Hemophilia Clinical Trial
Official title:
Prospective and Multicenter Study to Assess the Safety and Effectiveness of a Physiotherapy Treatment Through Fascial Therapy in Hemophilic Elbow Arthropathy. A Pilot Study.
Introduction: The common clinical manifestations of hemophilia are skeletal muscle bleeds,
especially hematomas and hemarthrosis. Repeated episodes of joint bleeding in certain joints,
causing a progressive joint deterioration. Secondary disorders to this joint degeneration
include: biomechanical alterations, loss of range of movement and periarticular muscle
atrophy.
Design. A prospective, multicenter and longitudinal pilot study to evaluate the efficacy of a
treatment protocol with fascial therapy applied in patients with hemophilic arthropathy of
the elbow.
Aimed: To evaluate the safety and efficacy of a physiotherapy treatment by fascial therapy in
patients with hemophilic arthropathy of the elbow Patients: A total of 60 patients with
hemophilia and prophylactic treatment will be recruited for inclusion in the study. Patients
will be recruited in 6 centers, from different regions of Spain.
Intervention: Each session will last approximately 50 minutes, with three physiotherapy
sessions taking place over a period of 3 weeks. The treatment program includes 11 maneuvers
that must be administered bilaterally:
Measuring instruments and study variables: goniometric evaluation (range of movement); visual
analog scale (joint pain); Haemophilia Joint Health Score (joint status); DASH Questionnaire
(functionality of upper limbs); SF-36 Questionnaire (perception of quality of life). At the
same time, the study will allow to determine joint bleeding caused by applied physiotherapy
treatment.
Expected results: First, it is intended to demonstrate the safety of this physiotherapy
technique in patients with hemophilia. Likewise, an improvement in the perception of elbow
pain and joint mobility is expected. An improved functionality of the upper limb is also
foreseen and with it, an enhanced perception of quality of life of these patients.
n/a
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