Highlights
- •Hemophilic arthropathy is characterized by chronic pain and joint deterioration.
- •Patients with hemophilia have a poorer quality of life than their peers without hemophilia.
- •Physiotherapy treatment can improve the quality of life of patients with hemophilic elbow arthropathy.
- •Manual therapy protocols can improve joint pain and joint health in patients with hemophilia.
Abstract
Objective
To evaluate the effect of fascial therapy on the perceived quality of life, pain intensity,
and joint health in people with hemophilia.
Design
Single-blind randomized controlled trial.
Setting
Hemophilia Patient Associations.
Participants
Patients with hemophilia (N=69) were randomly allocated to an experimental group (fascial
therapy protocol) or to a control group (no intervention whatsoever).
Interventions
The fascial therapy intervention lasted 3 consecutive weeks with one 45-minute weekly
session.
Main Outcome Measures
The variables evaluated were perceived quality of life (Short Form Health Survey-36),
pain intensity (visual analog scale) and joint health (Hemophilia Joint Health Score)
at baseline and at 3 and 12 weeks.
Results
The mean values of the physical (38.64±9.41 and 41.92±12.16) and mental (45.77±6.25
and 55.02±9.73) components of the Short Form Health Survey-36 improved after the intervention
in the experimental group, as well as those for pain intensity and joint health (P<.001). There were differences (P<.001) in the intergroup effect in the physical role variables (F=49.22), emotional
role (F=229.71), mental component (F=9.86), intensity of pain (F=24.74), and joint
health (F=55.31).
Conclusions
A fascial therapy protocol for patients with hemophilic elbow arthropathy can improve
their perceived quality of life. Elbow pain intensity improved in patients treated
with fascial therapy. This technique can improve elbow joint health.
Keywords
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Article info
Publication history
Published online: January 22, 2022
Accepted:
December 24,
2021
Received in revised form:
December 23,
2021
Received:
March 24,
2021
Footnotes
Supported by Baxalta US Inc, a Takeda company, Lexington, MA, (grant no. H16-36143). The funders played no role in the design, conduct, or reporting of this study.
Clinical Trial Registration No.: NCT03009591.
Disclosures: none
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
