Effectiveness of an Exercise Program to Improve Balance and Dual Task in Hemophilic Patients. Clinical Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Haemophilia
- Sponsor
- University of Valencia
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- Change of postural balance: amplitude of Center of Pressure (CoP) displacements
- Last Updated
- 6 years ago
Overview
Brief Summary
This study evaluates the effectiveness of a program of physiotherapy exercises to train the balance and dual task in adults patients with hemophilia
Detailed Description
The objective of the study is to create an exercise program to improve the static and dynamic balance in hemophilic patient. In addition, the effect of the exercise program on dual task, functionality, proprioception, QoL, risk of falls and the kinesiophobia will be analyzed.
Investigators
Felipe Querol Fuentes
Principal Investigator
University of Valencia
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of haemophilia A or B
- •Willingness to exercise twice a week during the training program and to complete the pre- and post-program evaluations
- •Approval by their hematologist to participate in the exercise program
- •With hemostatic coverage supervised by your hematologist.
- •Age between 18 and 60 years
- •Informed consent signed.
Exclusion Criteria
- •Non adherence to instruction on proper exercise technique
- •Surgical procedures performed 6 months prior to or during the exercise program
- •A major bleeding episode that posed a risk or prevented exercise
- •Need for major surgery
- •Suffer from dizziness
- •Withdrawal of informed consent
- •Acquired hemophilia
Outcomes
Primary Outcomes
Change of postural balance: amplitude of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Amplitude of CoP displacements will be assessed in millimeters using a computerized balance system. Higher displacements indicate worse balance.
Change of dual task balance: amplitude of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Amplitude of CoP displacements will be assessed in millimeters using a computerized balance system. Patient will perform a cognitive task (e.g. counting) while maintaining balance. Higher displacements indicate worse balance.
Change of postural balance: velocity of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Velocity of CoP displacements will be assessed in millimeters using a computerized balance system. Higher velocity indicate worse balance.
Change of postural balance: sway area of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Sway area of CoP displacements will be assessed in mm\^2 using a computerized balance system. Higher sway area indicate worse balance.
Change of dual task balance: velocity of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Velocity of CoP displacements will be assessed in millimeters using a computerized balance system. Patient will perform a cognitive task (e.g. counting) while maintaining balance. Higher velocity indicate worse balance.
Change of dual task balance: sway area of Center of Pressure (CoP) displacements
Time Frame: baseline and 3 months
Sway area of CoP displacements will be assessed in mm\^2 using a computerized balance system. Patient will perform a cognitive task (e.g. counting) while maintaining balance. Higher sway area indicate worse balance.
Secondary Outcomes
- Functional capacity: 2-minutes walk test(baseline and 3 months)
- Kinesiophobia(baseline and 3 months)
- Modified Falls Efficacy Scale (mFES)(baseline and 3 months)
- The Berg Balance Scale(baseline and 3 months)
- Functional capacity: The Timed "Up & Go" test(baseline and 3 months)
- Functional capacity: Sit-to-stand test(baseline and 3 months)
- Limits of Stability (LOS): success rate(baseline and 3 months)
- Limits of Stability (LOS): time(baseline and 3 months)
- Haemophilia Activities List (HAL)(baseline and 3 months)
- Functional Independence Scale for Hemophilia (FISH)(baseline and 3 months)
- Quality of Life related with health: questionnaire(baseline and 3 months)
- Joint health status(baseline)