The Effects of Exercises on Gait in Hemophilic Individuals

Investigation of Effectiveness of Therapeutic Exercises on Target Joint Functions and Gait in Hemophilic Arthropathic Patients.

Arthropathy characterized by synovitis, cartilage degeneration, subchondral and interosseous cysts occur due to hemorrhage in hemophilia. This situation causes to chronic pain, decreasing in range of motion, muscle strength, proprioception. Disorders in these parameters are the main causes of gait dysfunction. The aim of this study is to investigate the effects of therapeutic exercises on target joint functions and gait kinematics, and to determine possible complications related to exercise in hemophilic patients.

Inclusion Criteria:

• To be diagnosed as Hemophilia A or Hemophilia B
• To be over 18 years old
• To have hemophilic arthropathy in at least one joint
• Undergoing prophylaxis or factor VIII-IX replacement therapy

Exclusion Criteria:

• Having another congenital coagulopathy, such as Von Willebrand syndrome
• To be unable to walk due to hemophilic arthropathy
• Having another musculoskeletal problem
• Individuals with inhibitors against Factor VIII-IX