The Effects of Therapeutic Exercises on Kinesiophobia in Haemophilic Patients.

Overview

this study evaluates the effects of therapeutic exercises on kinesiophobia and health-related quality of life in adult haemophilia patients. half of participants will receive therapeutic exercises and verbal information about the positive effects of therapeutic exercises on physical pathologies due to hemophilic arthropathy while the other half will receive only verbal information.

Full Title of Study: “Do Therapeutic Exercises Improve Kinesiophobia and Health-Related Quality of Life in Adult Haemophilia Patients? A Randomized Controlled Trial.”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Participant)
  • Study Primary Completion Date: December 13, 2019

Detailed Description

in haemophilia patients recurrent musculoskeletal hemorrhage cause to arthropathy characterized by severe degeneration of joint cartilage and bones. arthropathy leads to decrease in the patient's health related quality of life. furthermore pain, risk of injury and lack of motivation lead to decreased physical activity and development of kinesiophobia.

Interventions

  • Other: therapeutic exercises
    • aerobic- balance -stretching and strengthening exercises

Arms, Groups and Cohorts

  • Experimental: exercises and verbal information
    • therapeutic exercises 3 days in a week and total 8 weeks and 60 minutes verbal information
  • No Intervention: verbal information
    • 60 minutes information about effects of exercises on joint functions

Clinical Trial Outcome Measures

Primary Measures

  • tampa kinesiophobia scale
    • Time Frame: baseline, 8 weeks: change from baseline kinesiophobia at 8 weeks, 6 months: change from baseline kinesiophobia at 6 months
    • This is a questionnaire consisting of a total of 17 questions evaluating fears related to pain or previous injury. participants can receive a maximum of 68 and minimum of 17 points in this questionnaire. there is a negative correlation between the score and kinesiophobia.
  • haemophilia adult health-related quality of life scale
    • Time Frame: baseline, 8 weeks: change from baseline health-related quality of life at 8 weeks, 6 months: change from baseline health-related quality of life at 6 months
    • this questionnaire evaluates health-related quality of life in adult haemophilic individuals and consisting of ten sections -46 questions. participants can receive a maximum of 100 and a minimum of 0 points in this questionnaire. there is a negative correlation between the score and quality of life.

Secondary Measures

  • short form-36
    • Time Frame: baseline, 8 weeks: change from baseline health-related quality of life at 8 weeks, 6 months: change from baseline health-related quality of life at 6 months
    • short form-36 is a quality of life questionnaire consisting of 8 sections and 36 questions. participants can receive a maximum of 100 and a minimum of 0 points in this questionnaire. there is a positive correlation between the score and quality of life.

Participating in This Clinical Trial

Inclusion Criteria

  • Individuals older than 18 years – diagnosed with hemophilia A or B – having at least one joint with hemophilic arthropathy – without cognitive problems – speaking turkish Exclusion Criteria:

  • Individuals with another congenital coagulopathy such as Von Willebrand Syndrome, – unable to walk due to hemophilic arthropathy – developing inhibition against factor VIII-IX

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 60 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Volkan Deniz, PT
  • Provider of Information About this Clinical Study
    • Sponsor-Investigator: Volkan Deniz, PT, Director, Clinical Research – Cukurova University
  • Overall Official(s)
    • Volkan Deniz, Principal Investigator, Cukurova University

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