Abstract
BACKGROUND AND OBJECTIVES: Hemophilia is a congenital, uncommon and chronic coagulopathy characterized by recurrent hemarthrosis outbreaks. It affects predominantly males and produces major musculoskeletal disorders, such as movement limitation, joint fibrosis, hemarthrosis and tissue hemorrhages, muscle contractures, muscle strength deficit and hemophilic arthritis, resulting in pain and impaired quality of life. This study aimed at evaluating the effects of a physiotherapeutic intervention program on pain and quality of life of a patient with hemophilic arthritis. CASE REPORT: Male patient, 23 years old, with hemophilic arthritis. His major complaint was pain in different body sites, especially in ankles and right knee. Pain was evaluated with the visual analog scale and body pain map, and quality of life was evaluated with the Short-Form Health Survey questionnaire. Patient was submitted to eight physiotherapy sessions, once a week, with mean duration of 50 minutes, between May and June 2015. Adopted intervention protocol was based on conventional kinesiotherapy. CONCLUSION: This study has shown that a physiotherapy program based on kinesiotherapy has decreased the number of tender points and pain intensity, as well as has improved quality of life of a patient with hemophilic arthritis.
Highlights
Evidences recommend that physiotherapy should be applied two to three times a week with minimum duration of three months[20], which is in line with current study which has adopted a shorter intervention time and patient improved or maintained pain and quality of life (QL)
A different study has evaluated the efficacy of two physiotherapeutic interventions in nine ankle hemophilic arthritis (HA) patients
It was observed that QL had significantly improved[1], what is in line with current study because our patient has performed a protocol of kinesiotherapy-based exercises and has improved QL, especially in limitation by physical aspects and pain
Summary
AND OBJECTIVES: Hemophilia is a congenital, uncommon and chronic coagulopathy characterized by recurrent hemarthrosis outbreaks It affects predominantly males and produces major musculoskeletal disorders, such as movement limitation, joint fibrosis, hemarthrosis and tissue hemorrhages, muscle contractures, muscle strength deficit and hemophilic arthritis, resulting in pain and impaired quality of life. CONCLUSION: This study has shown that a physiotherapy program based on kinesiotherapy has decreased the number of tender points and pain intensity, as well as has improved quality of life of a patient with hemophilic arthritis. O objetivo deste estudo foi verificar os efeitos de um programa fisioterápico de intervenção na dor e na qualidade de vida de um indivíduo com artrite hemofílica. CONCLUSÃO: O presente estudo demonstrou que um programa de fisioterapia baseado na cinesioterapia diminuiu o número de pontos dolorosos e a intensidade da dor, bem como melhorou os domínios da qualidade de vida em um indivíduo com artrite hemofílica.
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