Postural stability is affected in older males with Haemophilia—a matched control study

Journal article


Digby-Bowl, C., Brown, M. and Stephensen, D. 2018. Postural stability is affected in older males with Haemophilia—a matched control study. Journal of Functional Morphology and Kinesiology. 3 (1), pp. 10-20. https://doi.org/10.3390/jfmk3010010
AuthorsDigby-Bowl, C., Brown, M. and Stephensen, D.
Abstract

Despite fall-related injuries having serious consequences for older haemophilic patients, few studies have investigated their postural stability and risk of falls.

The aim was to examine postural stability, joint function and joint mobility in haemophiliacs and age-matched controls. Centre of pressure excursions in four 60 s balance conditions, two minute walk test, passive ankle and knee range of motion, Haemophilia Joint Health Score, and Haemophilia Early Arthropathy Detection with Ultrasound score were measured in eight men with haemophilia (people with heamophilia, PWH), and eight age-matched men without haemophilia (people without heamophilia, PWOH). PWH have significantly worse postural stability under physically perturbed conditions (p = 0.001–0.028, η2p
= 0.19–0.34), reduced joint function (p = 0.001–0.010, d = 1.33–2.62) and mobility (p < 0.001–0.025, d = 1.01–4.61), and increased centre of pressure (CoP) velocity (p < 0.001–0.003) when compared to PWOH. Postural stability among PWH did not deteriorate with time standing, although significant decreases compared to PWOH across all time intervals were observed (Eyes Open Foam (EOF) CoP ellipse (time x group) p = 0.011, η2p
= 0.28; path (time × group) p = 0.035, η2p
= 0.21; EOF CoP antero-posterior (AP) (time × group) p = 0.021, η2p
= 0.24). Joint function, mobility, and postural stability are reduced in PWH compared to PWOH, driven by differences in the CoP AP range. Dynamic tests incorporating physical perturbation may be more effective than static balance tests on a level surface, and longer period of time to assess postural stability may determine whether fatigue affects ability of PWH to maintain postural stability. Adoption of a possible ‘hip strategy’ by which to achieve balance suggests falls prevention programs need to focus on increasing hip strength and retraining ankle strategy movement to allow PWH to improve balance stability.

KeywordsBalance; haemophilia; mobility; falls; postural stability
Year2018
JournalJournal of Functional Morphology and Kinesiology
Journal citation3 (1), pp. 10-20
PublisherMDPI
ISSN2411-5142
Digital Object Identifier (DOI)https://doi.org/10.3390/jfmk3010010
Related URLhttp://www.mdpi.com/journal/jfmk
Publication dates
Print31 Jan 2018
Publication process dates
Deposited31 Jan 2018
Accepted19 Jan 2018
Publisher's version
Output statusPublished
References

