关键词: Hemophilia Joint pain Physiotherapy techniques Quality of life Randomized controlled trial Rehabilitation

Mesh : Elbow Elbow Joint Hemarthrosis / complications therapy Hemophilia A / complications Humans Quality of Life Single-Blind Method Treatment Outcome

来  源:   DOI:10.1016/j.apmr.2021.12.023

Abstract:
To evaluate the effect of fascial therapy on the perceived quality of life, pain intensity, and joint health in people with hemophilia.
Single-blind randomized controlled trial.
Hemophilia Patient Associations.
Patients with hemophilia (N=69) were randomly allocated to an experimental group (fascial therapy protocol) or to a control group (no intervention whatsoever).
The fascial therapy intervention lasted 3 consecutive weeks with one 45-minute weekly session.
The variables evaluated were perceived quality of life (Short Form Health Survey-36), pain intensity (visual analog scale) and joint health (Hemophilia Joint Health Score) at baseline and at 3 and 12 weeks.
The mean values of the physical (38.64±9.41 and 41.92±12.16) and mental (45.77±6.25 and 55.02±9.73) components of the Short Form Health Survey-36 improved after the intervention in the experimental group, as well as those for pain intensity and joint health (P<.001). There were differences (P<.001) in the intergroup effect in the physical role variables (F=49.22), emotional role (F=229.71), mental component (F=9.86), intensity of pain (F=24.74), and joint health (F=55.31).
A fascial therapy protocol for patients with hemophilic elbow arthropathy can improve their perceived quality of life. Elbow pain intensity improved in patients treated with fascial therapy. This technique can improve elbow joint health.
摘要:
评估筋膜治疗对感知生活质量的影响,疼痛强度,和血友病患者的关节健康。
单盲随机对照试验.
血友病患者协会。
将血友病患者(N=69)随机分配到实验组(筋膜治疗方案)或对照组(无任何干预)。
筋膜治疗干预持续3周,每周一次45分钟。
评估的变量是感知的生活质量(简短形式健康调查-36),疼痛强度(视觉模拟量表)和关节健康(血友病关节健康评分)在基线和3和12周。
实验组干预后,短期健康调查-36的身体成分(38.64±9.41和41.92±12.16)和精神成分(45.77±6.25和55.02±9.73)的平均值有所改善,以及疼痛强度和关节健康(P<.001)。身体角色变量的组间效应存在差异(P<.001)(F=49.22),情感角色(F=229.71),心理成分(F=9.86),疼痛强度(F=24.74),和关节健康(F=55.31)。
血友病肘关节病患者的筋膜治疗方案可以改善其感知的生活质量。筋膜治疗患者肘部疼痛强度改善。这种技术可以改善肘关节健康。
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