Evidence map›Paper›PMID 41454588›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia

Low-Load Quadriceps Strengthening With Blood Flow Restriction in Adults With Haemophilic Knee Arthropathy: A Randomised Controlled Trial.

Mar Villalón-González, Raúl Pérez-Llanes, José Antonio López-Pina, Rubén Cuesta-Barriuso, Elena Donoso-Úbeda

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mar Villalón-GonzálezDepartment of Physiotherapy, University of Murcia, Murcia, Spain.
Raúl Pérez-LlanesDepartment of Physiotherapy, University of Murcia, Murcia, Spain.ORCID https://orcid.org/0000-0002-5050-1845
José Antonio López-PinaDepartment of Basic Phycology and Methodology, University of Murcia., Murcia, Spain.ORCID https://orcid.org/0000-0003-1347-7759
Rubén Cuesta-BarriusoInHeFis Research Group, Instituto Asturiano de Investigación Sanitaria (ISPA), Oviedo, Spain.ORCID https://orcid.org/0000-0002-4276-6982
Elena Donoso-ÚbedaInHeFis Research Group, Instituto Asturiano de Investigación Sanitaria (ISPA), Oviedo, Spain.ORCID https://orcid.org/0000-0001-6974-9704

Funding

Swedish Orphan Biovitrum S.L. HCC-14177
6 · The paper itself

Abstract

introductionHaemophilic knee arthropathy leads to a reduction in muscle mass and strength. Blood flow restriction (BFR) involves the application of a compressive cuff that enables strength training with reduced loads.

objectiveTo evaluate safety as the primary outcome and the efficacy (muscle strength and activation, functional capacity and quality of life) as secondary outcomes of a quadriceps strengthening programme using BFR in patients with haemophilia.

methodsA randomised clinical trial was conducted with 33 participants assigned to either an experimental group (strength training with BFR) or a control group. The 4-week intervention included three weekly sessions and two strength exercises (leg extension and squat). Outcomes assessed were safety (clinical hemarthrosis), strength (dynamometry), muscle activation (surface electromyography), pain threshold (pressure algometry), range of motion (goniometry), functional capacity (Timed Up and Go) and quality of life (36-Item Short Form Survey). Follow-up assessments were performed 4 weeks post-intervention to evaluate effect persistence.

resultsThirty participants completed the study. No participants experienced clinical hemarthrosis or hematomas during the intervention, confirming safety as the primary outcome. Additionally, BFR training produced significant gains in quadriceps strength (p < 0.001; η

conclusionBFR strength training is safe for patients with haemophilia. It may enhance quadriceps strength and activation, raise pain thresholds and improve knee mobility. Patients show better physical functioning, less bodily pain and improved physical quality of life.

Indexed as

Blood Flow Restriction TherapyHemarthrosisHemophilia AKnee JointQuadriceps MuscleResistance TrainingAdultFemaleHumansMaleMiddle AgedMuscle StrengthQuality of LifeRange of Motion, ArticularTreatment OutcomeYoung Adultblood flow restrictionhaemophilic arthropathymuscle strengthphysiotherapyrandomised clinical trial

Identifiers

PMID41454588
PMCPMC12984481

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.