References
1. Franchini, M.; Mannucci, P. Co-morbidities and quality of life in elderly persons with haemophilia. Br. J. Haematol. 2010, 148, 522–533. [CrossRef] [PubMed]
2. Darby, S.C.; Kan, S.W.; Spooner, R.J.; Giangrande, P.L.; Hill, F.G.; Hay, C.R.; Lee, C.A.; Ludlam, C.A.; Williams, M. Mortality rates, life expectancy and causes of death in people with haemophilia A or B in the United Kingdom who were not infected with HIV. Blood 2007, 110, 815–825. [CrossRef] [PubMed]
3. Khleif, A.; Rodriguez, N.; Brown, D.; Escober, M. Multiple Comorbid Conditions among Middle-Aged and Elderly Haemophilia Patients: Prevalence Estimates and Implications for Future Care. J. Aging Res. 2011, 2011, 1–8. [CrossRef] [PubMed]
4. Konkle, B.; Kessler, C.; Aledort, L.; Andersen, J.; Fogarty, P.; Kouides, P.; Quon, D.; Ragni, M.; Zakarija, A.; Ewenstein, B. Emerging clinical concerns in the ageing haemophilia patient. Haemophilia 2009, 15, 1197–1209. [CrossRef] [PubMed]
5. Miesbach, W.; Alesci, S.; Krekeler, S.; Seifried, E. Comorbidities and bleeding pattern in elderly haemophilia A patients. Haemophilia 2009, 15, 894–899. [CrossRef] [PubMed]
6. Sibone, S.; Mannucci, P.; Gringeri, A.; Franchini, M.; Tagliaferri, A.; Ferretti, M.; Tradati, F.C.; Santagostino, E.; von Mackensen, S. For the Italian Association of Haemophilia Centres (AICE). Health status and quality of life of elderly persons with severe haemophilia born before the advent of modern replacement therapy. J. Thromb. Haemost. 2009, 7, 780–786. [CrossRef] [PubMed]
7. Court-Brown, C.M.; Clement, N.D.; Duckworth, A.D.; Biant, L.C.; McQueen, M.M. The changing epidemiology of fall-related fractures in adults. Injury 2017, 48, 819–824. [CrossRef] [PubMed]
8. Hubbard, T.J.; Hicks-Little, C.; Cordova, M. Mechanical and Sensorimotor Implications with Ankle Osteoarthritis. Arch. Phys. Med. Rehabil. 2009, 90, 1136–1141. [CrossRef] [PubMed]
9. Nevitt, M.C.; Tolstykh, I.; Shakoor, N.; Nguyen, U.D.T.; Segal, N.A.; Lewis, C.; Felson, D.T. Symptoms of Knee Instability as Risk Factors for Recurrent Falls. Arthritis Care Res. 2016, 68, 1089–1097. [CrossRef] [PubMed]
10. Forsyth, A.L.; Quon, D.V.; Konkle, B.A. Role of exercise and physical activity on haemophilic arthropathy, fall prevention and osteoporosis. Haemophilia 2011, 17, e870–876. [CrossRef] [PubMed]
11. Sammels, M.; Vandesande, J.; Vlaeyen, E.; Peerlinck, K.; Milisen, K. Falling and fall risk factors in adults with haemophilia: An exploratory study. Haemophilia 2014, 20, 836–845. [CrossRef] [PubMed]
12. Flaherty, L.M.; Flaherty, B.P.; Kruse-James, R.; Konkle, B.A. Falls and associated complications in adults with haemophilia. J. Haem. Pract. 2016, 3, 1–6. [CrossRef]
13. Wells, A.J.; McLaughlin, P.; Simmonds, J.V.; Prouse, P.J.; Prelevic, G.; Gill, S.; Chowdary, P. A case-control study assessing bone mineral density in severe haemophilia A in the UK. Haemophilia 2015, 21, 109–115. [CrossRef] [PubMed]
14. Rubinstein, L.Z. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing 2006, 35, 37–41. [CrossRef] [PubMed]
15. Goodwin, V.A.; Abbott, R.A.; Whear, R.; Bethel, A.; Ukoumunne, O.C.; Thopson-Coon, J.; Stein, K. Multiple component interventions for preventing falls and fall-related injuries among older people: Systematics review and meta-analysis. BMC Geriatr. 2014, 14, 15. [CrossRef] [PubMed]
16. Salavati, M.; Moghadam, M.; Ebrahimi, I.; Arab, A.M. Changes in postural stability with fatigue of lower extremity frontal and sagittal plane movers. Gait Posture 2007, 26, 214–218. [CrossRef] [PubMed]
17. Bisson, E.J.; McEwena, D.; Lajoie, Y.; Bilodeau, M. Effects of ankle and hip muscle fatigue on postural sway and attentional demands during unipedal stance. Gait Posture 2011, 33, 83–87. [CrossRef] [PubMed]
