIONS FOR REHABILITATIONImpairments in the range of motion, pain and disability may occur in patients with hemophilic elbow arthropathy since early age.There is a need to validate safe and effectiveness protocols of rehabilitation to treat these patients.Prophylactic replacement is the most effective treatment for the prevention of hemarthrosis.Physiotherapists need to be trained in the specific management of patients with hemophilia.Manual therapy can be a safe and effective tool in the treatment of hemophilic arthropathy.
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| http://dx.doi.org/10.1080/09638288.2021.1894607 | DOI Listing |
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