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Outcome of a combined physiotherapy and podiatry haemophilia clinic: patient perceptions and the effect on ankle bleeds and joint health


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People with haemophilia with a history of ankle bleeds, pain, and foot and/or ankle deformities value the introduction of a combined clinic providing access to a physiotherapist and a podiatrist.
People with haemophilia with a history of ankle bleeds, pain, and foot and/or ankle deformities value the introduction of a combined clinic providing access to a physiotherapist and a podiatrist.

Figure 1

Examples of functional foot orthoses provided to patients
Examples of functional foot orthoses provided to patients

Ankle HJHS scores and AJBR results

MEAN (+SD)MEDIAN (IQR)MINIMUMMAXIMUM
HJHS pre-intervention2.86 (+5.51)1.0 (0.0–4.0)0.020.0
HJHS post-intervention2.86 (+6.15)0.0 (0.0–2.25)0.021.0
AJBR pre-intervention0.54 (+0.93)0.0 (0.0–1.0)0.03.0
AJBR post-intervention0.25 (+0.53)0.0 (0.0–0.0)0.02.0

General patient characteristics (n=27)

AGEMEAN 23.9 YEARS (RANGE 4–70 YEARS) NUMBER OF PATIENTS (PERCENTAGE)
Type of haemophilia
Haemophilia A25 (92.6%)
Haemophilia B2 (7.4%)
Severity of haemophilia
Severe17 (63.0%)
Moderate3 (11.1%)
Mild7 (25.9%)
Severity of haemophilia
No26 (96.3%)
Yes1 (3.7%)
Severity of haemophilia
Prophylaxis17 (63.0%)
On-demand10 (37.0%)

Satisfaction questionnaire results

NUMBER OF PATIENTS (PERCENTAGE)
Total responses to questionnaire16 (57.1%)
QUESTIONSSAAUDSDN/A
The physiotherapist explained the reason for the appointment to me prior to my/my child's appointment15 (93.75%)1 (6.25%)
The physiotherapist and podiatrist explained things in a way that was easy to understand during the appointment15 (93.75%)1 (6.25%)
The physiotherapist and podiatrist listened to me carefully during the appointment16 (100%)
I am satisfied with the care I/my child received during the appointment14 (87.5%)2 (12.5%)
I am satisfied with the outcome of the appointment for me/my child12 (75%)4 (25%)
I found it more useful to see the podiatrist and physiotherapist together12 (75%)4 (25%)
Attending a podiatry appointment at the Haemophilia Centre is more convenient for me than attending my local podiatry clinic14 (87.5%)2 (12.5%)
I would attend the combined physiotherapy/podiatry clinic again in the future14 (87.5%)2 (12.5%)
I would recommend this service to other people with haemophilia16 (100%)
eISSN:
2055-3390
Language:
English
Publication timeframe:
Volume Open
Journal Subjects:
Medicine, Basic Medical Science, other, Clinical Medicine, Pharmacy, Pharmacology