Calidad de vida en pacientes con artropatía hemofílica

Hemophilic arthropathy is a condition that arises from hemophilia, caused by frequent bleeding episodes experienced by patients, sometimes associated with trauma or not, due to deficiency or insufficiency of coagulation factors, especially factors VIII and IX. This necessitates lifelong prophylactic treatment to address their needs. This disease is characterized by the accumulation of iron in the joints, causing inflammation and damage to the synovial membrane, followed by pain, deformity, and disability. Since recurrent hemorrhagic episodes negatively affect the joint and do not accurately reflect its state, diagnosis and monitoring become crucial in these cases. For this reason, the World Federation of Hemophilia advises evaluating the degree of joint damage through radiological scoring systems and orthopedic examination. After experiencing repetitive episodes, these patients experience a decrease in range of motion and strength of muscles adjacent to the joint due to chronic pain. Therefore, physical rehabilitation plays an essential role in the recovery and improvement of the quality of life of those affected, as loss of mobility hinders the performance of basic activities and generates fear of bleeding, inhibiting participation in other activities.