Application of exercise interventions in the rehabilitation of patients with hemophilic arthropathy: a scoping review
10.3760/cma.j.cn115682-20240525-02948
- VernacularTitle:运动干预在血友病性骨关节病患者康复中应用的范围综述
- Author:
Chen ZHU
1
;
Yankai SHI
;
Yan XU
;
Xinyi WEI
;
Ruyi YAN
;
Dongxue HUA
;
Xiaolan ZHANG
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Publication Type:Journal Article
- Keywords:
Review;
Hemophilic arthropathy;
Exercise;
Rehabilitation
- From:
Chinese Journal of Modern Nursing
2025;31(10):1388-1395
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a scoping review of studies on the application of exercise interventions in the rehabilitation of patients with hemophilic arthropathy (HA) .Methods:A systematic search was conducted in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, China National Knowledge Infrastructure, Wanfang Data, VIP, and China Biology Medicine disc. The search period was from the database inception to March 1, 2024. Relevant literature was screened, summarized, and analyzed.Results:A total of 31 studies were included. The study population mainly consisted of adult patients with moderate to severe hemophilia suffering from elbow, knee, and ankle arthropathy, who were in a stable bleeding phase without coagulation factor inhibitors. Exercise types included resistance training, aerobic exercise, balance/proprioceptive exercises, and flexibility training. The exercise intensity was predominantly low to moderate. The duration of each session was mostly 30-60 minutes, with a frequency of 2-5 times per week and a total intervention period of 4-12 weeks. Exercises were mostly conducted in medical institutions under face-to-face supervision. Exercise interventions led to varying degrees of improvement in mobility, balance/proprioceptive function, joint function, cardiopulmonary fitness, psychological well-being, and quality of life.Conclusions:Exercise interventions for patients with hemophilic arthropathy are diverse, demonstrating safety, feasibility, and efficacy. Future research should focus on a multidisciplinary, exercise-centered rehabilitation approach, standardizing evaluation criteria, and dynamically monitoring the rehabilitation process to develop standardized exercise rehabilitation protocols.
