Durben (2024) PHYSICAL THERAPY MANAGEMENT FOR PEOPLE WITH BLEEDING
This MASAC recommendation outlines evidence-based strategies for physical therapy management in individuals with bleeding disorders (PWBD) experiencing chronic pain. Chronic pain in PWBD is often linked to recurrent joint bleeding, which causes progressive musculoskeletal damage, joint dysfunction, and impaired quality of life.
Key recommendations for treatment include:
- Aquatic Therapy: Utilizes buoyancy and hydrostatic pressure to reduce joint stress, enhance mobility, and alleviate pain.
- Therapeutic Exercise: Individualized programs combining strengthening, stretching, and aerobic activities to address functional limitations and improve musculoskeletal health.
- Manual Therapy: Focused interventions to improve range of motion, soft tissue mobility, and pain perception.
- Education: Comprehensive education on pain management, joint health, and exercise safety to empower patients and enhance self-management.
- Multimodal Approach: Incorporating psychosocial support, therapeutic modalities, and collaborative care with hematology specialists for holistic management.
The recommendations emphasize the biopsychosocial model of pain management, advocating for tailored interventions that address both physical and emotional well-being. The integration of aquatic therapy is highlighted as a key modality, offering significant benefits in reducing pain and improving functional capacity.
