Comparison of Upper Extremity Functional Performance in Hemophilic and Healthy Children

Comparison of Upper Extremity Functional Performance, Muscle Strength, and Activities of Daily Living Levels in Children with Hemophilia and Healthy Children

The goal of this observational study is to evaluate the functional performance of the upper extremity joints (scapula, shoulder, elbow, and wrist) in haemophilic children and compare muscle strength and ADL limitations with healthy children.

This study aims to evaluate the upper extremity functional performance, muscle strength, and daily living activity levels of hemophilic children and compare them with healthy children. The goal is to determine the effects of hemophilia on these children and contribute to the development of appropriate rehabilitation strategies. Parameters include explosive strength, isometric muscle strength, wrist grip strength, and functional exercise capacity. Additionally, the ADL-Glittre pediatric version test and Hemophilia Joint Health Score (HJHS) will be used to assess joint health and GYA performance. Muscle strength is crucial for hemophilic children to perform daily activities, and the relationship between muscle strength and GYA levels will be investigated. The project aims to guide the development of physiotherapy and rehabilitation strategies for hemophilic children and contribute to the literature by filling existing gaps, ultimately creating an important reference for healthcare professionals and families.

Inclusion Criteria:

• Diagnosed with Hemophilia A or B
• Receiving prophylaxis treatment (a routine treatment)
• Negative for inhibitors at the time of enrollment

Exclusion Criteria:

• Positive for inhibitors at the time of enrollment
• Acute elbow bleeding
• History of acute muscle bleeding
• History of surgery in any upper extremity joints
• Having undergone radionuclide synovectomy