HEMOPHILIC ARTHROPATHY: THE ROLE OF PHYSICAL THERAPY

The World Health Organization defines rehabilitation as “a set of measures that assist individuals who experience, or are likely to experience, disability to achieve and maintain optimal functioning in interaction with their environments.” Mobility is, therefore, an essential element of health and wellness and central to being healthy.

Bleeding in joints and muscles is a predominant clinical feature of hemophilia and can trigger a degenerative process characterized by alterations in joint cartilage and other joint structures. Between 35% and 50% of patients, in fact, report living with chronic musculoskeletal pain. Prophylactic therapy with coagulation factor concentrates has been shown to prevent or minimize arthropathy and is standard care for people with this condition. Prevention of arthropathy, however, remains a primary goal of hemophilia treatment.

Physical therapy in the individual with hemophilia is aimed at the needs and movement potential of patients, and offers rehabilitation and services to develop, maintain, and restore maximum movement and functional capacity.

In fact, recently published guidelines on the management of hemarthrosis recommend early physical therapy in order to control symptoms, prevent recurrence of bleeding, prevent joint damage, and restore full joint function and activity.

 

References

Stephensen D, Bladen M, McLaughlin P. Recent advances in musculoskeletal physiotherapy for haemophilia. Ther Adv Hematol. 2018 Jul 2;9(8):227-237. doi: 10.1177/2040620718784834.

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Wikiphilia

Learn more about the meaning of the words you read on this page and learn about the entire glossary on hemophilia.

Fuoriuscita di sangue dai vasi sanguigni che si verifica in seguito al danneggiamento delle loro pareti.

L’emorragia si definisce interna nei casi in cui il sangue defluisce in una cavità naturale del corpo, o esterna quando il sangue si riversa all’esterno o in una cavità comunicante con l’esterno.

Active involvement of the patient in the management of his/her health programme.

A ereditary genetic illness, characterised by a deficiency of clotting factor VIII, that exposes the individual to a greater risk of both internal and external bleeds.

Haemophilia A is more common in males, whereas females tend to be healthy carriers of the condition.

The typical symptoms of the condition include haemarthroses (joint bleeds) and haematomas (muscle bleeds).

Damage that occurs in the joints and prevents their normal function, thereby impairing the individual’s ability to move normally. In haemophiliac patients, joint disease is usually the consequence of recurrent haemarthroses.

Condition that occurs when factor VIII activity is between 1% and 5%.

Condition that occurs when factor VIII activity is between 1% and 5%.