Fascial therapy in haemophilic ankle arthropathy

What is it about?

The primary clinical manifestations of hemophilia are muscle and joint bleeding. Recurrent bleeding leads to a degenerative process known as hemophilic arthropathy. Fascial therapy is one of the most used physiotherapy techniques today to improve joint dysfunctions and chronic pain. The objective was to assess the safety and efficacy of fascial therapy treatment in patients with hemophilic arthropathy of ankle and knee. Non-randomized, controlled clinical trial. Sixteen patients with hemophilia were allocated to an experimental group or to a control group. The physiotherapy intervention was performed through three sessions (one per week), for 60 min per session. Patients received a physiotherapy treatment using a fascial therapy protocol for patients with hemophilia. The joint status was evaluated using the Hemophilia Joint Health Score; pain was assessed with the Visual Analogue Scale; the range of movement was evaluated using a universal goniometer; the flexibility of the hamstring muscles was assessed with the fingertip-to-floor, and the lumbar mobility through the Schöber test. We observed significant differences in the experimental group for both quality of life and illness behavior. There was no significant improvement in the joint status; however, an improvement was noted in terms of perception of pain in the ankle. A physiotherapy program based on fascial therapy is safe in patients with hemophilia. Fascial therapy may improve joint status, pain, and mobility in patients with hemophiliac arthropathy of the knee and ankle.

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Why is it important?

At present, training in fascial therapy is used by physiotherapists. The implementation of a physiotherapy protocol through fascial therapy that is safe for these patients and improves clinical variables such as mobility and joint pain is essential. A treatment program of only three sessions favors the implementation of a safe physiotherapy treatment and adherence thereto of patients with hemophilia.

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