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Exercise for haemophilia.

Karen Strike1, Kathy Mulder2, Rojer Michael3

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Exercise interventions show promise for improving joint health, pain, and strength in individuals with haemophilia (a bleeding disorder). However, results must be interpreted cautiously due to limited evidence and heterogeneity in study designs.

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Area of Science:

  • Orthopedics
  • Hematology
  • Sports Medicine

Background:

  • Haemophilia is a bleeding disorder causing joint and muscle hemorrhages.
  • Exercise aids recovery and improves joint function in haemophilia patients with arthropathy.

Purpose of the Study:

  • To systematically review evidence on the safety and effectiveness of exercise for people with haemophilia.

Main Methods:

  • Systematic review of randomized/quasi-randomized controlled studies.
  • Searched multiple databases (PubMed, Embase, CINAHL) and trial registries.
  • Included studies on various exercise types for males with haemophilia A or B.

Main Results:

  • Eight studies (233 males) included; interventions varied (resistance, aquatic, aerobic).
  • Improvements noted in joint health, pain intensity, and range of motion.
  • Functional exercises (treadmill, partial weight-bearing) enhanced muscle strength.

Conclusions:

  • Exercise interventions generally improved outcomes, with hydrotherapy potentially better for pain relief.
  • Functional exercises superior to static exercises for muscle strength.
  • Safety for severe haemophilia remains unclear due to limited data and heterogeneity.