The effects of manual therapy and exercises on pain, muscle strength, joint health, functionality and quality of life in haemophilic arthropathy of the elbow joint: A randomized controlled pilot study

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dc.contributor.authorTat, Ayse Merve
dc.contributor.authorCan, Filiz
dc.contributor.authorTat, Necati Muhammed
dc.contributor.authorSasmaz, Hatice Ilgen
dc.contributor.authorAntmen, Ali Bulent
dc.date.accessioned2024-02-23T14:24:14Z
dc.date.available2024-02-23T14:24:14Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Effective physiotherapy interventions are required for haemophilic arthropathy (HA) of the elbow due to its biomechanical differences and contribution to upper limb functionality. Aim: To investigate the effects of manual therapy & exercises on bleeding frequency, pain, range of motion (ROM), strength, joint health, functionality and quality of life (QoL) in HA of the elbow. Methods: Seventeen participants with HA of the elbow were randomized as Manual Therapy & Exercises Group (MTEG = 9) and Home Exercises Group (HEG = 8). Soft tissue mobilization, joint traction (grade I-II) and Mulligan's mobilization with movement as manual therapy, and stretching/strengthening exercises were applied to MTEG, while HEG had only same exercises as home programme. The interventions lasted 3 days/weekly for 5 weeks. Bleeding frequency was evaluated with patients' records; pain with Numeric Pain Scale; ROM with goniometer; strength with digital dynamometer; joint health with HJHS; functionality with Quick-Disability of Arm, Shoulder and Hand questionnaire; and QoL with Oxford Elbow Score. Results: Bleeding frequency and activity pain were decreased, while elbow ROMs and flexor strength were increased in MTEG (P < 0.05). Also significantly improvements were seen in joint health, functionality and QoL in MTEG. HEG showed improvements in activity pain, QoL and some ROMs. MTEG had better results in ROMs, joint health and functionality (P < 0.05). Conclusion: Manual therapy & exercises may be used without causing bleeding and pain to increase the functionality, joint health and QoL, and is superior to home exercise for joint health and functionality. Home exercises may be ameliorated in pain, QoL and some ROMs.en_US
dc.identifier.doi10.1111/hae.14281
dc.identifier.endpageE384en_US
dc.identifier.issn1351-8216
dc.identifier.issn1365-2516
dc.identifier.issue3en_US
dc.identifier.pmid33626198en_US
dc.identifier.scopus2-s2.0-85101575954en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE376en_US
dc.identifier.urihttps://doi.org/10.1111/hae.14281
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13850
dc.identifier.volume27en_US
dc.identifier.wosWOS:000621124300001en_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.subjectElbow Jointen_US
dc.subjectExerciseen_US
dc.subjectHaemophiliaen_US
dc.subjectJoint Healthen_US
dc.subjectManual Therapyen_US
dc.titleThe effects of manual therapy and exercises on pain, muscle strength, joint health, functionality and quality of life in haemophilic arthropathy of the elbow joint: A randomized controlled pilot studyen_US
dc.typeArticleen_US

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