血友病踝关节病的关节和肌筋膜手工治疗技术：一项随机试点研究。

IF 3 2区医学 Q2 HEMATOLOGY

Haemophilia Pub Date : 2025-02-07 DOI:10.1111/hae.70002

Carlos Truque-Díaz, Javier Meroño-Gallut, Rubén Cuesta-Barriuso, Raúl Pérez-Llanes

{"title":"血友病踝关节病的关节和肌筋膜手工治疗技术：一项随机试点研究。","authors":"Carlos Truque-Díaz, Javier Meroño-Gallut, Rubén Cuesta-Barriuso, Raúl Pérez-Llanes","doi":"10.1111/hae.70002","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Haemophilic ankle arthropathy is characterized by chronic pain, loss of strength and proprioception, decreased range of motion (ROM) and impaired functionality.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate the safety and efficacy of a manual therapy protocol based on joint and myofascial techniques in patients with haemophilic ankle arthropathy.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A randomized, single-blind pilot study. Twenty-four patients with haemophilia were randomized to the experimental (manual therapy) and control (no intervention) groups. The intervention lasted for 3 weeks, with one 50-min weekly session. Techniques used: active-passive joint mobilization, articulatory technique, joint decompression and high-speed and short-stroke manipulation, and sustained myofascial induction techniques. The study variables were safety of the intervention (number of hemarthroses), joint pain intensity (visual analogue scale), pressure pain threshold (pressure algometer), range of ankle motion (Leg Motion) and joint condition (Haemophilia Joint Health Score).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>None of the patients developed ankle hemarthrosis during the intervention. After the intervention there were intergroup differences in the variables pain intensity (MD = −0.45; <i>p</i> < 0.001), ROM (MD = 0.19; <i>p</i> = 0.003), joint condition (MD = 0.04; <i>p</i> = 0.03) and pressure pain threshold in the internal malleolus (MD = 1.36; <i>p</i> = 0.01). For the interaction <i>time*group</i> after the follow-up period, there were statistically significant differences in pain intensity (<i>F</i> = 6.94; <i>p</i> = 0.01) and dorsal flexion (<i>F</i> = 3.36; <i>p</i> = 0.04) of the ankle.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Manual therapy based on joint and myofascial techniques is safe in haemophilia patients. A protocol implementing joint and myofascial techniques having the dosage and safety parameters established in this study can improve the intensity of pain and dorsal flexion of the ankle in these patients.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>ClinicalTrials.gov identifier: NCT05549843</p>\n </section>\n </div>","PeriodicalId":12819,"journal":{"name":"Haemophilia","volume":"31 2","pages":"295-303"},"PeriodicalIF":3.0000,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Joint and Myofascial Manual Therapy Techniques in Haemophilic Ankle Arthropathy: A Randomized Pilot Study\",\"authors\":\"Carlos Truque-Díaz, Javier Meroño-Gallut, Rubén Cuesta-Barriuso, Raúl Pérez-Llanes\",\"doi\":\"10.1111/hae.70002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Haemophilic ankle arthropathy is characterized by chronic pain, loss of strength and proprioception, decreased range of motion (ROM) and impaired functionality.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate the safety and efficacy of a manual therapy protocol based on joint and myofascial techniques in patients with haemophilic ankle arthropathy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A randomized, single-blind pilot study. Twenty-four patients with haemophilia were randomized to the experimental (manual therapy) and control (no intervention) groups. The intervention lasted for 3 weeks, with one 50-min weekly session. Techniques used: active-passive joint mobilization, articulatory technique, joint decompression and high-speed and short-stroke manipulation, and sustained myofascial induction techniques. The study variables were safety of the intervention (number of hemarthroses), joint pain intensity (visual analogue scale), pressure pain threshold (pressure algometer), range of ankle motion (Leg Motion) and joint condition (Haemophilia Joint Health Score).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>None of the patients developed ankle hemarthrosis during the intervention. After the intervention there were intergroup differences in the variables pain intensity (MD = −0.45; <i>p</i> < 0.001), ROM (MD = 0.19; <i>p</i> = 0.003), joint condition (MD = 0.04; <i>p</i> = 0.03) and pressure pain threshold in the internal malleolus (MD = 1.36; <i>p</i> = 0.01). For the interaction <i>time*group</i> after the follow-up period, there were statistically significant differences in pain intensity (<i>F</i> = 6.94; <i>p</i> = 0.01) and dorsal flexion (<i>F</i> = 3.36; <i>p</i> = 0.04) of the ankle.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Manual therapy based on joint and myofascial techniques is safe in haemophilia patients. A protocol implementing joint and myofascial techniques having the dosage and safety parameters established in this study can improve the intensity of pain and dorsal flexion of the ankle in these patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Trial Registration</h3>\\n \\n <p>ClinicalTrials.gov identifier: NCT05549843</p>\\n </section>\\n </div>\",\"PeriodicalId\":12819,\"journal\":{\"name\":\"Haemophilia\",\"volume\":\"31 2\",\"pages\":\"295-303\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-02-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Haemophilia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/hae.70002\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Haemophilia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/hae.70002","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEMATOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景：血友病踝关节病的特点是慢性疼痛，力量和本体感觉丧失，活动范围（ROM）减少和功能受损。目的：评价基于关节和肌筋膜技术的手工治疗方案治疗血友病踝关节病的安全性和有效性。方法：随机、单盲先导研究。24例血友病患者随机分为实验组（手工治疗组）和对照组（不干预组）。干预持续3周，每周一次50分钟。使用的技术：主动-被动关节活动、关节调节技术、关节减压、高速和短行程操作、持续肌筋膜诱导技术。研究变量为干预的安全性（血肿数量）、关节疼痛强度（视觉模拟量表）、压痛阈值（压力测量仪）、踝关节活动范围（腿部运动）和关节状况（血友病关节健康评分）。结果：干预期间无一例患者发生踝关节血肿。干预后疼痛强度变量组间差异(MD = -0.45；p < 0.001), ROM (MD = 0.19；p = 0.003)，关节状况(MD = 0.04；p = 0.03)和内踝压痛阈(MD = 1.36；P = 0.01)。随访期后互动时间*组疼痛强度差异有统计学意义(F = 6.94；p = 0.01)和背屈(F = 3.36；P = 0.04)。结论：基于关节和肌筋膜技术的手工治疗对血友病患者是安全的。采用关节和肌筋膜技术的方案具有本研究中建立的剂量和安全参数，可以改善这些患者的疼痛强度和踝关节背屈。试验注册：ClinicalTrials.gov标识符：NCT05549843。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Joint and Myofascial Manual Therapy Techniques in Haemophilic Ankle Arthropathy: A Randomized Pilot Study

