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Tytuł:
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Upper-Body Exercises With External Resistance Are Well Tolerated and Enhance Muscle Activity in People With Hemophilia.
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Autorzy:
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Calatayud J; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain; and National Research Centre for the Working Environment, Copenhagen, Denmark.
Pérez-Alenda S; Department of Physiotherapy, University of Valencia, C/Gascó Oliag, 5 Valencia 46010, Valencia, Spain; and Haemostasis and Thrombosis Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Carrasco JJ; Department of Physiotherapy and Intelligent Data Analysis Laboratory, University of Valencia.
Escriche A; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia.
Cruz-Montecinos C; Department of Physiotherapy, University of Valencia; and Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile.
Andersen LL; National Research Centre for the Working Environment; and Sport Sciences, Department of Health Science and Technology, Aalborg University, Denmark.
Bonanad S; Haemostasis and Thrombosis Unit, University and Polytechnic Hospital La Fe.
Querol F; Department of Physiotherapy, University of Valencia; and Haemostasis and Thrombosis Unit, University and Polytechnic Hospital La Fe.
Casaña J; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia.
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Źródło:
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Physical therapy [Phys Ther] 2019 Apr 01; Vol. 99 (4), pp. 411-419.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: 2017- : New York : Oxford University Press
Original Publication: Alexandria, VA : American Physical Therapy Association
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MeSH Terms:
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Resistance Training*
Hemophilia A/*rehabilitation
Muscle Strength/*physiology
Upper Extremity/*physiology
Adult ; Cross-Sectional Studies ; Elbow ; Electromyography ; Humans ; Shoulder
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Entry Date(s):
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Date Created: 20190129 Date Completed: 20191206 Latest Revision: 20191217
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Update Code:
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20240104
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DOI:
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10.1093/ptj/pzy136
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PMID:
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30690577
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Background: Conventional nonresisted therapeutic exercises for people with hemophilia involve a careful, low-intensity approach to avoid injuries. Externally resisted exercise is highly efficient for increasing muscle strength in healthy adults but its feasibility for people with hemophilia remains unknown.
Objective: The purpose of this study was to evaluate muscle activity during upper-body rehabilitation exercises with 2 types of external resistance and without external resistance (conventional) and to examine tolerability, kinesiophobia, and possible adverse effects derived from the session.
Design: This was a cross-sectional study.
Methods: Twelve people with hemophilia A/B (11 with severe hemophilia undergoing prophylactic treatment, 1 with mild hemophilia) participated. During the experimental session, participants completed the Tampa Scale of Kinesiophobia and performed 2 exercises-elbow flexion and shoulder abduction-with 3 conditions for each exercise: elastic resistance (externally resisted), free weights (externally resisted), and conventional nonresisted. Surface electromyography signals were recorded for the biceps brachii, triceps brachii, upper trapezius, and middle deltoid muscles. After the session, exercise tolerability and kinesiophobia were assessed. Adverse effects were evaluated 24 and 48 hours after the session.
Results: Externally resisted exercises provided greater muscle activity than conventional nonresisted therapeutic exercises. The exercises were generally well tolerated and there was no change in kinesiophobia following the session. No adverse effects were observed in the following days.
Limitations: Small sample size was the main limitation.
Conclusions: In people with severe hemophilia undergoing prophylactic treatment, elbow flexion and shoulder abduction exercises with external resistance at moderate intensities are feasible and provide greater muscle activity than nonresisted conventional exercises.
(© 2019 American Physical Therapy Association.)
