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heamatology - November 12, 2004 2:04:00 AM

swanusha

Posts: 1
Joined: November 11, 2004
From: chennai
Status: offline

what cpuld be the physiothrepy treatment for Hemophilia? what are usual complications faced during treatment?

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Preethy.Viswanath

Post #: 1

Re: heamatology - November 17, 2004 6:59:00 AM

tucker

Posts: 182
Joined: May 24, 2003
From: Texas
Status: offline

I would recommend speaking with the patient's haematologist for clarifications as there are several factors to consider and each patient is different. I work in acute care and can recall treating a patient with hemophilia who required an injection of factor VIII (or novoseven?)right before therapy to decrease the risk of bleeding into the joints and muscles. The injection was very expensive (around $7K) so we had to make the most out of it. Again, the hematologist was the one who educated us on PT limitations for the patient. Good luck.

Here's a few artiles:
Beaton, K, Buzzard, B. Physiotherapy Mgmt. of Haemophilia. Blackwell Science 2000.

Rodriguez-Mercahn E. Therapeutic options in the mgmt. of articular contractures in haemophilia. Haemophilia 1999; 5(suppl 1)5-9.

(in reply to swanusha)

Post #: 2

Re: heamatology - November 17, 2004 7:20:00 AM

jma

Posts: 2432
Joined: August 24, 2000
From: NY
Status: offline

Hello,
I also agree that the specialist should be consulted for the specific limitations for PT treatment.

I will add a general resource that give some guidelines with patients with haemophilia. Read the following book: Pathology: Implications for the Physical Therapist by Goodman., Boissonnault and Fuller, 2nd edition.

JMA

(in reply to swanusha)

Post #: 3

Re: heamatology - November 18, 2004 2:15:00 AM

Shill

Posts: 1107
Joined: February 13, 2003
From: Madison WI USA
Status: offline

Priety,
Im not sure where you are located, but you can try this source for hemophilia info.

PHYSICAL THERAPY IN BLEEDING DISORDERS (2000) This booklet provides up-to-date information regarding the latest physical therapy approaches in treating bleeding disorders. Physical therapy evaluation, modalities, types of splints, forms of exercise, and developmental issues are presented in detail. (30 pages) Cost: Single copy: member (free); nonmember ($4.00); Bulk Order (two or more): member: ($2.40); nonmember ($3.20).
[URL=http://www.hemophilia.org/resources/handi_pubs.htm#educational]National Hemophilia Foundation[/URL]

As you can see, the publication is quite inexpensive. Prevention and awareness of bleeds are the best treatment methods, but post bleed treatment is also crucial for minimizing joint damage and contracture. If you have trouble getting one, let me know, and I can probably help.

Steve

_____________________________

Steve Hill PT

(in reply to swanusha)

Post #: 4