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Exercise Programmes for People With Haemophilia: A Scoping Review.

Maísa Veríssimo1, Tatiana Kuhn2, Janaina Ricciardi3

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Haemophilia : the Official Journal of the World Federation of Hemophilia
|February 20, 2026
PubMed
Summary
This summary is machine-generated.

Safe exercise for people with haemophilia (PwH) needs standardized protocols. This review maps current exercise modalities, frequency, duration, and intensity to guide evidence-based recommendations for better health outcomes.

Keywords:
exerciseexercise therapyhaemophiliaphysical activityscoping review

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Area of Science:

  • Exercise Science
  • Sports Medicine
  • Haematology

Background:

  • Advances in haemophilia treatment permit safe exercise, yet optimal dosing lacks a gold standard.
  • Emerging therapies necessitate updated, evidence-based exercise guidelines for people with haemophilia (PwH).

Purpose of the Study:

  • To comprehensively map exercise modalities, frequency, duration, and intensity in programmes for PwH.
  • To identify gaps and inform the development of tailored exercise recommendations.

Main Methods:

  • A scoping review following JBI methodology and PRISMA-ScR guidelines.
  • Searched multiple databases (PubMed, Scopus, etc.) and grey literature.
  • Inclusion criteria based on Population, Concept, and Context (PCC) for exercise in PwH.

Main Results:

  • 36 studies were included from 5,579 references.
  • Common modalities: strengthening, flexibility, aerobic exercise; less common: endurance, proprioception.
  • Frequency: mainly 3 days/week; Intensity: repetition maximum or max heart rate; Duration: typically 6 weeks (median 4-30 weeks).

Conclusions:

  • Current exercise dosages align with evidence but individualization is key for optimal outcomes.
  • Standardized, evidence-based protocols are crucial for future research and clinical practice.
  • Further research should focus on developing and validating such protocols for PwH.