18. Singh, D.; Park, W.; Levy, M.S.; Jung, E.S. The effects of obesity and standing time on postural sway during prolonged quiet standing. Ergonomics 2009, 52, 877–986. [CrossRef] [PubMed]
19. Pline, K.M.; Madigan, M.L.; Nussbaum, M.A. Influence of fatigue time and level on increases in postural sway. Ergonomics 2006, 49, 1639–1648. [CrossRef] [PubMed]
20. Stephensen, D.; Rodriguez-Merchan, E.C. Orthopaedic co-morbidities in the elderly haemophilic population: A review. Haemophilia 2013, 19, 166–173. [CrossRef] [PubMed]
21. Gallach, J.E.; Querol, F.; González, L.M.; Pardo, A.; Aznar, J.A. Posturographic analysis of balance control in patients with haemophilic arthropathy. Haemophilia 2008, 14, 329–335. [CrossRef] [PubMed]
22. Fearn, M.; Hill, K.; Williams, S.; Mudge, L.; Walsh, C.; McCarthy, P.; Walsh, M.; Street, A. Balance dysfunction in adults with haemophilia. Haemophilia 2010, 16, 606–614. [CrossRef] [PubMed]
23. Thabti, H.A.; Beausoleil, S.; Hue, O. The effects of haemophilia on the postural control of adolescents. J. Funct. Morphol. Kinesiol. 2017, 2, 24. [CrossRef]
24. Hilliard, P.; Funk, S.; Zourikian, N.; Bergstrom, B.M.; Bradley, C.S.; McLimont, M.; Manco-Johnson, M.; Petrini, P.; van den Berg, M.; Feldman, B.M. Hemophilia joint health score reliability study. Haemophilia 2006, 12, 518–525. [CrossRef] [PubMed]
25. Stephensen, D.; Taylor, S.; Bladen, M.; Drechsler, W. Relationship between physical function and biomechanical gait patterns in boys with haemophilia. Haemophilia 2016, 22, e512–e518. [CrossRef] [PubMed]
26. Yuksel, E.; Kalkan, S.; Cekmece, S.; Unver, B.; Karatosun, V. Assessing minimal detectable changes and test-retest reliability of the Timed Up and Go Test and the 2-Minute Walk Test in patients with total knee
arthroplasty. J. Arthroplast. 2017, 32, 426–430. [CrossRef] [PubMed]
27. Connelly, D.M.; Thomas, B.K.; Cliffe, S.J.; Perry, W.M.; Smith, R.E. Clinical Utility of the 2-Minute Walk Test
for Older Adults Living in Long-Term Care. Physiother. Can. 2009, 61, 78–87. [CrossRef] [PubMed]
28. Swarbrick, M.M.; Chapman, C.M.L.; McQuillan, B.M.; Hung, J.; Thompson, P.L.; Beilby, J.P. A Pro12Ala polymorphism in the human peroxisome proliferator-activated receptor-γ2 is associated with combined
hyperlipidaemia in obesity. Eur. J. Endocrinol. 2001, 144, 277–282. [CrossRef] [PubMed]
29. Mohammadi, Z.; Shahriari, S. Residual antibacterial activity of chlorhexidine and MTAD in human root
dentin in vitro. J. Oral Sci. 2008, 50, 63–67. [CrossRef] [PubMed]
30. Watson, P. Rules of Thumb on Magnitudes of Effect Sizes. Available online: http://imaging.mrc-cbu.cam.ac.
uk/statswiki/FAQ/effectSize (accessed on 25 May 2017).
31. Nashner, L.M.; McCollum, G. The organization of human postural movements: A formal basis and
experimental synthesis. Behav. Brain Sci. 1985, 8, 135–172. [CrossRef]
32. Gatev, P.; Thomas, S.; Kepple, T.; Hallett, M. Feedforward ankle strategy of balance during quiet stance in
adults. J. Physiol. 1999, 514, 915–928. [CrossRef] [PubMed]
33. Hwang, S.; Tae, K.; Sohn, R.; Kim, J.; Son, J.; Kim, Y. The balance recovery mechanisms against unexpected
forward perturbation. Ann. Biomed. Eng. 2009, 37, 1629–1637. [CrossRef] [PubMed]
34. Runge, C.F.; Shupert, C.L.; Horak, F.B.; Zajac, F.E. Ankle and hip postural strategies defined by joint torques.
Gait Posture 1999, 10, 161–170. [CrossRef]
35. Stephensen, D.; Brown, M.B.; Digby-Bowl, C.J.; Swaine, I.L.; Evans, G. Screening for falls risk in the older
person with haemophilia—A pilot study. Haemophilia 2016, 22, 104. [CrossRef]

