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Assessment of Proprioceptive and Functional Characteristics in Patients With Hemophilia

Conditions
Hemophilia
Registration Number
NCT02165592
Lead Sponsor
Universidad Cat贸lica San Antonio de Murcia
Brief Summary

Analyze and evaluate the skeletal muscle of patients affected with hemophilia in the Region of Murcia.

* Describe the periarticular muscular deficit of the lower limbs, depending on the degree of injury: acute and chronic, or subacute.

* Identify the range of motion of joints with higher prevalence of hemophilic arthropathy.

* Detect the biomechanical changes of the lower limbs and their impact on gait in patients with hemophilia.

* Assess the factors that influence the perception of illness and quality of life of patients with hemophilia.

Detailed Description

Descriptive study of joint involvement in hemophilia patients with and without a history of hemarthrosis in lower limbs.

Descriptive study of alterations in the strength of the periarticular muscles of lower limbs as a result of acute conditions or the development of chronic articular sequelae.

Descriptive study of the biomechanical alterations in weight-bearing joints of lower limbs and their impact on gait in patients with hemophilia.

Descriptive study of the relationship between skeletal muscle pathology in patients with hemophilia and their perceptions of it and their quality of life.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
60
Inclusion Criteria
  • Patients with hemophilia A and B
  • Patients of all ages (from 6 to 70 years).
  • With or without joint damage clinically diagnosed, and with or without a previous history of hemarthrosis joint load legs.
  • Residents in the Autonomous Community of the Region of Murcia.
Exclusion Criteria
  • Patients without ambulation
  • Patients diagnosed with other congenital coagulopathy (von Willebrand disease, etc..).
  • Patients with neurological or cognitive impairments that prevent understanding the questionnaires and physical tests.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Assess the range of motionScreening visit

Assess the range of motion of elbow, knee and ankle (using a goniometric evaluation).

Assess the muscular strengthScreening visit

Assess the muscular strength of arm, thigh and leg (through measurement of muscle balance).

Assess the joint painScreening visit

Joint pain (VAS scale with the use of a pressure algometer).

Assess the variables of strengthScreening visit

Assessment of variables of vertical strength, medio-lateral and anterior-posterior in jump and incorporation from the sitting position.

Assess the peak forceScreening visit

Functional assessment of peak force, force production per unit time and subsequent stabilization in standing (in jump and in the passage from the sitting position to standing position, respectively, using a force platform).

Assess the contractile activityScreening visit

Assessment of miotendinous contractile activity in the patellar tendon and Achilles, in jump (CMJ-stiffness test).

Assess the state jointScreening visit

State joint (applying Hemophilia Joint Health Score questionnaire).

Assess the list of activitiesScreening visit

List of activities in hemophilia (completing the autocuestionario Hemophilia Activities List).

Assess the physical performanceScreening visit

Perception of physical performance (with the HEP-Test-Q questionnaire)

Assess the health ProfileScreening visit

Health Profile (using the scale Nottingham health profile)

Assess the quality of lifeScreening visit

Quality of life (using the SF-36 and Haemo-QoL-36 questionnaire).

Secondary Outcome Measures
NameTimeMethod
Age, sex, weight of the patients with hemophiliaScreening visit
Diagnosis, severity of hemophilia, type of treatment (prophylactic or on-demand) and inhibitorsScreening visit
Frequency of joint bleeds in the previous month and bleeding during the assessmentScreening visit

Trial Locations

Locations (1)

Universidad Cat贸lica San Antonio, Murcia

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Murcia, Spain

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