【論文摘要】The Short-term Effect of a Physical Therapy Program on Hemophilic Arthropathy: A Case Series

【論文摘要】物理治療介入血友病關節炎患者之短期療效：個案研究

陳淵琪(Yuan-Chi Chan) ； 陳佳慧(Chia-Hui Chen) ； 連鳳吟(Feng-Yin Lien) ； 顧允文(Yun-Wen Ku) ； 王子娟(Tzyy-Jiuan Wang)

《物理治療》 46卷2期 (2021/06) Pp. 153-154

https://doi.org/10.6215/FJPT.202106.P47

摘要

Background and Purpose: Patients with hemophilia commonly suffer from arthropathy, especially in their elbow, knee, and ankle joints. It is believed that repeated joint and muscular bleeding can lead to hemophilic arthropathy. Symptoms of hemophilic arthropathy include pain, swelling, decreased joint range of motion, loss of strength, and decreased physical activity. The objective of this study is to evaluate the effectiveness of a physical therapy program in patients with hemophilic arthropathy. Methods: This is a case series study of 10 patients (mean age: 45.5 ± 7.5) with hemophilic arthropathy treated in a single center. The 10-week physical therapy program consisted of manual therapy (myofascial release technique and connective tissue massage, once a week) and three educational sessions for instructing daily home exercises. Outcome measures were range of motion (ROM) of three joints (ankle, knee, and elbow), the Hemophilia Joint Health Scale (HJHS), the Functional Independence Score in Hemophilia (FISH), oxygenation saturation of muscle tissue, and the Patient-Specific Functional Scale (PSFS). Results: Following this 10-week program, significant improvement on HJHS (p = 0.02), PSFS (p ＜ 0.001), FISH (transfer part: p = 0.04), O2hemoglobin (O2Hb) (p = 0.01), and tissue saturation index of target muscle (p = 0.02) were found. However, no significant differences of the ROM could be found. Conclusion: A physical therapy program focusing on manual therapy could improve function and muscle oxygenation of patients with arthropathy. Clinical Relevance: A physical therapy program could improve function of patients with hemophilic arthropathy.