Pérez Llanes, RaúlDonoso Úbeda, ElenaMeroño Gallut, JavierLópez Pina, José AntonioCuesta Barriuso, Rubén2021-05-282021-05-282020Pérez-Llanes, R., Donoso-Úbeda, E., Meroño-Gallut, J., López-Pina, J. A., & Cuesta-Barriuso, R. (2020). Manual therapy effectively decreases the frequency of joint bleeding improves joint health and reduces pain in hemophilic elbow arthropathy: A prospective cohort study. Journal of Rehabilitation Medicine. Clinical Communications, 3, 1000035. https://doi.org/10.2340/20030711-10000352003-0711http://hdl.handle.net/11268/10068Objective: To verify the safety and effectiveness of manual therapy intervention using fascial therapy in adult patients with haemophilic elbow arthropathy. Methods: Prospective cohort study. A total of 28 patients with haemophilic elbow arthropathy was recruited in 3 cities in Spain. Patients received onefascial therapy session per week for 3 weeks. The dependent variables were: frequency of joint bleeding, joint pain (visual analogue score) and joint status (Hemophilia Joint Health Score). Outcomes were measured at baseline (T0), post-treatment (T1) and after 3 months´ follow-up (T2). Using Student´s t-test, the means obtained in the evaluations were compared. The analysis of variance (ANOVA) test of repeated measures provided the intra-subject effect. The chosen level of significance was p<0.05. Results: A total of 28 patients were recruited according to the selection criteria. No joint bleeding occurred during or after the intervention. The primary outcome, frequency of bleeding, improved after intervention (p<0.001). The secondary variables joint status and joint pain improved after the experimental period (p<0.001). There were significant changes in the repeated measures factor in the frequency of haemarthrosis (F=20.61; p=0.00), joint status (F=64.11; p=0.00) and perceived pain (F=33.15; p=0.00). Conclusion: Manual therapy using fascial therapy did not produce haemarthrosis in patients with haemophilic elbow arthropathy. Fascial therapy can improve the perception of pain and joint state, maintaining this improvement after a follow-up period of 3 months.engAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/ArtropatíasCodoFisioterapiajournal article10.2340/20030711-1000035open accessRehabilitación médica