Group | Duration | Intervention | |
---|---|---|---|
MT | 5 min | Thermotherapy shallow to 50 cm away from the elbow, using a bulb of 250w. | |
15 min | Joint traction of elbow, in submaximal mobility amplitude with distal fixation of humerus and proximal fixation of radius and ulna in neutral position of forearm. Joint traction in I-II degree of flexion and extension submaximal of elbow. | ||
15 min | Muscle stretching (within the limits of mobility). Compression technique, passive muscle stretching and relaxation in biceps and triceps. | ||
15 min | Proprioceptive neuromuscular facilitation (PNF) of upper limb, from the abduction, flexion and external rotation of shoulder with extension of elbow and dorsal flexion of wrist, to adduction, internal rotation of shoulder with flexion of elbow and palmar flexion of wrist and fingers. | ||
10 min | Local cryotherapy with ice bag and protection between it and the skin | ||
Duration | Session | Intervention | |
EG | 30 min | 1 | Theory: Introduction to haemophilia: clinic and treatment. Anatomy and biomechanics of elbow |
20 min | Theory: exercises for the maintenance and improvement of ROM, in favor of gravity | ||
20 min | Practice: exercises in favor of gravity | ||
20 min | Resolution of questions and group discussion | ||
30 min | 2 | Theory: Anatomy of elbow musculature. Function of muscles and hematomas’ treatment | |
20 min | Theory: exercise for maintaining and improving strength | ||
20 min | Practice: isometric and isotonic exercises of elbow | ||
20 min | Resolution of questions and group discussion | ||
30 min | 3 | Theory: hemarthrosis, synovitis and arthropathy: clinical manifestations and treatment | |
20 min | Theory: treatment of pain and mobility | ||
20 min | Practice: active exercises for mobility and pain management | ||
20 min | Resolution of questions and group discussion | ||
30 min | 4 | Theory: Proprioception: definition and importance in haemophilia | |
20 min | Theory: proprioception exercises | ||
20 min | Practice: elbow proprioception exercises | ||
20 min | Resolution of questions and group discussion | ||
30 min | 5 | Theory: Physical activity and sport: risks and benefits | |
20 min | Theory: recommended sports in haemophilia | ||
20 min | Practice: swimming technique | ||
20 min | Resolution of questions and group discussion | ||
30 min | 6 | Theory review | |
30 min | Review of practical exercises | ||
20 min | Resolution of questions and group discussion |