Integrated postural analysis in children with haemophilia.

Area of Science:

• Orthopedics
• Pediatrics
• Rehabilitation Medicine

Background:

• Correct posture is vital for haemophilic boys to prevent joint bleeds, chronic pain, and dysfunction.
• Postural alterations may be more prevalent in haemophilic boys and linked to their orthopaedic status.

Purpose of the Study:

• To compare postural and balance characteristics between haemophilic and non-haemophilic boys.
• To investigate the relationship between postural alterations and the orthopaedic status in haemophilic boys.

Main Methods:

• Evaluated posture using digital images (anterior, lateral, posterior views) in 35 haemophilic boys and 57 controls.
• Assessed balance using a force platform measuring centre of force (CoF) displacement (sway area, velocity, acceleration, body loads).
• Assessed joint status using the Haemophilia Joint Health Score in haemophilic boys.

Main Results:

• Haemophilic boys showed significantly more postural disharmonies (52% vs. 26% in controls, P = 0.04).
• Haemophilic boys exhibited reduced sway velocity and acceleration, indicating musculoskeletal stiffness.
• Despite stiffness, haemophilic boys maintained a similar sway area compared to controls.

Conclusions:

• Haemophilic boys present with greater postural disharmonies than non-haemophilic peers.
• Comprehensive orthopaedic evaluation should include posture and balance assessments for early dysfunction detection.
• Tailored physical or rehabilitation programs are recommended for haemophilic boys based on their specific needs.