Rehabilitation of Muscle Dysfunction in Hemophilia

Musculoskeletal dysfunction is a common manifestation of haemophilia due to bleeding episodes. The effective management of acute haemarthoses and haematomas in particular, is essential to prevent the major complications that can arise. In the longer term, the sequelae of joint and muscle bleeds, postural problems and faulty movement patterns may be associated with imbalances between muscle groups. Evidence emerging from the literature suggests that the rehabilitation of this dysfunction is very relevant for the patient with haemophilia and musculoskeletal problems. Treatment of muscle imbalances may be linked with a reduction in recurrence of symptoms. Further research is needed to establish the relevance of this area in patients with haemophilia but clinical experience supports the developing work in this field.