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Proof of concept and feasibility of a blended physiotherapy intervention for persons with haemophilic arthropathy

Proof of concept and feasibility of a blended physiotherapy intervention for persons with haemophilic arthropathy

Samenvatting

Background
Regular physiotherapy with a physiotherapist experienced in the field is not feasible for many patients with haemophilia. We, therefore, developed a blended physiotherapy intervention for persons with haemophilic arthropathy (HA) (e-Exercise HA), integrating face-to-face physiotherapy with a smartphone application.

Aim
The aim of the study was to determine proof of concept of e- Exercise HA and to evaluate feasibility.

Methods
Proof of concept was evaluated by a single-case multiple baseline design. Physical activity (PA) was measured with an accelerometer during a baseline, intervention and post-intervention phase and analysed using visual inspection and a single case randomisation test. Changes in limitations in activities (Haemophilia Activities List [HAL]) and a General Perceived Effect (GPE) were evaluated between baseline (T0), post-intervention (T1) and 3 months post-intervention (T2) using Wilcoxson signed rank test. Feasibility was evaluated by the number of adverse events, attended sessions and open-ended questions.

Results
Nine patients with HA (90% severe, median age 57.5 (quartiles 50.5–63.3) and median HJHS 32 (quartiles 22–36)) were included. PA increased in two patients. HAL increased mean 15 (SD 9) points (p = .001) at T1, and decrease to mean +8 points (SD 7) (p = .012) at T2 compared to T0. At T1 and T2 8/9 participants scored a GPE > 3. Median 5 (range 4–7) face-to-face sessions were attended and a median 8 out of 12 information modules were viewed. No intervention-related bleeds were reported.

Conclusion
A blended physiotherapy intervention is feasible for persons with HA and the first indication of the effectiveness of the intervention in decreasing limitations in activities was observed.

Toon meer
OrganisatieFontys
AfdelingFontys Paramedisch
LectoraatLectoraat Health innovations and technology
Gepubliceerd inHaemophilia John Wiley & Sons Ltd., Vol. 29, Uitgave: 1, Pagina's: 290-307
Datum2022-11-17
TypeArtikel
DOI10.1111/hae.14690
TaalEngels

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