Low frequency physiotherapy on joint health, hemarthrosis, walking, balance and reaction time in hemophilic arthropathy: a controlled trial.

IF 2.2 3区医学 Q2 ORTHOPEDICS

BMC Musculoskeletal Disorders Pub Date : 2025-04-04 DOI:10.1186/s12891-025-08549-4

Ayse Merve Tat, Necati Muhammed Tat, Serbay Sekeroz, Meryem Buke, Kamuran Karaman

{"title":"Low frequency physiotherapy on joint health, hemarthrosis, walking, balance and reaction time in hemophilic arthropathy: a controlled trial.","authors":"Ayse Merve Tat, Necati Muhammed Tat, Serbay Sekeroz, Meryem Buke, Kamuran Karaman","doi":"10.1186/s12891-025-08549-4","DOIUrl":null,"url":null,"abstract":"Background: Physiotherapy is recommended for people with hemophilic arthropathy (PwHA) to improve musculoskeletal health and is typically administered in 2 or 3 sessions per week. We aimed to investigate the effects of once a week comprehensive physiotherapy and home exercise on musculoskeletal system of PwHA.Methods: In this study 19 young PwHA with knee and/or ankle were non-randomly divided into two groups: The Home Exercise Group (HEG) and the Comprehensive Physiotherapy Group (CPG). Joint health was evaluated with the Hemophilia Joint Health Score (HJHS), muscle strength (MS) with manual muscle tester, range of motion (ROM) with universal goniometer, pain with Numerical Pain Scale (NPS). The following functional tests were used: 6 min Walking Test (6MWT) for walking capacity, Functional Reach Test (FRT) for dynamic balance and Fitlight® system for visuomotor reaction time (VMRT). The frequency of hemarthrosis (FoH) in the last 6 weeks was obtained from the self-recorded data. The CPG received comprehensive physiotherapy once a week, including manual therapy, neuromuscular electrical stimulation and supervised exercises, and they performed home exercises for the other two days of the week. The HEG only performed home exercises 3 days a week. All the treatments lasted 6 weeks and evaluations were repeated.Results: Compared with the HEG, the CPG significantly ameliorated for NPS, FoH, HJHS, VMRT (time and mean), 6MWT, all MS and several ROMs. CPG significantly improved in all outcomes except for 1 ROM. The HEG significantly improved in FoH, HJHS, VMRT (time), 6MWT and MS, but not in the ROMs.Conclusion: Comprehensive physiotherapy once a week and continuing home exercise significantly improve joint health, functionality and balance, and reduce pain and hemarthrosis in PwHA.Trial registration: The study was registered at Clinicaltrials.gov (Study ID NCT06331091, retrospectively registered).","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"332"},"PeriodicalIF":2.2000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971827/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Musculoskeletal Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12891-025-08549-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Physiotherapy is recommended for people with hemophilic arthropathy (PwHA) to improve musculoskeletal health and is typically administered in 2 or 3 sessions per week. We aimed to investigate the effects of once a week comprehensive physiotherapy and home exercise on musculoskeletal system of PwHA.

Methods: In this study 19 young PwHA with knee and/or ankle were non-randomly divided into two groups: The Home Exercise Group (HEG) and the Comprehensive Physiotherapy Group (CPG). Joint health was evaluated with the Hemophilia Joint Health Score (HJHS), muscle strength (MS) with manual muscle tester, range of motion (ROM) with universal goniometer, pain with Numerical Pain Scale (NPS). The following functional tests were used: 6 min Walking Test (6MWT) for walking capacity, Functional Reach Test (FRT) for dynamic balance and Fitlight^® system for visuomotor reaction time (VMRT). The frequency of hemarthrosis (FoH) in the last 6 weeks was obtained from the self-recorded data. The CPG received comprehensive physiotherapy once a week, including manual therapy, neuromuscular electrical stimulation and supervised exercises, and they performed home exercises for the other two days of the week. The HEG only performed home exercises 3 days a week. All the treatments lasted 6 weeks and evaluations were repeated.

Results: Compared with the HEG, the CPG significantly ameliorated for NPS, FoH, HJHS, VMRT (time and mean), 6MWT, all MS and several ROMs. CPG significantly improved in all outcomes except for 1 ROM. The HEG significantly improved in FoH, HJHS, VMRT (time), 6MWT and MS, but not in the ROMs.

Conclusion: Comprehensive physiotherapy once a week and continuing home exercise significantly improve joint health, functionality and balance, and reduce pain and hemarthrosis in PwHA.

Trial registration: The study was registered at Clinicaltrials.gov (Study ID NCT06331091, retrospectively registered).

查看原文本刊更多论文

低频物理疗法对血友病关节病患者关节健康、血肿、行走、平衡和反应时间的影响：对照试验。

背景：物理治疗被推荐给患有血友病关节病（PwHA）的人，以改善肌肉骨骼健康，通常每周进行2或3次治疗。我们的目的是探讨每周一次的综合物理治疗和家庭运动对PwHA肌肉骨骼系统的影响。方法：将19例患有膝关节和/或踝关节的年轻PwHA患者随机分为两组：家庭运动组（HEG）和综合物理治疗组（CPG）。关节健康采用血友病关节健康评分（HJHS），肌肉力量（MS）采用手动肌肉测试仪，关节活动度（ROM）采用通用关节角计，疼痛采用数值疼痛量表（NPS）。使用以下功能测试：6分钟步行测试（6MWT）用于步行能力，功能到达测试（FRT）用于动态平衡，Fitlight®系统用于视觉运动反应时间（VMRT）。近6周内关节出血（FoH）发生频率由患者自行记录。CPG每周接受一次综合物理治疗，包括手工治疗、神经肌肉电刺激和监督锻炼，另外两天在家中进行锻炼。HEG每周只进行3天的家庭锻炼。所有治疗持续6周，重复评估。结果：与HEG相比，CPG在NPS、FoH、HJHS、VMRT（时间和平均值）、6MWT、所有MS和若干ROMs方面均有显著改善。除1 ROM外，CPG在所有结局中均显著改善。HEG在FoH、HJHS、VMRT（时间）、6MWT和MS中均显著改善，但在ROM中无显著改善。结论：每周一次的综合物理治疗和持续的家庭运动可显著改善PwHA患者的关节健康、功能和平衡，减轻疼痛和关节水肿。试验注册：该研究在Clinicaltrials.gov上注册（研究编号NCT06331091，回顾性注册）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.