Background

Haemophilic ankle arthropathy is characterized by chronic pain, loss of strength and proprioception, decreased range of motion (ROM) and impaired functionality.

Objective

To evaluate the safety and efficacy of a manual therapy protocol based on joint and myofascial techniques in patients with haemophilic ankle arthropathy.

Methods

A randomized, single-blind pilot study. Twenty-four patients with haemophilia were randomized to the experimental (manual therapy) and control (no intervention) groups. The intervention lasted for 3 weeks, with one 50-min weekly session. Techniques used: active-passive joint mobilization, articulatory technique, joint decompression and high-speed and short-stroke manipulation, and sustained myofascial induction techniques. The study variables were safety of the intervention (number of hemarthroses), joint pain intensity (visual analogue scale), pressure pain threshold (pressure algometer), range of ankle motion (Leg Motion) and joint condition (Haemophilia Joint Health Score).

Results

None of the patients developed ankle hemarthrosis during the intervention. After the intervention there were intergroup differences in the variables pain intensity (MD = −0.45; p < 0.001), ROM (MD = 0.19; p = 0.003), joint condition (MD = 0.04; p = 0.03) and pressure pain threshold in the internal malleolus (MD = 1.36; p = 0.01). For the interaction time*group after the follow-up period, there were statistically significant differences in pain intensity (F = 6.94; p = 0.01) and dorsal flexion (F = 3.36; p = 0.04) of the ankle.

Conclusions

Manual therapy based on joint and myofascial techniques is safe in haemophilia patients. A protocol implementing joint and myofascial techniques having the dosage and safety parameters established in this study can improve the intensity of pain and dorsal flexion of the ankle in these patients.

Trial Registration

ClinicalTrials.gov identifier: NCT05549843

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Haemophilia 医学-血液学

CiteScore

6.50

自引率

28.20%

发文量

226

审稿时长

3-6 weeks

期刊介绍： Haemophilia is an international journal dedicated to the exchange of information regarding the comprehensive care of haemophilia. The Journal contains review articles, original scientific papers and case reports related to haemophilia care, with frequent supplements. Subjects covered include: clotting factor deficiencies, both inherited and acquired: haemophilia A, B, von Willebrand''s disease, deficiencies of factor V, VII, X and XI replacement therapy for clotting factor deficiencies component therapy in the developing world transfusion transmitted disease haemophilia care and paediatrics, orthopaedics, gynaecology and obstetrics nursing laboratory diagnosis carrier detection psycho-social concerns economic issues audit inherited platelet disorders.