Physiotherapy in the management of hemophilia

The physiotherapist is an integral member of the multidisciplinary team and plays a key role in the management of patients with haemophilia. This includes the management of acute joint or muscle bleeds, chronic synovitis and arthropathy as well as musculoskeletal problems unrelated to haemophilia. This chapter discusses the principles underpinning a physiotherapy assessment and outlines appropriate management strategies for adults and children with haemophilia based on the best available evidence. The importance of exercise and engagement in suitable sporting activities are highlighted. Key issues relevant to the physiotherapy management of patients with inhibitors and acquired haemophilia are also considered. Relevant outcome measures including impairment measures, functional measures and quality of life tools to evaluate physiotherapy interventions are outlined. These are essential in order to demonstrate the value and benefit of physiotherapy.