The effects of manual therapy on musculoskeletal system, functional level, joint health and kinesiophobia in young adults with severe haemophilia: A randomized pilot study

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dc.contributor.authorTat, Necati Muhammed
dc.contributor.authorCan, Filiz
dc.contributor.authorSasmaz, Hatice Ilgen
dc.contributor.authorTat, Ayse Merve
dc.contributor.authorAntmen, Ali Bulent
dc.date.accessioned2024-02-23T14:24:10Z
dc.date.available2024-02-23T14:24:10Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction The effects of manual therapy (MT) on joint health and functional level in haemophilic arthropathy (HA) have relatively under-explored. Aim To investigate the effects of MT in HA of lower limb joints on musculoskeletal system, functional level, Functional Independence Score in Hemophilia (FISH), Hemophilia Joint Health Score (HJHS) and kinesiophobia. Methods Seventeen patients were randomized to the control group (CG = 9) and manual therapy group (MTG = 8). The number of haemarthrosis (NoH) was recorded from the diaries. Range of motion (ROM), strength and pain intensity were measured using goniometer, digital dynamometer and visual analogue scale, respectively. Joint health was evaluated with HJHS, functional independence with FISH, and kinesiophobia with Tampa Scale. Functional Reach (FR), Timed Up-Go (TUG) and 5-Times Sit-to-Stand (5*STS) tests were used to evaluate functional level. Home exercises were given to both groups. Additionally, myofascial release techniques and mobilizations were applied to MTG. Interventions were applied 3 d/weekly for 5 weeks. Assessments were performed at baseline and after treatment. Results ROM, strength, activity pain, HJHS and FISH were improved in MTG (p<0.05). Ankle NoH, 5*STS and FR were developed in both groups (p<0.05), but kinesiophobia, TUG and knee NoH were not significant. Although improvements were observed in favour of MTG in HJHS, FR, activity pain and ankle strength/ROM (p<0.05), no significant difference was found in FISH, kinesiophobia, TUG, 5*STS, resting pain and knee strength. Conclusion Reduction in ankle NoH indicated that both interventions were safe. The use of MT in HA of lower limb joints was an effective physiotherapy approach to improve functional level, joint health and functional independence.en_US
dc.identifier.doi10.1111/hae.14031
dc.identifier.endpageE238en_US
dc.identifier.issn1351-8216
dc.identifier.issn1365-2516
dc.identifier.issue2en_US
dc.identifier.pmid33423376en_US
dc.identifier.scopus2-s2.0-85099026735en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE230en_US
dc.identifier.urihttps://doi.org/10.1111/hae.14031
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13848
dc.identifier.volume27en_US
dc.identifier.wosWOS:000606459800001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofHaemophiliaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArthropathyen_US
dc.subjectHaemophiliaen_US
dc.subjectJoint Healthen_US
dc.subjectManual Therapyen_US
dc.subjectPhysiotherapyen_US
dc.titleThe effects of manual therapy on musculoskeletal system, functional level, joint health and kinesiophobia in young adults with severe haemophilia: A randomized pilot studyen_US
dc.typeArticleen_US

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