Abstract

Aim. The objective of this study is to present the process and results of physiotherapy in patients suffering from congenital haemorrhagic diathesis, treated at the Inpatient Rehabilitation Department of the Krakow Rehabilitation Centre and Orthopaedics (MSOR). Material. The analysis involved 73 patients treated at the Inpatient Rehabilitation Department between 2014 and 2019. The reason for admission was haemophilic arthropathy in the course of congenital haemorrhagic diathesis. Results. The results prove that early postoperative knee rehabilitation is effective in patients with congenital haemorrhagic diathesis after surgery. Deaver’s functional scale: before rehabilitation, the mean result was 3.65, after rehabilitation it was 2.62. Muscle strength: the assessment of muscle strength according to the Lovett scale showed improvement in 64 patients (87,67%). Range of motion: in the extension test, the condition of 57 patients (78%) improved, the mean result was better by 7.52 degrees. Conclusions. 1. The use of early physiotherapy in patients with haemophilia after knee endoprosthetics results in an improvement in gait function analysed according to Deaver’s scale. 2. Early rehabilitation of patients with haemophilia after endoprosthetics results in an increase in the range of motion of the knee joint and in muscle strength. 3. It was also found that pain in the joint undergoing surgery was reduced thanks to the applied physiotherapy.

Key words:

physiotherapy, haemophilia, endoprosthetics, arthropathy