<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_jhp00115_s_005_w2aab3b7c69b1b6b1aab1c14b1Aa"><h3>Background</h3><p>Low impact physical activity is important for patients with haemophilic arthropathies, but is often considered boring with suboptimal adherence. There is therefore a need for physical activities that motivate patient engagement.</p></sec><sec id="j_jhp00115_s_006_w2aab3b7c69b1b6b1aab1c14b2Aa"><h3>Aims</h3><p>To evaluate the benefits of top rope climbing, increasingly used in other musculoskeletal disorders, as an engaging sports discipline in haemophilia.</p></sec><sec id="j_jhp00115_s_007_w2aab3b7c69b1b6b1aab1c14b3Aa"><h3>Materials/Methods</h3><p>Six adult arthropathic patients with haemophilia (PWH) completed 12 sessions of tailored top rope climbing training. Functional and clinical joint status, climbing skills, quality of life (QoL), annual bleed rate (ABR) and joint findings with musculoskeletal ultrasound/power doppler (MSKUS/PD) were assessed before and after climbing.</p></sec><sec id="j_jhp00115_s_008_w2aab3b7c69b1b6b1aab1c14b4Aa"><h3>Results</h3><p>Haemophilia joint health scores, dorsiflexion in arthropathic joints and climbing skills all improved. ABRs were comparable before and during climbing, and QoL remained high. MSKUS evaluation demonstrated no detrimental effects on synovial and cartilage health, with a decrease of inflammatory PD signal in some joints.</p></sec><sec id="j_jhp00115_s_009_w2aab3b7c69b1b6b1aab1c14b5Aa"><h3>Conclusion</h3><p>We conclude that top rope climbing therapy (“Haemophilia Vertical”) can improve joint health in PWH with arthropathies. Haemophilia Vertical therefore emerges as an innovative athletic concept to promote physical activity among PWH. Further study investigating the longer-term impact in a larger cohort is warranted.</p></sec></abstract>

BackgroundLow impact physical activity is important for patients with haemophilic arthropathies, but is often considered boring with suboptimal adherence. There is therefore a need for physical activities that motivate patient engagement.AimsTo evaluate the benefits of top rope climbing, increasingly used in other musculoskeletal disorders, as an engaging sports discipline in haemophilia.Materials/MethodsSix adult arthropathic patients with haemophilia (PWH) completed 12 sessions of tailored top rope climbing training. Functional and clinical joint status, climbing skills, quality of life (QoL), annual bleed rate (ABR) and joint findings with musculoskeletal ultrasound/power doppler (MSKUS/PD) were assessed before and after climbing.ResultsHaemophilia joint health scores, dorsiflexion in arthropathic joints and climbing skills all improved. ABRs were comparable before and during climbing, and QoL remained high. MSKUS evaluation demonstrated no detrimental effects on synovial and cartilage health, with a decrease of inflammatory PD signal in some joints.ConclusionWe conclude that top rope climbing therapy (“Haemophilia Vertical”) can improve joint health in PWH with arthropathies. Haemophilia Vertical therefore emerges as an innovative athletic concept to promote physical activity among PWH. Further study investigating the longer-term impact in a larger cohort is warranted.

Effects of top rope climbing therapy on joint health in adult haemophilia patients with severe arthropathies

The Journal of Haemophilia Practice

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

BackgroundLow impact physical activity is important for patients with haemophilic arthropathies, but is often considered boring with suboptimal adherence....

Effects of top rope climbing therapy on joint health in adult haemophilia patients with severe arthropathies

Article Category: Clinical Research

Published Online: Dec 14, 2018

Page range: 93 - 102

DOI: https://doi.org/10.17225/jhp00115

Keywords
Arthropathy, Climbing, Haemophilia, Physical activity, Ultrasound

© 2018 Courtney Schroeder, Richard FW Barnes, Lena Volland, Sonha Nguyen, Annette von Drygalski, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Effects of top rope climbing therapy on joint health in adult haemophilia patients with severe arthropathies

Article Category: Clinical Research

Published Online: Dec 14, 2018

Page range: 93 - 102

DOI: https://doi.org/10.17225/jhp00115

KeywordsArthropathy, Climbing, Haemophilia, Physical activity, Ultrasound

© 2018 Courtney Schroeder, Richard FW Barnes, Lena Volland, Sonha Nguyen, Annette von Drygalski, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Arthropathy, Climbing, Haemophilia, Physical activity, Ultrasound