Research in Hemophilia and Physiotherapy
Introduction: Hemophilic ankle arthropathy is manifested by degenerative functional alterations (deficit of muscle strength, mobility and proprioception), intra-articular alterations and chronic pain. Manual therapy techniques are used to treat soft tissue adhesions, relieve pain and reduce tissue sensitivity. Design. randomized pilot trial. Aimed: To evaluate the safety and effectiveness of a protocol by manual therapy techniques in patients with hemophilic ankle arthropathy. Patients: 24 patients with ankle arthropathy will be recruited for inclusion in the study. Patients will be recruited in seven centers, from different regions of Spain. Intervention: Each session will last approximately 50-60 minutes, with 1 physiotherapy session per week for a period of 3 weeks. Patients will be evaluated at baseline, after the intervention, and after a follow-up period of 3 weeks. The treatment program includes 10 exercises that must be administered bilaterally. Measuring instruments and study variables: Visual Analog Scale and pressure algometer (joint pain); Leg motion (ankle range of motion); and Haemophilia Joint Health Score (joint health). At the same time, the study will allow to determine joint bleeding caused by applied physiotherapy treatment. Expected results: To demonstrate the safety of this Physiotherapy technique in patients with hemophilia. Likewise, an improvement in ankle pain, joint motion, joint health and pressure pain threshold.
Hemophilia
Manual therapy
Not Applicable
| Study Type : | Interventional |
| Estimated Enrollment : | 24 participants |
| Masking : | None (Open Label) |
| Primary Purpose : | Prevention |
| Official Title : | Safety and Efficacy of Manual Therapy in the Treatment of Hemophilic Arthropathy of the Ankle. A Pilot Study |
| Actual Study Start Date : | October 14, 2022 |
| Estimated Primary Completion Date : | November 18, 2022 |
| Estimated Study Completion Date : | February 26, 2023 |
| Arm | Intervention/treatment |
|---|---|
|
Experimental: Hemophilia group Intervention protocol: Preparatory work: active mobilizations with the patient supine. Global passive mobilization of the forefoot and midfoot. Calcaneocuboid mobilization, functional and structural work of said joint. Astragaloscaphoid mobilization, functional and structural work of said joint. Talar manipulation dorsally. Manipulation-tibial displacement: Tibiotarsal decompression: 2 very gentle high-speed and short-course tibial-tarsal manipulations. Plantar fascia induction for foot captors of the plantar fascia. Tibiotarsal sustained traction technique (unwinding) Sural triceps induction technique: |
Other: Manual therapy |
| Ages Eligible for Study: | 18 Years to 60 Years |
| Sexes Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Accepts Healthy Volunteers |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.
Not yet recruiting
University of Oviedo
Oviedo, Asturias, Spain, 33006