Effects Of Functional Therapy Program on Elbow Arthropathy of Hemophilia Patient: Functional Therapy Program on Elbow Arthropathy

Hafiz Muneeb Ur Rehman; Azfar  Khurshid; Shazia Rafiq; Hunza Zulfiqar; Ayesha Razzaq

doi:10.54393/pbmj.v5i5.391

Authors

Hafiz Muneeb Ur Rehman Physiotherapy Department, Bakhtawar Amin Hospital, Multan
Azfar Khurshid Physiotherapy Department, Bakhtawar Amin Hospital, Multan
Shazia Rafiq Physiotherapy Department, Jinnah Hospital, Lahore
Hunza Zulfiqar Physiotherapy Department, Bakhtawar Amin Hospital, Multan
Ayesha Razzaq Physiotherapy Department, Mayo Hospital, Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i5.391

Keywords:

Hemophilia, Elbow Arthropathy, Functional Therapy, Program, Patients

Abstract

Hemophilia is an X-linked genetic progressive hemorrhage condition that is characterized by a clotting factor VIII (classic hemophilia, or hemophilia A) or IX (hemophilia B) deficiencies. Objective: To determine the comparative effects of functional therapy program and manual therapy program on elbow arthropathy of haemophilia patients. Methods: It was a single blinded randomized controlled trial in which assessor was kept blind. In this study non-probability purposive technique was applied. The study was conducted in the Sundas foundation Lahore taking into account consort guidelines. Thirty participants suffering from hemophilia were enrolled in study in 2 groups while considering inclusion and exclusion criteria. Randomization was done through lottery method and concealment was done. Group A (n=15) was treated with manual therapy Grade 1, 2 or 3 mobilization techniques according to patient condition program and Group B (n=15) were treated with functional therapy. Hot pack was used as a baseline treatment for 10 min. For data collection Goniometer was used to measured elbow flexion and extension and Stanford HAQ 20 item Disability for assessing disability. Results: P-value was <0.01which shows that both groups were effective for managing the patient of hemophilia, but manual therapy show more significant result as compared to functional therapy program. Conclusion: In manual therapy treatment group, there was significant improvement in range of movement of elbow joint which enhanced functional activity of arm in haemophilic patients with chronic elbow arthropathy.

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