medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 5

<< Back Next >>

Acta Ortop Mex 2020; 34 (5)

Virtual reality rehabilitation in paediatric patients with hemophilia. Retrospective study

Castillo-Martínez ID, Bremer-Aztudillo AL, Velázquez-Marmolejo L, Moreno-González AM, Belmont-Sánchez J

Language: Spanish
References: 20
Page: 298-302
PDF size: 301.58 Kb.


ABSTRACT

Introduction: Joint affection is a frequent complication of hemophilia. Virtual reality programs offer the patient a dynamic plan with maximum functional benefit. The objective of this work is to evaluate the effect of a rehabilitation program combined with conventional therapy and virtual reality on joint function, in patients with hemophilic arthropathy and the impact on the gait. Material and methods: Eleven pediatric patients with hemophilia and history of hemophilic arthropathy grade I or II were evaluated. An 8-week rehabilitation program was carried out with Xbox KinectTM and mechanotherapy. Movement analysis laboratory to evaluate the gait pattern and the Joint Health Scale was performed at the beginning and end of the program. Results: A reduction of 50% (p = 0.000), 68% (p = 0.016) and 48% (p = 0.000) were observed in the Total Joint Health score (STA), Global Gait Score (PMG) and Total Score of the Joint Health Scale (P-HJHS-T) respectively. There is a decrease in the support phase and right stride, and increase in cadence, step length, left stride and swing phase. Conclusions: The overall improvement of the patients makes us conclude that this pilot study opens a window of opportunity to continue the study of an integral rehabilitation program based on the use of virtual reality in pediatric patients with hemophilic arthropathy.


REFERENCES

  1. Stonebraker JS, Bolton-Maggs PH, Soucie JM, Walker I, Brooker M. A study of variations in the reported haemophilia A prevalence around the world. Haemophilia. 2010; 16(1): 20-32.

  2. Stonebraker JS, Bolton-Maggs PH, Michael Soucie J, Walker I, Brooker M. A study of variations in the reported haemophilia B prevalence around the world. Haemophilia. 2012; 18(3): e91-4.

  3. Luck JV Jr, Silva M, Rodriguez-Merchan EC, Ghalambor N, Zahiri CA, Finn RS. Hemophilic arthropathy. J Am Acad Orthop Surg. 2004; 12(4): 234-45.

  4. Muça-Perja M, Riva S, Grochowska B, Mangiafico L, Mago D, Gringeri A. Ultrasonography of haemophilic arthropathy. Haemophilia. 2012; 18(3): 364-8.

  5. Ceponis A, Wong-Sefidan I, Glass CS, von Drygalski A. Rapid musculoskeletal ultrasound for painful episodes in adult haemophilia patients. Haemophilia. 2013; 19(5): 790-8.

  6. Acharya SS, Schloss R, Dyke JP, Mintz DN, Christos P, DiMichele DM, et al. Power Doppler sonography in the diagnosis of hemophilic synovitis--a promising tool. J Thromb Haemost. 2008; 6(12): 2055-61.

  7. Bhat V, Olmer M, Joshi S, Durden DL, Cramer TJ, Barnes RF, et al. Vascular remodeling underlies rebleeding in hemophilic arthropathy. Am J Hematol. 2015; 90(11): 1027-35.

  8. Wyseure T, Mosnier LO, von Drygalski A. Advances and challenges in hemophilic arthropathy. Semin Hematol. 2016; 53(1): 10-9.

  9. Aronstam A, Rainsford SG, Painter MJ. Patterns of bleeding in adolescents with severe haemophilia A. Br Med J. 1979; 1(6161): 469-70.

  10. Arnold WD, Hilgartner MW. Hemophilic arthropathy. Current concepts of pathogenesis and management. J Bone Joint Surg Am. 1977; 59(3): 287-305.

  11. Hilliard P, Funk S, Zourikian N, Bergstrom BM, Bradley CS, McLimont M, et al. Hemophilia joint health score reliability study. Haemophilia. 2006; 12(5): 518-25.

  12. Bladen M, Main E, Hubert N, Koutoumanou E, Liesner R, Khair K. Factors affecting the Haemophilia Joint Health Score in children with severe haemophilia. Haemophilia. 2013; 19(4): 626-31.

  13. Nelson AJ. Functional ambulation profile. Phys Ther. 1974; 54(10): 1059-65.

  14. Nelson AJ, Zwick D, Brody S, Doran C, Pulver L, Rooz G, et al. The validity of the GaitRite and the Functional Ambulation Performance scoring system in the analysis of Parkinson gait. NeuroRehabilitation. 2002; 17(3): 255-62.

  15. Park DS, Lee DG, Lee K, Lee G. Effects of virtual reality training using Xbox Kinect on motor function in stroke survivors: a preliminary study. J Stroke Cerebrovasc Dis. 2017; 26(10): 2313-9.

  16. Betker AL, Szturm T, Moussavi ZK, Nett C. Video game-based exercises for balance rehabilitation: a single-subject design. Arch Phys Med Rehabil. 2006; 87(8): 1141-9.

  17. Ficklscherer A, Stapf J, Meissner KM, Niethammer T, Lahner M, Wagenhäuser M, et al. Testing the feasibility and safety of the Nintendo Wii gaming console in orthopedic rehabilitation: a pilot randomized controlled study. Arch Med Sci. 2016; 12(6): 1273-8.

  18. Messier SP, Royer TD, Craven TE, O’Toole ML, Burns R, Ettinger WH Jr. Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the Fitness, Arthritis, and Seniors Trial (FAST). J Am Geriatr Soc. 2000; 48(2): 131-8.

  19. Pérez-Alenda S, Carrasco JJ, Aguilar-Rodríguez M, Martínez-Gómez L, Querol-Giner M, Cuesta-Barriuso R, et al. Balance evaluation in haemophilic preadolescent patients using Nintendo Wii Balance Board®. Haemophilia. 2017; 23(1): e18-24.

  20. Feldman BM, Funk SM, Bergstrom BM, Zourikian N, Hilliard P, van der Net J, et al. Validation of a new pediatric joint scoring system from the International Hemophilia Prophylaxis Study Group: validity of the hemophilia joint health score. Arthritis Care Res (Hoboken). 2011; 63(2): 223-30.




2020     |     www.medigraphic.com