Effectiveness of the Myofascial Therapy in the Hemophilic Arthropathy of Ankle

Randomized Clinical Study on the Effectiveness of the Myofascial Therapy in the Treatment of the Hemophilic Arthropathy of Ankle

Randomized clinical trial to assess the efficacy of a treatment protocol applied fascial therapy in patients with hemophilic arthropathy ankle, oriented to know and describe the observed differences on the dependent variables: range of motion, pain and physical condition.

At the same time, the study will determine whether there are adverse effects or bleeding complications as a result of applied physiotherapy treatment.

Inclusion Criteria:

• Patients diagnosed with hemophilia A and B
• Adults patients
• Patients with hemophilic arthropathy of ankle diagnosed
• Patients in prophylactic treatment regimen or on demand treatment with concentrates of FVIII/FIX.

Exclusion Criteria:

• Patients without ambulation
• Patients diagnosed with other congenital coagulopathy (eg, Von Willebrand disease)
• Patients who have developed antibodies to FVIII / FIX (inhibitors)
• Patients with neurological or cognitive impairments that prevent understanding of questionnaires and test physical
• Patients that have not signed the informed consent document.