This study evaluates the clinical impact of a progressive resistance training program in adults patients with haemophilia
The training program aims improving muscular strength and endurance in the relevant muscles and joints (knee, elbow, ankle, shoulder and hip) in order to improve the quality of life in the patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
Progressive resistance training program
Usual daily activities
University of Valencia
Valencia, Spain
Change in Muscle strength
For measuring the isometric knee flexion and extension, ankle plantarflexion and dorsiflexion strength and isometric elbow flexion and extension strength, a portable hand-held dynamometer will be used (Nicholas Manual Muscle Tester, Lafayette Instruments, Indiana, USA).
Time frame: baseline and 8 weeks
Change in Timed Up and Go
The Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.
Time frame: baseline and 8 weeks
Change in Haemophilia Quality of life questionnaire (A36 Haemophilia-QoL® )
The Haemophilia-QoL questionnaire is a self-report modular instrument that assesses nine relevant HRQoL domains for patients with haemophilia (e.g. physical health, daily activities, joint damage, pain, treatment satisfaction, treatment difficulties, emotional functioning, mental health, relationships and social activity).
Time frame: baseline and 8 weeks
Change in Bleedings
Number of Bleedings During the study
Time frame: daily (during the 8 weeks of intervention)
Change in viscoelastic properties (rectus femoris)
Myoton Pro
Time frame: baseline and 8 weeks
Change in sit-to-stand test
The time taken for the participant to stand up and sit down from a standard 45 cm chair with arms three times, as quickly as possible, was measured.
Time frame: baseline and 8 weeks
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Change in Haemophilia Activities List questionnaire
The Haemophilia Activities List questionnaire measures the impact of hemophilia on self-perceived functional abilities in adults. It contains 42 multiple choice questions in seven domains: Lying/sitting/kneeling/standing (8 items) Functions of the legs (9 items) Functions of the arms (4 items) Use of transportation (3 items) Self-care (5 items) Household tasks (6 items) Leisure activities and sports (7 items) The most important outcomes are the overall sum score and three component scores relating to upper extremity activities, basic lower extremity activities, and complex lower extremity activities. A domain score for each of the seven domains can also be calculated.
Time frame: baseline and 8 weeks
Change in The Haemophilia Joint Health Score (HJHS)
The HJHS measures joint health, in the domain of body structure and function (i.e. impairment), of the joints most commonly affected by bleeding in hemophilia: the knees, ankles, and elbows.The HJHS 2.1 provides a total score (higher score is worse; max=124), joint specific scores, and a global gait score.
Time frame: baseline and 8 weeks
Change in Pain
11-point numerical pain rating scale with higher score meaning higher pain
Time frame: baseline and 8 weeks
Change in workability index
workability index with single question
Time frame: baseline and 8 weeks
Change in analgesics use (days/week)
The number of days the participants used analgesics during the last week
Time frame: baseline and 8 weeks
Change in Range Of Motion (ROM)
elbow extensio/flexion, ankle dorsiflexion/plantar flexion and knee flexion/extension ROM with a goniometer
Time frame: baseline and 8 weeks
Change in Kinesiophobia
Tampa Scale of Kinesiophobia (TSK-11SV) used to assess changes in fear of movement
Time frame: baseline and 8 weeks