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Uphill, M., Balsdon, A., Brown, M., Digby-Bowl, C., Southam, M. and Swain, J. 2015. "Hero Imagery" - Are there performance advantages associated with imagining yourself as your favourite athlete?
Exploring the significance of falls in the everyday lives of the older person with haemophilia
Stephensen, D., Brown, M., Digby-Bowl, C., Swaine, I. and Evans, G. 2016. Exploring the significance of falls in the everyday lives of the older person with haemophilia. Haemophilia. 22 (S2), pp. 45-46. https://doi.org/10.1111/hae.1_12882
Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review
Mahaffey, R., Morrison, S.C., Stephensen, D. and Drechsler, W.I. 2016. Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review. Obesity. 24 (5), pp. 993-1017. https://doi.org/10.1002/oby.21468
A laboratory and field comparison of gross efficiency at an absolute, relative and performance intensity
Saunders, S., Brown, M. and Coleman, D. 2014. A laboratory and field comparison of gross efficiency at an absolute, relative and performance intensity.
The relationship between cycle tourism and sustainable transport in the UK
Weed, M., Bull, C., Brown, M., Dowse, S., Lovell, J., Mansfield, L. and Wellard, I. 2014. The relationship between cycle tourism and sustainable transport in the UK. Tourism Review International. https://doi.org/10.3727/154427214X13990420684644
The effect of short-term calorie restriction on exercise performance and efficiency in cyclists
Saunders, S., Coleman, D. and Brown, M. 2013. The effect of short-term calorie restriction on exercise performance and efficiency in cyclists.
Activation and contribution of trunk and leg musculature to force production during on-water sprint kayak performance
Brown, M., Lauder, M. and Dyson, R. 2010. Activation and contribution of trunk and leg musculature to force production during on-water sprint kayak performance.
Non-invasive measurement of tibial rotation during the impact phase of running
Digby-Bowl, C., Lake, M. and Lees, A. 2003. Non-invasive measurement of tibial rotation during the impact phase of running.
High-speed, non-invasive measurement of tibial rotation during the impact phase of running
Digby-Bowl, C., Lake, M. and Lees, A. 2003. High-speed, non-invasive measurement of tibial rotation during the impact phase of running.
Using arch height and flexibility to characterise foot type
Digby-Bowl, C. and Lake, M. 2004. Using arch height and flexibility to characterise foot type.
Relationships between static and dynamic indicators of foot type and the movement coupling
Digby-Bowl, C. and Lake, M. 2005. Relationships between static and dynamic indicators of foot type and the movement coupling.
High-speed coupling characteristics of the foot type and shank during the stance phase of running
Digby-Bowl, C., Lake, M. and Lees, A. 2005. High-speed coupling characteristics of the foot type and shank during the stance phase of running.
A preliminary assessment of the effects of foot type on the movement coupling of the foot and shank during the stance phase of barefoot running
Digby-Bowl, C., Lake, M. and Lees, A. 2005. A preliminary assessment of the effects of foot type on the movement coupling of the foot and shank during the stance phase of barefoot running.
Using pressure and high-speed kinematic data to assess foot-to-shank movement coupling during running
Digby-Bowl, C., Lake, M. and Lens, T. 2005. Using pressure and high-speed kinematic data to assess foot-to-shank movement coupling during running.