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34th Hemophilia Symposium pp 125–134Cite as

Functional Disorders and Treatment Modalities in Hemophilic Children

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Conclusion

As presented above, greater or lesser deviations from normal adult motion can be seen in the various age groups. Children with hemophilia should be encouraged at the earliest possible age to promote optimum inner knee kinematics in order to minimize external bleeding risks through overstrain and false motion as well as the internal bleeding risks. The largest existing study on this subject has clearly defined these abnormal movements and established an exercise program for prevention and control of these kinematic abnormalities. Follow-up studies after implementation of the exercise program can help show whether the small effort involved managed to improve the patient’s situation.

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References

  1. Arnold WD, Hilgartner MW. Hemophilic arthropathy. J Bone Joint Surg [Am] 1977; 59:287–305.

    PubMed  CAS  Google Scholar 

  2. Cerny K, Perry J, Walker JM. Effect of an unrestricted knee-ankle-foot orthosis on the stance phase of gait in healthy persons. Int. Orthopedics 1990; 13(10):1121–1127.

    CAS  Google Scholar 

  3. Cochran GVB. A Primer of Orthopaedic Biomechanics. New York, Churchill Livingstone, 1982; 268–293.

    Google Scholar 

  4. Johnson RP, Babitt DP. Five stages of joint disintegration compared with range of motion in hemophilia. Clin-Orthop 1987; 201: 36–106.

    Google Scholar 

  5. Kadaba MP, Ramakaishnan HK, Wootten Me, Gainey J, Gorton G, Cochran GVB. Repeatability of kinematic, kinetic and electromyographic data in normal adult gait. J Orthop Res 1989; 7: 849–860.

    Article  PubMed  CAS  Google Scholar 

  6. Kapandji IA. Funktionelle Anatomie der Gelenke: Untere Extremität. Enke, Stuttgart 1985

    Google Scholar 

  7. Pettersson H, Ahlberg A, Nilsson IM. A radiographic classification of hemophilic osteoarthropathy. Clin Orthop 1980; 149–153.

    Google Scholar 

  8. Perry J. Gait Ananlysis, Normal and Pathological Function. Thorofare, Slack, USA, 1992; 51–87.

    Google Scholar 

  9. Rodriguez-Merchan EC. Effects of hemophilia on articulations of children and adults. Clin-Orthop 1996; 328: 7–13

    PubMed  Google Scholar 

  10. Schumpe G: Differenzierung der funktionellen Kniebewegung von hämophilen Patienten mittels Ultraschall-Topometrie. Dissertation, Rheinische Friedrich-Wilhelms-Universität Bonn 1982.

    Google Scholar 

  11. Schumpe, G. Biomechanische Aspekte am Kniegelenk. Habilitationsschrift, Rheinische Friedrich-Wilhelms-Universität Bonn 1984.

    Google Scholar 

  12. Seuser, A, Schumpe, G, Eickhoff, HH, Brackmann, H-H, Oldenburg, J. Analyse der Kniekinematik bei Patienten mit Hämarthopathie beim Leg Press Training, In: 24. Hämophilie-Symposium Hamburg. Springer Verlag, Berlin, 1993; p:150.

    Google Scholar 

  13. Seuser A., Schumpe G., v. Deimling U.: Bewegungsanalyse zur Erkennung von Ermüdungserscheinungen und deren Auswirkungen auf die innere Kinematik des Kniegelenkes, In: Regulations-und Repairmechanismen. 33. Deutscher Sportärztekongreß Paderborn; Hrsg.: Liesen H.e.a.; Deutscher Ärzte-Verlag Kö 1993; 429–431.

    Google Scholar 

  14. Seuser A., Schumpe G., Gäbel H. Quantifizierung von rehabilitativen Therapiemaßnahmen und Qualitätssicherung durch die Verlaufskontrolle mittels Ultraschalltopometrie. Wien med. Wschr. 1994;110: 15–18.

    Google Scholar 

  15. Seuser A, Brackmann HH, Oldenburg J, Effenberger W. Orthopedic outcome of the knee and ankle joints of children and adolescents with severe hemophilia A: A 12 year follow up. In: 3rd Musculosceletal Congress of the World Federation of Hemophilia, Herzliya, Israel, 1995; (abstract).

    Google Scholar 

  16. Seuser, A, Klein, H, Wallny, T, Schumpe, G, Brackmann, H-H, Kalnins, W. Grundlagen des medizinischen Bewegungstrainings für Hämophile, In: 27. Hämophilie-Symposium Hamburg, Springer Verlag, Berlin, 1996; p: 266.

    Google Scholar 

  17. Seuser A, Oldenburg, J, Brackmann, HH. Pathogenese, Diagnose und orthopädische Therapie der hämophilen Gelenkarthropathie. In Hämostaseologie:Molekulare und zelluläre Mechanismen, Pathophysiologie und Klinik, Springer-Verlag, 1999; p: 198.

    Google Scholar 

  18. Seuser A, Wallny T, Schumpe G, Brackmann HH, Kramer C: Motion analysis in children with hemophilia in: The Haemophilic Joints; New perspectives, Edited by E.C. Rodriguez-Merchan, Blackwell Publishing LTD Oxford 2003, Seite 155–162.

    Google Scholar 

  19. Spanagel M, Seuser A, Wallny T, Effenberger W, Brackmann HH, Schumpe G: Rotation des hämophilen Kniegelenkes, eine biomechanische Studie. Hämophilie-Symposium Hamburg 1996, Hrsg. I. Scharrer, W. Schramm, Springer-Verlag, Berlin-Heidelberg, 272–279.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Institut für Experimentelle Hämatologie und Transfusionsmedizin der Universität, D-Bonn, Germany

    Frau H. H. Brackmann

  2. Orthopädische Klinik, Med. Einrichtungen der Rheinischen Friedrich-Wilhelms-Universität, D-Bonn, Germany

    PD Dr. T. Wallny

Authors
  1. A. Seuser
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  2. G. Schumpe
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  3. Frau H. H. Brackmann
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  4. PD Dr. T. Wallny
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Editor information

Editors and Affiliations

  1. Hemophilia Center, Dept. of Internal Medicine, University Hospital, Theodor-Stern-Kai 7, D-60590, Frankfurt am Main, Germany

    I. Scharrer

  2. Dept. of Hemostaseology, University Hospital, Ziemssenstr. 1a, D-80336, München, Germany

    W. Schramm

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© 2005 Springer Medizin Verlag Heidelberg

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Seuser, A., Schumpe, G., Brackmann, H.H., Wallny, T. (2005). Functional Disorders and Treatment Modalities in Hemophilic Children. In: Scharrer, I., Schramm, W. (eds) 34th Hemophilia Symposium. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27022-1_20

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  • DOI: https://doi.org/10.1007/3-540-27022-1_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22886-8

  • Online ISBN: 978-3-540-27022-5

  • eBook Packages: MedicineMedicine (R0)

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