Comparison of Efficiency of Closed Kinetic Chain Exercises Versus Proprioceptive Exercises Patient With Hemophilia

Comparison of Efficiency of Closed Kinetic Chain Exercises Versus Proprioceptive Exercises in Improving Balance and Gait in Patient With Hemophilia

Hemophilia is a bleeding disorder caused by a deficiency of clotting factors in the blood. Muscle and joint bleeding are frequently observed in patients with hemophilia. Lower extremity bleeding can adversely affect balance, gait, and proprioception. The goal of this study; To compare the effectiveness of closed kinetic chain exercises and proprioceptive exercises on balance, proprioception and gait parameters in adolescent and young hemophilic individuals with lower extremity joint involvement.

The main question it aims to answer is:

Are the effects of closed kinetic chain exercises and proprioceptive exercises different on balance and walking in hemophilic individuals?

Inclusion Criteria:

• Having been diagnosed with Hemophilia A and Hemophilia B
• Having a blood factor level below 5%,
• Between 13-25 years old
• History of bleeding to the lower extremity and target joint
• Total lower extremity Hemophilia joint health score ≥3
• Using prophylaxis

Exclusion Criteria:

• Having undergone lower extremity surgery in the last 6 months
• Having a Body Mass Index over 30 kg/m2
• Have an inhibitor
• Using a walking aid