Year: 2023 | Month: October | Volume: 13 | Issue: 10 | Pages: 214-219
DOI: https://doi.org/10.52403/ijhsr.20231029
Effect of Physiotherapy on Joint Health Status and Functional Independence of a 37-years Old Person with Hemophilia Suffering from Chronic Kidney Disease
Manisha1, Sandeep Kumar2, Smati Sambyal3, Varun Kaul4
1MPT Neurology, University College of Physiotherapy
2,3Assistant Professor, University College of Physiotherapy
4Associate Professor, Pediatrics Department, GGS Medical College, Baba Farid University of Health Sciences, Faridkot, India
Corresponding Author: Manisha
ABSTRACT
BACKGROUND- The common finding in hemophilia and the characteristic of a severe form is hemarthrosis, the recurrent intra-articular bleeding which further leads to synovitis and causes hemophilic arthropathy. The most common joints for bleeding are the knee, elbow, ankle, and wrist. Young adults with hemophilia are also more likely to develop age-related comorbidities, which adds to the clinical health issues already present.
CASE DESCRIPTION- A 37 years old, male subject with severe hemophilia A (factor assay<1%), high titre inhibitor and a medical diagnosis of bilateral hemophilic arthropathy in elbows, knees and ankles was included in the study. He was also diagnosed with stage-5 chronic kidney disease and had been on hemodialysis 2 times a week from the last two years prior to the study.
The joint health status using HJHS, functional independence using FISH and BI Scoring of Activities of Daily Living and pain using VAS was assessed before and after the treatment. The physiotherapy interventions were administered for 4 months, with 4 sessions a week. The Pre and post treatment scores of HJHS, FISH, BI and VAS were 49 vs 43, 9 vs 16, 5 vs 14 and 8 vs 4 respectively.
CONCLUSION- The findings of this particular case of a severe hemophiliac person who was inhibitor positive with hemophilic arthropathy of multiple joints and CKD showed that physiotherapy played a significant role in improving joint health status, functional independence and reducing pain.
Key words: Chronic kidney disease, Hemarthrosis, Hemophilia, Hemophilic arthropathy, Physiotherapy.