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Published on: September 30, 2021
Balance dysfunction in adults with haemophilia
1Preventive and Public Health Division, National Ageing Research Institute, Parkville, Vic., Australia. m.fearn@nari.unimelb.edu.au
Summary
People with haemophilia (PWH) show moderate impairments in balance and mobility, increasing falls risk. Assessments should include balance and related measures for adults with haemophilia.
Area of Science:
- Orthopedics
- Hematology
- Physical Therapy
Background:
- Lower limb physical performance in people with haemophilia (PWH) typically focuses on function, strength, and flexibility.
- The impact of haemophilic arthropathy on balance and falls risk remains under-explored.
Purpose of the Study:
- To evaluate balance and related performance in PWH compared to healthy controls.
- To identify potential links between haemophilic arthropathy and impaired balance or increased falls risk.
Main Methods:
- A comprehensive suite of clinical and laboratory measures assessed static and dynamic balance, mobility, strength, physical activity, and falls efficacy.
- Twenty PWH and 20 age- and gender-matched healthy controls participated in the study.
Main Results:
- Fifty percent of PWH reported falls in the past 12 months.
- PWH demonstrated moderate impairments in balance and related measures, with an average 35% difference compared to controls.
- Significant differences were found in dynamic balance, gait, mobility, muscle strength, and falls efficacy (P < 0.001).
Conclusions:
- Moderate impairments in balance, mobility, and related measures are present in PWH.
- Clinicians should incorporate balance and related assessments into routine reviews for adults with haemophilia to mitigate falls risk.
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