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To assess the efficacy of an educational physiotherapy home exercise intervention for physical improvement, pain perception, quality of life, and illness behavior in patients with hemophilic arthropathy.
WOMAC scores showed marked improvement (pain, 250 preoperatively to 157; stiffness, 115 preoperatively to 56; and function, 910 preoperatively to 588).
Regression analyses tested whether, after controlling for its reference standard questionnaires, the STarT Back Tool (independent variable) predicted treatment-related changes in global improvement, pain severity, disability, catastrophizing, fear, and depression (dependent variables).
Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life.
Subjective improvement (pain score, performance status) occurred in 7 of 24 patients, whereas nine patients progressed subjectively.
Relative risk (RR) or standardised mean difference (SMD) for overall improvement, pain and grip strength at 4 12, 26 and 52 weeks of follow-up.
Similar(46)
Results: Ten patients (46%) showed improvement in pain intensity and pain sequelae after treatment.
Regardless, systematic improvement of pain, not only of pain intensity but also of pain duration, was reported by all assessments.
Greater improvement in pain was predicted by more pain at baseline and male gender.
Interestingly, with tramadol treatment, improvement in pain interference was much greater than improvement in pain severity.
The percentage of patients reporting a global improvement of pain at week 4 (66%) was higher than the percentage of patients documenting a pain improvement in their diaries (50.2 52.3%).
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