TY - JOUR 
A1 - Donoso Úbeda, Elena
AU - Meroño Gallut, Javier
AU - López Pina, José Antonio
AU - Cuesta Barriuso, Rubén
T1 - Safety of fascial therapy in adult patients with hemophilic arthropathy of ankle. A cohort study
Y1 - 2018
SN - 2468-7812

UR - http://hdl.handle.net/11268/9830
AB - Background
Hemophilic arthropathy is characterized by loss of function and chronic pain. Fascial therapy mobilizes the connective tissue, intervening in the state of the injured fascial complex and the surrounding tissues.

Objectives
The aim of this study is to evaluate the safety of a physiotherapy program through fascial therapy in adult patients with hemophilic ankle arthropathy.

Design
Prospective cohort study.

Methods
Twenty-three adult patients with hemophilia from 26 to 65 years of age were recruited. The intervention consisted of three sessions of 45-minute fascial therapy for three consecutive weeks. An evaluation was carried out before as well as after treatment. The study variables were joint status (assessed with Hemophilia Joint Health Score), joint pain (using visual analogue scale), ankle range of motion (with a universal goniometer) and bleeding frequency (administering self-registration of bleeding). The mean difference was calculated using the Student's t-test for paired samples and using the Cohen formula we calculated the effect size of the dependent variables.

Results
None of the patients developed muscular or articular bleeding during the treatment period. After treatment, significant improvements (p < 0.05) in plantar flexion, ankle pain under load and joint condition were observed in both ankles. Similarly, we found improvement in left ankle dorsiflexion.

Conclusions
The application of physiotherapy through fascial therapy does not appear to produce muscle or joint hemorrhages. A treatment through three sessions of fascial therapy may improve joint pain, mobility and joint ankle condition in patients with hemophilic arthropathy.
KW - Hemofilia B
KW - Artropatías
KW - Modalidades de fisioterapia
KW - Enfermedad cardiovascular
KW - Tratamiento médico
KW - Rehabilitación médica
LA - eng
ER -