The role of physiotherapy in the new treatment landscape for haemophilia

Journal article

Sébastien Lobet, Merel Timmer, Christoph Königs, David Stephensen, Paul McLaughlin, Gaetan Duport, Cédric Hermans and Maria Elisa Mancuso 2021. The role of physiotherapy in the new treatment landscape for haemophilia. Journal of Clinical Medicine. 10 (2822). https://doi.org/10.3390/jcm10132822
AuthorsSébastien Lobet, Merel Timmer, Christoph Königs, David Stephensen, Paul McLaughlin, Gaetan Duport, Cédric Hermans and Maria Elisa Mancuso
Abstract

The physiotherapist plays an essential role for people with haemophilia, an inherited bleeding disease responsible for musculoskeletal complications. Yet, with the advent of new and advanced therapies, the medical landscape is changing, and physiotherapy must adapt alongside. This paper considers whether there will still be a need for physiotherapy in the era of advanced therapies, and discusses ways in which services should evolve to complement emerging treatment
paradigms for haemostasis in people with haemophilia. Ultimately, physiotherapy will remain an important element of care, even for people with little joint damage and low risks in the era of the new mild phenotype. However, competencies will need to evolve, and physiotherapists in both primary care and specialist treatment centres should work with haematology colleagues to develop more sensitive tools for detecting early joint changes. Physiotherapists will also play a crucial role in counselling and physically coaching, monitoring the musculoskeletal status of people with haemophilia who have transitioned to new treatments.

KeywordsPhysiotherapy; Haemophilia; Physiotherapy; EHL concentrates; Emicizumab; Trough levels; Gene therapy
Year2021
JournalJournal of Clinical Medicine
Journal citation10 (2822)
PublisherMDPI
ISSN2077-0383
Digital Object Identifier (DOI)https://doi.org/10.3390/jcm10132822
Official URLhttps://www.mdpi.com/2077-0383/10/13/2822
Publication dates
Online26 Jun 2021
Publication process dates
Accepted23 Jun 2021
Deposited02 Nov 2023
Publisher's version
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Open
Output statusPublished
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