Research that has been completed using patients with conditions other than haemophilia may or may not have a direct application with the bleeding disorders

population, but the programme design based on principles of tissue healing in addition to disease specific knowledge should be encouraged. The threats to musculoskeletal health for people with haemophilia encompass every element of joint and muscle function. To more safely decide what type of activity to undertake to minimize joint and muscle bleeding, and to rehabilitate the structure and function of both the bony and soft tissue elements, expert physiotherapy care by a professional trained in the management of inherited bleeding disorders is required. In as much as detailed assessment of each patient with haemophilia is necessary to achieve tailored haemostatic management, so must an in-depth evaluation of the musculoskeletal status selleck screening library of every individual be carried out on a regular basis. Thorough assessment must follow any acute injury to ensure that comprehensive and complete rehabilitation is being pursued, and plays a key role in the ongoing evaluation and tracking of chronic sequellae http://www.selleckchem.com/products/MK-1775.html from the previous injuries. A high premium must be placed on the assessment of joint and muscle function, as it will guide

the therapeutic process in terms of what components of exercise will be implemented, and the manner in which they will be combined to bring about a successful outcome. To treat a musculoskeletal injury, the cause of the injury must be known, and the potential impact on the involved structures as well as their role in overall function must be recognized. Failure to complete this crucial component of care may lead not only to less than full recovery from the injury, but potentially provoke repetitive or new episodes of bleeding and therefore further damage. It cannot be overstated that this cause and effect relationship O-methylated flavonoid must be identified and then respected by the treating clinician. Determination of how the

injury was sustained, and the extent of the damage to the body tissues represents a critical juncture in the rehabilitation process. In as much as therapeutic exercise has the potential for positive effects on tissue health, the wrong exercise, at the wrong time, in the wrong dosage, can either delay the healing process or, taken to the extreme, lead to permanent damage. There is no substitute for thorough musculoskeletal examination and application of the science of tissue healing when determining how the rehabilitation process will begin. One should determine the cause of injury, eliminate or minimize it, and then begin the physical rehabilitation process. The benefits of therapeutic exercise will be most profound when the same therapist, one with specialized training in haemophilia care, designs, monitors and progresses the programme from its onset until its conclusion [1].