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Exercise Programmes for People With Haemophilia: A Scoping Review
Maísa Veríssimo1, Tatiana Kuhn2, Janaina Ricciardi3
1Graduate Programme in Nursing, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Haemophilia : the Official Journal of the World Federation of Hemophilia
|February 20, 2026
Summary
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.
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.
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