Elena Donoso-Úbeda1, Javier Meroño-Gallut2, José Antonio López-Pina3, Rubén Cuesta-Barriuso4,5,6. 1. Optimus Osteopathy and Physiotherapy Clinic, Murcia, Spain. 2. Tú. Bienestar 360º, Pysiotherapy and Medical Center, Murcia, Spain. 3. Department of Basic Psychology and Methodology, Faculty of Psychology, University of Murcia, Murcia, Spain. 4. Department of Physiotherapy, European University of Madrid, Madrid, Spain. 5. Royal Victoria Eugenia Foundation, Madrid, Spain. 6. Fishemo CEE, Spanish Federation of Hemophilia, Madrid, Spain.
Abstract
OBJECTIVE: The aim of this study was to evaluate the effects of a manual therapy using fascial therapy on joint bleeding, joint pain and joint function in patients with hemophilic ankle arthropathy. SETTING: Hemophilia patient associations. DESIGN: Randomized, controlled trial, multicenter and intention-to-treat analysis. PARTICIPANTS: A total of 65 patients with hemophilic ankle arthropathy. INTERVENTION: The experimental group (n = 33) received one fascial therapy session per week for three weeks. The control group (n = 32) received no treatment. OUTCOME MEASURE: The primary outcome was frequency of joint bleeding measured using self-reporting. Secondary outcomes were joint pain (under load-bearing and non-load-bearing conditions) measured using the visual analog scale; joint condition was measured using the Hemophilia Joint Health Score. Outcomes were measured at baseline, posttreatment and after five months of follow-up. RESULTS: Improvements in the frequency joint bleeding at T0, T1 and T2 were significantly higher in the experimental group (T0: mean (SD) = 1.56 (1.30); T1: mean (SD) = 0.00 (0.00); T2: mean (SD) = 0.27 (0.57)) compared to the control group (T0: mean (SD) = 1.70 (1.78); T1: mean (SD) = 0.05 (0.21); T2: mean (SD) = 0.58 (0.85)). Mean improvement of joint state after the study period was 1.74 points (±1.66) for patients in the experimental group, while the control group exhibited a joint deterioration with 0.43 points (±0.85). Ankle joint pain under load-bearing and non-load-bearing conditions improved in the experimental group with -1.72 (±1.86) and -0.50 (±1.39) points, respectively. CONCLUSION: The study showed that fascial therapy is favorable for patients with hemophilic ankle arthropathy.
OBJECTIVE: The aim of this study was to evaluate the effects of a manual therapy using fascial therapy on joint bleeding, joint pain and joint function in patients with hemophilic ankle arthropathy. SETTING: Hemophilia patient associations. DESIGN: Randomized, controlled trial, multicenter and intention-to-treat analysis. PARTICIPANTS: A total of 65 patients with hemophilic ankle arthropathy. INTERVENTION: The experimental group (n = 33) received one fascial therapy session per week for three weeks. The control group (n = 32) received no treatment. OUTCOME MEASURE: The primary outcome was frequency of joint bleeding measured using self-reporting. Secondary outcomes were joint pain (under load-bearing and non-load-bearing conditions) measured using the visual analog scale; joint condition was measured using the Hemophilia Joint Health Score. Outcomes were measured at baseline, posttreatment and after five months of follow-up. RESULTS: Improvements in the frequency joint bleeding at T0, T1 and T2 were significantly higher in the experimental group (T0: mean (SD) = 1.56 (1.30); T1: mean (SD) = 0.00 (0.00); T2: mean (SD) = 0.27 (0.57)) compared to the control group (T0: mean (SD) = 1.70 (1.78); T1: mean (SD) = 0.05 (0.21); T2: mean (SD) = 0.58 (0.85)). Mean improvement of joint state after the study period was 1.74 points (±1.66) for patients in the experimental group, while the control group exhibited a joint deterioration with 0.43 points (±0.85). Ankle joint pain under load-bearing and non-load-bearing conditions improved in the experimental group with -1.72 (±1.86) and -0.50 (±1.39) points, respectively. CONCLUSION: The study showed that fascial therapy is favorable for patients with hemophilic ankle arthropathy.