Follow-up of a 6-month Programmed Sports Therapy (PST) in patients with haemophilia

Summary

Studies describe benefits of exercise in Patients with haemophilia (PwH), but research on training sustainability is rare. Aim of this study was to observe the follow-up of a guided 6-month training intervention in PwH. This study included 28 PwH after a training intervention (RCT) over 6 months. N=17 continued training (TC), N=11 stopped training (TS) after the study time. Strength measurements and subjective physical performance were tested.

The RCT revealed that all muscles tested increased significantly after training. In the follow-up phase, the muscles of TC increased further (in TS decreased), but not all of them significantly (M. triceps brachii: p=0.017; M. biceps brachii: n.s.; M. latissimus dorsi: n.s.; M. rectus abdominis: p=0.002; M. biceps femoris right: n.s.; left: p=0.028; M. quadriceps femoris both n.s. = not sig.). Subjective performance showed no clear changes in the follow-up phase.

This is the first study evaluating a follow-up phase of programmed sports therapy (PST) in PwH. PST (6-month) resulted in some PwH continuing the successful training. Benefits were training routine, safety and partially further positive training effects, e.g. in strength performance.

Zusammenfassung

Studien weisen auf Effekte eines körperlichen Trainings bei Patienten mit Hämophilie (PwH) hin, jedoch sind Folgeuntersuchungen rar. Ziel dieser Studie war die Nachbeobachtung einer 6-monatigen Trainingsintervention bei PwH. Die Studie schloss 28 PwH nach einer 6-monatigen Trainingsintervention (RCT) ein. N=17 trainierten weiter (TC) und N=11 beendeten das Training (TS) nach der RCT. Kraftfähigkeiten und subjektive körperliche Leistung wurden getestet.

Nach RCT war die Kraftleistung signifikant erhöht. In der Nachbeobachtung stieg die Muskelkraft in TC weiter (TS rückläufig), jedoch nicht immer signifikant. (M. trizeps brachii: p=0,017; M. bizeps brachii: n.s.; M. latissimus dorsi: n.s.; M. rectus abdominis: p=0,002; M. bizeps femoris rechts: n.s.; links: p=0,028; M. quadrizeps femoris beidseits n.s.=nicht sig.). Die subjektive Leistung zeigte kaum Veränderungen in der Nachbeobachtung.

Dies ist die erste Studie, welche die Programmierte Sporttherapie (PST) für PwH nachbeobachtet. Die 6-monatige PST bewirkt das einige PwH das erfolgreiche Training alleine weiterführen. Vorteile sind die Trainingsroutine/-sicherheit sowie weitere positive Trainingseffekte, v.a. bei der Kraftleistung.

Keywords

Sustainability - training - follow-up - exercise

Schlüsselwörter

Nachhaltigkeit - Training - Nachuntersuchung - Bewegung

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