Physiotherapy and Reaction Time in Hemophilia
- Conditions
- Hemophilia Arthropathy
- Interventions
- Other: Home exerciseOther: Manual therapyDevice: Neuromuscular electrical stimulationOther: Supervised exercise
- Registration Number
- NCT06331091
- Lead Sponsor
- Yuzuncu Yıl University
- Brief Summary
This randomised controlled study was conducted to investigate the comprehensive physiotherapy combined with home exercises on individuals with hemophilic arthropathy in the lower extremity. There are two groups in the study: home exercises and comprehensive physiotherapy combined with home exercises. Is physiotherapy combined with home exercises superior to home exercises on joint health, bleeding frequency, reaction time, dynamic balance, muscle strength? The aim of this study is to increase the compliance of hemophilic individuals to physiotherapy and adapt home exercises to their lives with weekly sessions.
- Detailed Description
Introduction: The positive effects of physiotherapy and exercise on joint health, frequency of hemartrosis (FoH) in patient with hemophilic arhropathy (PwHA) are well explained in the literature. However, adaptation problems to physiotherapy sessions (usually 3 times a week) may cause PwHA to ignore the need for therapy. It may be more beneficial for PwHA to adapt physiotherapy and exercise into daily live.
Aim: To investigate the effect of a once-a-week physiotherapy combined with home exercises on joint health, FoH, muscle strength, pain, reaction time and dynamic balance.
Methods: 20 patients have hemophilic arthropathy in knee and/or ankle were randomly divided into 2 groups, named home exercise (HE) and comprehensive physiotherapy combined with home exercise (CPcwHE). In the clinical assessment, HJHS, manuel muscle tester, Fitlight® system for reaction time, functional reach test for dynamic balance were used and questioned the number of bleedings in the last 6 weeks for FoH. The CP group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week. The HE group performed the exercises given to CP at home 3 times a week. Evaluations were repeated at the end of 6 weeks.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 21
-Clinical diagnosis of hemophilia
-Clinical diagnosis of hemophilic arthropathy in ankle and/or
- Clinical diagnosis of any neurological disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Comprehensive physiotherapy Home exercise This group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week for 6 weeks. Comprehensive physiotherapy Manual therapy This group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week for 6 weeks. Comprehensive physiotherapy Neuromuscular electrical stimulation This group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week for 6 weeks. Home exercise Home exercise This group performed the same exercises given to comprehensive physiotherapy group at home 3 times a week for 6 weeks. Comprehensive physiotherapy Supervised exercise This group received comprehensive physiotherapy (manual therapy, neuromuscular electrical stimulation and exercises) 1 day a week, and did the exercises at home the other 2 days a week for 6 weeks.
- Primary Outcome Measures
Name Time Method Hemophilia Joint Health Score 6 weeks Joint health (Max values= 84, min values=0. As the value increases, joint health worsens.)
Reaction time 6 week Dynamic balance
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Van Yüzüncü Yıl University
🇹🇷Van, Turkey