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  • Musculoskeletal Complications of Haemophilia

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    Lulus Hardiyanti
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    This document discusses musculoskeletal complications of hemophilia and the role of medical rehabilitation. It notes that bleeding into joints can lead to hemophilic arthropathy, bleeding into muscles can cause contractures, and bleeding into bone and soft tissues can cause pseudotumors. Repeated bleeding into joints can cause articular instability and abnormal movement, leading to musculoskeletal pain and functional impairment. The document outlines management of acute hemarthrosis including rest, ice, compression, elevation, NSAIDs and range of motion exercises. It discusses chronic hemophilic arthropathy management including physical therapy focusing on strengthening, preventing contractures, improving proprioception, functional training and use of orthotics. The conclusion emphasizes the importance of rehabilitation programs to prevent recurrent

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    Management of musculuskeletal complication in person with haemofilia, to optimalize the functional capacity

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    Musculoskeletal Complication in Haemophilia; The Role of Physiatrist - dr Lulus

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    This document discusses musculoskeletal complications of hemophilia and the role of medical rehabilitation. It notes that bleeding into joints can lead to hemophilic arthropathy, bleeding into muscles can cause contractures, and bleeding into bone and soft tissues can cause pseudotumors. Repeated bleeding into joints can cause articular instability and abnormal movement, leading to musculoskeletal pain and functional impairment. The document outlines management of acute hemarthrosis including rest, ice, compression, elevation, NSAIDs and range of motion exercises. It discusses chronic hemophilic arthropathy management including physical therapy focusing on strengthening, preventing contractures, improving proprioception, functional training and use of orthotics. The conclusion emphasizes the importance of rehabilitation programs to prevent recurrent

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    © All Rights Reserved
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    49 views17 pages

    Musculoskeletal Complications of Haemophilia

    Uploaded by

    Lulus Hardiyanti
    This document discusses musculoskeletal complications of hemophilia and the role of medical rehabilitation. It notes that bleeding into joints can lead to hemophilic arthropathy, bleeding into muscles can cause contractures, and bleeding into bone and soft tissues can cause pseudotumors. Repeated bleeding into joints can cause articular instability and abnormal movement, leading to musculoskeletal pain and functional impairment. The document outlines management of acute hemarthrosis including rest, ice, compression, elevation, NSAIDs and range of motion exercises. It discusses chronic hemophilic arthropathy management including physical therapy focusing on strengthening, preventing contractures, improving proprioception, functional training and use of orthotics. The conclusion emphasizes the importance of rehabilitation programs to prevent recurrent

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 17

    Musculoskeletal Complications

    of Haemophilia : What is the


    Role of Medical Rehabilitation ?
    Dr Lulus Hardiyanti, SpKFR
    Instalasi Rehabilitasi Medik, RSUP Dr Sardjito
    Bleeding into the • Hemophilic
    joints
    arthropathy

    Bleeding into
    muscles • Joint contractures

    Bleeding into bone


    and adjacent soft
    • Osseous and soft-
    tissues tissue pseudotumors
    Repeated joint hemarthroses in haemophilia eventualy lead to articular instability à

    Abnormal movement

    Musculoskeletal pain
    Functional
    Impairment
    Soft tissue pathology
    Management of Acute Hemarthrosis
    The goal of treatment à stop the bleeding as soon as possible
    The most important initial step à Replacement of clotting factor
    Rest /Immobilization (partial and temporary)
    Ice packs
    Compression (tolerable pressure bandage)
    Elevation of the affected joint
    NSAIDs
    As soon as the pain and swelling begin to subside
    à Change the position of the affected joint gradually
    from a position of comfort to a position of function
    à Gentle stretching & active muscle contractions to gain extension
    Orthotic
    • Bracing
    • Splinting
    Walking Aids
    • Reduce axial loading
    • Improve balance
    Management of Chronic Haemophilic
    Arthropathy
    Physical therapy and rehabilitation main objective are :
    - Strengthening muscles by isometric and isotonic exercise
    - Preventing or treating contractures
    - Increase exercise tolerance
    - Improving proprioception
    - Improving activity capability and return to activity
    Physical Therapy and Rehabilitation
    Pain Management

    Range of Motion Exercise

    Strengthening exercise

    Proprioceptive and coordination exercise

    Functional training

    Orthotic and corrective shoe


    Pain Management
    Range of Motion exercise
    Strengthening Exercise
    Proprioceptive and Coordination Exercise
    Functional Training
    Orthotic and corrective shoe
    Conclusions
    Incorrect posture habits, deformity, repeated joint/ muscle bleeding and
    inadequate rehabilitation programs lead to muscular work imbalances and
    recurrent musculoskeletal bleeding
    Rehabilitation programs are essential to prevent recurrent hemorrhage,
    worsening deformity & improve functional activity
    Effective collaboration between doctors, therapists, families, and haemophilia
    patients have a significant contributing role in this lifelong management
    Terima Kasih

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