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- Title
Strength training program for a patient with hemophilia A and an inhibitor with a new prophylactic treatment. Haemophilic athlete - a case report.
- Authors
Wilczyński, Bartosz; Juszczyk, Dawid; Zorena, Katarzyna; Mital, Andrzej
- Abstract
Background: Currently, patients with hemophilia and inhibitor are being offered therapy, including a tissue factor pathway inhibitor (TFPI). The new prophylactic treatment may give new opportunities. This study is aimed to assess the safety and effects of a strength training program in a patient with an inhibitor. Description: A 20 years old patient with severe haemophilia A with an inhibitor participated in a 6-week strength training program. The strengthening program consisted of 7 exercises involving limb and trunk muscles. A qualitative assessment of movement patterns was performed using the Functional Movement Test. The Dynamic Balance was measured by the Y-Balance Test, whereby the power of lower extremities was measured by Counter Movement Jump. The Quality of Life Index was done by survey to assess the perceived overall quality of the patient life. The exercise fatigue after each training was measured with the Borg scale. Outcomes: After the intervention during treatment with the new drug, the patient's quality of life increased, especially in terms of health and function, also, the power of the lower limbs increased. There were no bleeding episodes during the intervention and after a 3-month follow-up, however, there was an adverse effect in the form of decreased range of motion of the patient's ankle joints. Conclusions: The proposed program during the application of the new prophylactic treatment seems to be safe and effective in improving quality of life and increasing lower limb power in a haemophilic patient with an inhibitor. However, randomized clinical trials are needed to confirm the results.
- Subjects
HEMOPHILIA; CONDOMS; THROMBOPLASTIN; EXTREMITIES (Anatomy); EXERCISE
- Publication
European Journal of Translational & Clinical Medicine, 2021, Vol 4, p117
- ISSN
2657-3148
- Publication type
Article