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Self‐monitoring has potential for home exercise programmes in patients with haemophilia
Author(s) -
Goto M.,
Takedani H.,
Haga N.,
Kubota M.,
Ishiyama M.,
Ito S.,
Nitta O.
Publication year - 2014
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/hae.12355
Subject(s) - medicine , physical therapy , haemophilia , ankle , randomized controlled trial , self monitoring , range of motion , rehabilitation , surgery , psychology , social psychology
Summary Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self‐monitoring of home exercise for haemophiliacs. A randomized controlled trial was conducted with intervention over 8 weeks at four hospitals in Japan. Subjects included 32 male outpatients aged 26–64 years without an inhibitor who were randomly allocated to a self‐monitoring group and a control group. Individual exercise guidance with physical activity for improvement of their knee functions was given to both groups. The self‐monitoring materials included an activity monitor and a feedback system so that the self‐monitoring group could send feedback via the Internet and cellular phone. The self‐monitoring was performed by checking exercise adherence and physical activity levels, bleeding history and injection of a coagulation factor. Both groups showed significant improvements in exercise adherence ( P < 0.001) and physical function such as the strength of knee extension ( P < 0.001), range of knee extension ( P < 0.001), range of ankle dorsiflexion ( P < 0.01), a modified Functional Reach ( P < 0.05) and 10 metre gait time ( P < 0.01). In particular, improvements in exercise adherence ( P < 0.05), self‐efficacy ( P < 0.05), and strength of knee extension ( P < 0.05) were significant in the self‐monitoring group compared with those in the control group. No increase in bleeding frequency and pain scale was noted. The self‐monitoring of home exercise for haemophilic patients is useful for the improvement of exercise adherence, self‐efficacy and knee extension strength.