Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study
Background: Hemophilic ankle arthropathy is manifested by degenerative functional alterations (reduced muscle strength, mobility, and proprioception) and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain, and reduce tissue sensitivity. The aim was to e...
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MDPI AG
2022-12-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/12/12/2008 |
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| author | Elena Donoso-Úbeda Raúl Pérez-Llanes Javier Meroño-Gallut Roberto Ucero-Lozano Rubén Cuesta-Barriuso |
| author_facet | Elena Donoso-Úbeda Raúl Pérez-Llanes Javier Meroño-Gallut Roberto Ucero-Lozano Rubén Cuesta-Barriuso |
| author_sort | Elena Donoso-Úbeda |
| collection | DOAJ |
| description | Background: Hemophilic ankle arthropathy is manifested by degenerative functional alterations (reduced muscle strength, mobility, and proprioception) and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain, and reduce tissue sensitivity. The aim was to evaluate the safety of self-induced myofascial release in patients with hemophilic ankle arthropathy and to assess possible changes in musculoskeletal variables. Methods: We recruited 20 patients with ankle hemophilic arthropathy. Patients carried out a daily self-induced myofascial release exercise program using a foam roller over a period of 8 weeks. The primary variable was the frequency of hemarthrosis (regular telephone follow-up). Secondary variables were pain intensity (visual analog scale), range of motion (goniometry), and functional capacity of the lower limbs (six-minute walk test). Three evaluations were performed: pre-treatment (T0), post-treatment (T1), and at 8 weeks follow-up (T2). Results: There was a lower, non-significant, association in the frequency of hemarthrosis between the experimental and follow-up periods, compared to the pre-study period (SE = 0.50; 95%CI: −1.67; 0.28). There were significant within-subject changes in intensity of pain (T0: 4.91; T1: 2.79; T2: 2.46; <i>p</i> < 0.001), plantar flexion (T0: 125.55; T1: 131.5; T2: 130.30; <i>p</i> = 0.01), and functionality of the lower limbs (T0: 173.06; T1: 184.85; T2: 178.39; <i>p</i> = 0.009). Conclusions: Self-induced myofascial release is safe in patients with hemophilic ankle arthropathy. A protocol based on self-induced myofascial release can lead to changes in pain intensity, range of ankle motion in plantar flexion, and functionality in hemophilic patients. |
| first_indexed | 2024-03-09T16:10:49Z |
| format | Article |
| id | doaj.art-4a55c485393a426ca9e63dc1f3a5989f |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-09T16:10:49Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
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| series | Life |
| spelling | doaj.art-4a55c485393a426ca9e63dc1f3a5989f2023-11-24T16:12:00ZengMDPI AGLife2075-17292022-12-011212200810.3390/life12122008Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational StudyElena Donoso-Úbeda0Raúl Pérez-Llanes1Javier Meroño-Gallut2Roberto Ucero-Lozano3Rubén Cuesta-Barriuso4Department of Physiotherapy, Catholic University San Antonio-UCAM, 30107 Guadalupe, SpainDepartment of Physiotherapy, Catholic University San Antonio-UCAM, 30107 Guadalupe, SpainPhysiotherapy Service, Tu Bienestar 360°, 30730 San Javier, SpainDepartment of Physiotherapy, Faculty of Sport Sciences, European University of Madrid, 28670 Madrid, SpainDepartment of Surgery and Medical-Surgical Specialties, University of Oviedo, 33006 Asturias, SpainBackground: Hemophilic ankle arthropathy is manifested by degenerative functional alterations (reduced muscle strength, mobility, and proprioception) and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain, and reduce tissue sensitivity. The aim was to evaluate the safety of self-induced myofascial release in patients with hemophilic ankle arthropathy and to assess possible changes in musculoskeletal variables. Methods: We recruited 20 patients with ankle hemophilic arthropathy. Patients carried out a daily self-induced myofascial release exercise program using a foam roller over a period of 8 weeks. The primary variable was the frequency of hemarthrosis (regular telephone follow-up). Secondary variables were pain intensity (visual analog scale), range of motion (goniometry), and functional capacity of the lower limbs (six-minute walk test). Three evaluations were performed: pre-treatment (T0), post-treatment (T1), and at 8 weeks follow-up (T2). Results: There was a lower, non-significant, association in the frequency of hemarthrosis between the experimental and follow-up periods, compared to the pre-study period (SE = 0.50; 95%CI: −1.67; 0.28). There were significant within-subject changes in intensity of pain (T0: 4.91; T1: 2.79; T2: 2.46; <i>p</i> < 0.001), plantar flexion (T0: 125.55; T1: 131.5; T2: 130.30; <i>p</i> = 0.01), and functionality of the lower limbs (T0: 173.06; T1: 184.85; T2: 178.39; <i>p</i> = 0.009). Conclusions: Self-induced myofascial release is safe in patients with hemophilic ankle arthropathy. A protocol based on self-induced myofascial release can lead to changes in pain intensity, range of ankle motion in plantar flexion, and functionality in hemophilic patients.https://www.mdpi.com/2075-1729/12/12/2008hemophiliaankle arthropathyself-induced myofascial releasemanual therapyfrequency of hemarthrosis |
| spellingShingle | Elena Donoso-Úbeda Raúl Pérez-Llanes Javier Meroño-Gallut Roberto Ucero-Lozano Rubén Cuesta-Barriuso Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study Life hemophilia ankle arthropathy self-induced myofascial release manual therapy frequency of hemarthrosis |
| title | Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study |
| title_full | Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study |
| title_fullStr | Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study |
| title_full_unstemmed | Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study |
| title_short | Self-Induced Myofascial Release in Patients with Hemophilic Ankle Arthropathy: A Pilot Observational Study |
| title_sort | self induced myofascial release in patients with hemophilic ankle arthropathy a pilot observational study |
| topic | hemophilia ankle arthropathy self-induced myofascial release manual therapy frequency of hemarthrosis |
| url | https://www.mdpi.com/2075-1729/12/12/2008 |
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