Rheumatology International

, Volume 28, Issue 6, pp 541–545

A prospective series of musculoskeletal system rehabilitation of arthropathic joints in young male hemophilic patients

  • Eda Gurcay
  • Emel Eksioglu
  • Ustun Ezer
  • Banu Cakir
  • Aytul Cakci
Original Article

DOI: 10.1007/s00296-007-0474-7

Cite this article as:
Gurcay, E., Eksioglu, E., Ezer, U. et al. Rheumatol Int (2008) 28: 541. doi:10.1007/s00296-007-0474-7
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Abstract

The study aims to evaluate prospective results of physical therapy interventions and rehabilitation of arthropathic joints in young male hemophilic patients. Given that the effectiveness of the therapy would be higher if therapy is provided at early ages, a series of males aged 18 years or younger were included in the study.The study is a descriptive case series of 31 hemophilic children who consecutively referred to the physical therapy and rehabilitation clinic from the pediatric hematology clinic of the same hospital over a period of 12 months. After getting their oral informed consent, all the patients underwent an intensive, 4-week clinical rehabilitation program, concomitant with factor replacement treatment. A total of 65 arthropathic joints were evaluated in the study and physical therapy interventions were applied 5 days a week for 1 h daily. The range of motion (ROM), pain, clinical evaluation and disability scores were compared and contrasted before and after the 4-week physiotherapy program. The ROM of all involved joints improved (at knee, ankle and elbow) and the scores of pain, clinical evaluation and disability revealed statistically significant improvement (P < 0.001). A multidisciplinary approach is important in the management of hemophilic arthropathy and appropriate physiotherapy combined with adequate replacement factor therapy promotes maintenance of the musculoskeletal function in male hemophilic patients.

Keywords

DisabilityEvaluationHemophiliaRehabilitationMalesChildren

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Eda Gurcay
    • 1
    • 4
  • Emel Eksioglu
    • 1
  • Ustun Ezer
    • 2
  • Banu Cakir
    • 3
  • Aytul Cakci
    • 1
  1. 1.Department of Physical Therapy and RehabilitationMinistry of Health Ankara Diskapi Yildirim Beyazit Education and Research HospitalAnkaraTurkey
  2. 2.Department of Pediatric HematologyMinistry of Health Ankara Diskapi Yildirim Beyazit Education and Research HospitalAnkaraTurkey
  3. 3.Department of Public HealthHacettepe University Medical SchoolAnkaraTurkey
  4. 4.Incirli Mah. Yunus Emre Cad. Yigitler SokAnkaraTurkey