- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04114448
Therapeutic Exercise in Patients With Hemophilia (Hemofisio)
Therapeutic Exercise: Does it Improve Pain Perception, Range of Movement and Quality of Life in Patients With Hemophilia
Objectives: To assess the efficacy of performing a therapeutic exercise program, compared with usual care, on pain relief, range of movement and self-perceived quality of life in patients with hemophilia
Design: Quantitative, experimental, longitudinal and prospective study.
Subjects: Male patients between 30 and 45 years old, with hemophilia type A or B and with knee, ankle or elbow arthropathy caused by hemophilia. Participants may be undergoing a pharmacologic treatment with intravenous VIII and/or IX factor
Methods: Participants in the experimental group will an intervention based on therapeutic exercise. One therapist will instruct the patients during two sessions (each lasting approximately 1 hour). Participants will be asked to continue this program at least twice a week. Meanwhile, those in the control group will receive usual physical therapy care, based on a more passive approach, including self-assisted joint mobilization and muscle stretching. Those in the control group will be also instructed to perform the protocol at home, at least twice a week. The intervention protocol in both groups will last three months
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jose Manuel Labao-López, MSc
- Phone Number: +34628603064
- Email: josemanuellabao@gmail.com
Study Contact Backup
- Name: Alberto M Heredia-Rizo, PhD
- Phone Number: +34954486507
- Email: amheredia@us.es
Study Locations
-
-
-
Sevilla, Spain, 41009
- University of Sevilla
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of hemophilia type A or hemophilia type B.
- Knee, elbow or ankle arthropathy caused by hemophilia
- Pharmacological treatment based on using VIII or IX factor concentrates.
Exclusion Criteria:
- Presence of VIII FIX inhibitors.
- Having received anti-inflammatory treatment using Arcoxia (Etoricoxib)
- Having undergone a surgical intervention at the target joint.
- Patients enrolled in other research which implies doing physical exercise.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Therapeutic exercise
Patients will be trained to perform a therapeutic exercise intervention protocol.
The program will be based on active physical activity including strength, balance an coordination exercises, among others.
Each initial contact session will last approximately 1 hour.
After baseline, participants will be instructed to undergo at least two sessions per week during 3 consecutive months.
|
Patients will perform an exercise protocol specifically designed for patients with hemophilia that will include exercises focused on improving range of movement, strength, flexibility, balance and coordination as well as diaphragmatic breathing at the start and at the beginning of each session.
|
Active Comparator: Usual care
Patients will be instructed to perform an usual care physical therapy intervention protocol.
Participants in this group will be told to undergo gentle self-performed joint mobilization and stretching exercises.
Each initial contact session will last approximately 1 hour.
After baseline, participants will be instructed to undergo at least two sessions per week during 3 consecutive months.
|
Patients will undergo usual physical therapy treatment for hemophiliacs, based on affected self and gentle joint mobilization and stretching of muscles involved in the affected joints.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pressure pain threshold (PPT) in the evaluated muscles.
Time Frame: Change from baseline to 3 months after intervention
|
The PPT levels will be evaluated in KPa.
PPT levels, defined as the minimum necessary pressure to evoke pain will be evaluated using a handheld electronic pressure algometer.
|
Change from baseline to 3 months after intervention
|
Self-reported pain intensity: Numeric Pain Rating Scale (NPRS)
Time Frame: Change from baseline to 3 months after intervention
|
Self-reported pain will be evaluated using the Numeric Pain Rating Scale (NPRS), where 0 denotes no pain at all, and 10 denotes the maximum possible pain.
|
Change from baseline to 3 months after intervention
|
Range of movement (ROM).
Time Frame: Change from baseline to 3 months after intervention
|
Active ROM of the affected joint will be evaluated using inertial sensors, that measure lineal acceleration and angular velocity.
|
Change from baseline to 3 months after intervention
|
General flexibility
Time Frame: Change from baseline to 3 months after intervention
|
General flexibility will be assessed using the improved tot-flex test, which makes possible to extrapolate general flexibility from a combined movement measure.
|
Change from baseline to 3 months after intervention
|
Daily life activities
Time Frame: Change from baseline to 3 months after intervention
|
Ordinary daily life activities will be assessed using the Haemophilia Activities List, which measures the self-perceived functional state.
|
Change from baseline to 3 months after intervention
|
Self-perceived quality of life: A36 Haemophilia-QoL test
Time Frame: Change from baseline to 3 months after intervention
|
Quality of life will be evaluated using the A36 Haemophilia-QoL test.
This is a valid and specific tool for hemophiliac adults.
|
Change from baseline to 3 months after intervention
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Alberto M Heredia-Rizo, PhD, Physiotherapy Department, University of Sevilla, Spain
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HemoFisio2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Hemophilia
-
Nantes University HospitalCompletedArthropathy | Moderate HemophiliaFrance
-
Catalyst BiosciencesCompletedHemophilia A | Hemophilia B | Hemophilia A With Inhibitor | Hemophilia B With Inhibitor | Hemophilia A Without Inhibitor | Hemophilia B Without InhibitorBulgaria, Russian Federation
-
BayerCompletedHemophilia A; Hemophilia BIsrael
-
GWT-TUD GmbHHannover Medical School; Hoffmann-La RocheCompleted
-
Laboratoire français de Fractionnement et de BiotechnologiesLFB USA, Inc.CompletedA Phase III Study on the Safety, Pharmacokinetics and Efficacy of Coagulation Factor VIIa (PERSEPT2)Hemophilia A With Inhibitors | Hemophilia B With InhibitorsBulgaria, Ukraine, Czechia, United States, Georgia, South Africa
-
PfizerCompletedFactor VIII Deficiency, Congenital | Hemophilia A, Congenital | Factor 8 Deficiency, Congenital | Autosomal Hemophilia A | Classic Hemophilia
-
University College, LondonRecruiting
-
University of British ColumbiaBiogenCompletedHemophilia A, Congenital | Hemophilia B, CongenitalCanada
-
Catalyst BiosciencesCompletedHemophilia A With Inhibitor | Hemophilia B With InhibitorArmenia, Georgia, South Africa, Poland, Russian Federation
-
CSL BehringTerminatedHemophilia A With Inhibitors | Hemophilia B With InhibitorsGeorgia, Italy, Malaysia, Russian Federation, South Africa, Spain, Thailand, Ukraine, United Kingdom
Clinical Trials on Therapeutic exercise
-
University of ValenciaRecruitingMotor Imagery | Therapeutic Exercise | Action ObservationSpain
-
Catholic University of the Sacred HeartCompletedShoulder Impingement SyndromeItaly
-
University of AlbertaCross Cancer InstituteCompletedHead and Neck Neoplasms | Fatigue | Accessory Nerve InjuryCanada
-
Universidad de AlmeriaRecruitingChronic Pain | Neck PainSpain
-
Proaxis TherapyVirginia Commonwealth University; Arcadia University; National Athletic Trainers...CompletedShoulder Impingement SyndromeUnited States
-
University of ValenciaRecruitingMotor Imagery | Therapeutic Exercise | Action ObservationSpain
-
University of Nove de JulhoRecruiting
-
University of AlcalaCompletedBreast Cancer | FatigueSpain
-
University of SevilleCompleted
-
University of AlcalaRecruitingAxillary Web SyndromeSpain