Rubén Cuesta-Barriuso1, Ana Torres-Ortuño2, Joaquín Nieto-Munuera2, José Antonio López-Pina3. 1. Department of Physiotherapy, European University of Madrid, Madrid, Spain; Royal Foundation Victoria Eugenia, Madrid, Spain. Electronic address: ruben.cuestab@gmail.com. 2. Department of Psychiatry and Social Psychology, Faculty of Medicine, University of Murcia, Murcia, Spain. 3. Department of Basic Psychology and Methodology, University of Murcia, Murcia, Spain.
Abstract
OBJECTIVE: To assess the efficacy of an educational physiotherapy home exercise intervention for physical improvement, pain perception, quality of life, and illness behavior in patients with hemophilic arthropathy. DESIGN: Single-blind randomized controlled trial. SETTING: Home. PARTICIPANTS: Patients with hemophilia (N=20) were randomly allocated to an educational intervention group or to a control group. INTERVENTIONS: The educational intervention was performed every 2 weeks over a 15-week period, and home exercises were carried out once a day, 6 days a week, over the same period. MAIN OUTCOME MEASURES: Joint status was evaluated using the Gilbert scale; pain was assessed using the visual analog scale; illness behavior was evaluated using the Illness Behavior Questionnaire; and the perception of the quality of life was evaluated using the A36 Hemophilia-QoL questionnaire. RESULTS: We observed significant differences in the intervention group and the control group for both quality of life and illness behavior. There was no significant improvement in joint status; however, an improvement was noted in terms of perception of pain in the ankle. CONCLUSIONS: A physiotherapy program based on educational sessions and home exercises can improve the perception of pain in patients with hemophilic arthropathy of the ankle. It improves some variables in the perception of the quality of life and illness behavior.
RCT Entities:
OBJECTIVE: To assess the efficacy of an educational physiotherapy home exercise intervention for physical improvement, pain perception, quality of life, and illness behavior in patients with hemophilic arthropathy. DESIGN: Single-blind randomized controlled trial. SETTING: Home. PARTICIPANTS: Patients with hemophilia (N=20) were randomly allocated to an educational intervention group or to a control group. INTERVENTIONS: The educational intervention was performed every 2 weeks over a 15-week period, and home exercises were carried out once a day, 6 days a week, over the same period. MAIN OUTCOME MEASURES: Joint status was evaluated using the Gilbert scale; pain was assessed using the visual analog scale; illness behavior was evaluated using the Illness Behavior Questionnaire; and the perception of the quality of life was evaluated using the A36 Hemophilia-QoL questionnaire. RESULTS: We observed significant differences in the intervention group and the control group for both quality of life and illness behavior. There was no significant improvement in joint status; however, an improvement was noted in terms of perception of pain in the ankle. CONCLUSIONS: A physiotherapy program based on educational sessions and home exercises can improve the perception of pain in patients with hemophilic arthropathy of the ankle. It improves some variables in the perception of the quality of life and illness behavior.
Authors: Rubén Cuesta-Barriuso; Raúl Pérez-Llanes; Elena Donoso-Úbeda; José Antonio López-Pina; Javier Meroño-Gallut Journal: Medicine (Baltimore) Date: 2021-05-21 Impact factor: 1.817
Authors: Merel A Timmer; Corelien J J Kloek; Piet de Kleijn; Isolde A R Kuijlaars; Roger E G Schutgens; Cindy Veenhof; Martijn F Pisters Journal: J Med Internet Res Date: 2020-06-19 Impact factor: 5.428
Authors: Roberta Gualtierotti; Francesco Tafuri; Sara Arcudi; Pier Luigi Solimeno; Jacopo Acquati; Laura Landi; Flora Peyvandi Journal: Pain Ther Date: 2022-01-12