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Review Papers | Physiotherapy | India | Volume 13 Issue 1, January 2024
Effect of Exercise on Muscle Strength, Pain and Functional Ability in Patients with Haemophilia: A Narrative Review
Sangeeta [77] | Dimple Choudhry [4] | Sudhir Kumar Atri | Malika [14] | Praveen Kabira
Abstract: Background: Haemophilia is an inherited bleeding disorder. It is caused by an x - linked deficiency of coagulation factors VIII in haemophilia A and factor IX in haemophilia B. Haemophilia is estimated to occur in one in 10, 000 births. In haemophilia 65?80% of all bleeding episodes are intra - articular, and 80% of them are mainly localized in elbows, ankles and knees. Recurrent intra articular bleeding occur with haemophilic arthropathy which cause muscle atrophy around joint and hallmarked by chronic synovitis and cartilage destruction. Due to muscle weakness the joint become less stable and more vulnerable to stress and a vicious cycle perpetuates. Adjunctive management for haemophilia is clotting factor precipitate with PRICE principle - protection, rest, ice, compression and elevation protocol for joint and muscle bleed and another approach is POLICE - protection, optimum loading, ice, compression and elevation. Ice is used to treat acute and chronic pain. Strengthening the muscles surrounding the affected joint is a beneficial strategy to stop or delay arthropathy. Resistance training is recommended for strengthening muscles to improve joint stability. Objective: To find out the effect of exercise on muscle strength, pain and functional ability in patients of haemophilia. Study selection: This narrative review is conducted on databases from Pub med, Google scholar and ResearchGate. This review included 10 studies on the effect of resistance exercise on muscle strength, pain and functional ability in patients of haemophilia. Conclusion: it is concluded that exercise training effective in increasing muscle strength, decreasing pain and improving functional ability. But some studies show some limitations. so further studies of higher methodological quality are needed to determine the optimal type of exercise, optimal dosage and timing.
Keywords: Haemophilia, Muscle Strength, Pain Management, Functional Ability, Exercise Training
Edition: Volume 13 Issue 1, January 2024,
Pages: 238 - 242