Assessing the Relationship between Joint Damage and Gait Impairment in Children with Haemophilic Arthropathy. A Clinical Study

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Abstract:

The long term consequence of repeated haemarthrosis is the damage of joint tissue and irreversible haemophilic arthropathy, with severe gait related disability. Physical Therapy represents an inexpensive therapeutical intervention, with a central place in the management of the children with haemophilia, especially in the developing countries, where the profilactic substitution treatment is not established as standard procedure. Preventing and delaying the progress of the disease are essential objectives. The related interventions must be based on an appropriate assessment. The aim of our study is to investigate the relations between the joint damage – evaluated clinically and functionally, and the overall scores concerning the walking ability in children with haemophilia.

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634-641

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October 2014

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© 2014 Trans Tech Publications Ltd. All Rights Reserved

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[2] Gonzalez EG et al. The physiological basis of rehabilitation medicine. Boston; Butterworth – Heinemann; 1994; 413-46.

Google Scholar

[3] Waters R. The energy expenditure of normal and pathologic gait. Gait Posture 1999; 9: 207-31.

DOI: 10.1016/s0966-6362(99)00009-0

Google Scholar

[4] Kuo AD et al. Dynamic principles of gait and their clinical implication. Phys Ther 2010; 90: 157-74.

Google Scholar

[5] Inman VT et al. Human walking. Baltimore, Williams& Wilkins (1981).

Google Scholar

[6] Holt KG et al. Predicting the minimal energy costs of human walking. Med Sci in Sports Exerc 1991; 23: 491-498.

Google Scholar

[7] Gordon K et al. Metabolic and mechanical energy costs of reducing vertical Centre of Mass movement during gait. Arch Phys Med Rehabil 2009; 90: 136-144.

DOI: 10.1016/j.apmr.2008.07.014

Google Scholar

[8] Engelbert RH et al. Aerobic capacity in children with hemophilia. J Pediatr 2008; 152: 833-8.

Google Scholar

[9] Koch et al. Physical fitness in children with hemophilia. Arch Phys Med Rehabil 1984; 65: 324-6.

Google Scholar

[10] Broderick CR et al. Fitness and quality of life in children with hemophilia. Haemophilia 2010; 16: 118-123.

Google Scholar

[11] Van der Net J et al. Physical fitness, functional ability and quality of life in children with severe hemophilia: a pilot study. Haemophilia 2006; 12: 494-9.

DOI: 10.1111/j.1365-2516.2006.01307.x

Google Scholar

[12] Lobet S et al. Impact of multiple joint impairments on the energetics and mechanics of walking in patients with haemophilia. Haemophilia 2012; 19: 66-72.

DOI: 10.1111/hae.12001

Google Scholar

[13] Hoejmans N et al. Measuring functional status: cross-sectional and longitudinal associations between performance and self – report. J Clin Epidemiol 1996; 49: 1103-10.

Google Scholar

[4] Sasaki K et Al. Muscle mechanical work and elastic energy utilization during walking and running near the preferred gait transition speed. Gait Posture 2006; 23: 383-390.

DOI: 10.1016/j.gaitpost.2005.05.002

Google Scholar

[15] Winiarski S et al. Mechanical energy fluctuation during walking of healthy and ACL reconstructed subjects. Acta Bioengineering Biomech 2008; 10: 57-63.

Google Scholar

[16] Magnusson PS et al. Human tendon behaviour and adaptation in vivo. J Physiol 2008; 586: 71-81.

Google Scholar

[17] Fukunaga T et al. In vivo behaviour of human muscle tendon during walking. Proc R Soc Lond B Biol Sci 2001; 268: 229-233.

Google Scholar

[18] Kubo K et al. Effect of repeated muscle contractions on tendon structure in humans. Eur J Appl Physiol 2001; 84: 162-166.

Google Scholar

[19] Ciobanu I., Berteanu M. Advanced Rehabilitation Technology. Applied Mechanics and Materials Vol. 186 (2012) pp.35-45.

DOI: 10.4028/www.scientific.net/amm.186.35

Google Scholar

[20] Mihai Berteanu et al. Rationale in designing a new system for gait rehabilitation. 2014, Applied Mechanics and Materials. Vol. 555, pg 681.

DOI: 10.4028/www.scientific.net/amm.555.681

Google Scholar