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Postural control during a transition task in haemophilic children, adolescents and young adults with haemophilic ankle arthropathy

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Deschamps, Kevin Staes, Filip Eerdekens, Maarten Peerlinck, Katheliijne Hermans, Cédric [UCL] Lobet, Sébastien [UCL]

(eng) BACKGROUND: The aim of this study was to determine whether young haemophilic boys with and without MRI-based signs of ankle arthropathy demonstrate reduced balance ability during a transition task with eyes open and eyes closed. METHODS: Thirty-four haemophilic bodies and 28 typically developing boys aged 6-20 years participated to this study. Structural integrity of the tarsal foot joints of all haemophilic boys was assessed with MRI. All participants performed a standard transition task from double-leg stance to single-leg stance with eyes open and eyes closed. Comparison of balance features derived from the centre of pressure displacement captured by a single force platform was performed between the different haemophilia subgroups and sex-age-height matched peers. FINDINGS: The haemophilic boys without signs of arthropathy presented only a higher intermediate phase velocity during the eyes closed condition (P = .05). The haemophilic boys with signs of arthropathy had significantly higher displacement after the time to new stability point, and 95% Ellipse Sway Area and Balance Area compared to their matched peers during eyes open test (P < .05). Similar findings were observed during the eyes closed test for the displacement after the time to new stability point and 95% Ellipse Sway Area (P < .05). No significant differences were observed between affected and non-affected side of the unilateral affected patients. INTERPRETATION: We suggest that the pathophysiological cascade associated with chronic bleeding episodes should not be considered as a "simple" musculoskeletal injury, hence more as a complex neurophysiological dysfunction which may originate both from unilateral and bilateral deterioration of the musculoskeletal system.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2018
Language Anglais
Journal information "Haemophilia" - Vol. 24, no. 4, p. 667-674 (2018)
Peer reviewed yes
Publisher Blackwell Science ((United Kingdom) Oxford)
issn 1351-8216
e-issn 1365-2516
Publication status Publié
Affiliations UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab
UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire
UCL - (SLuc) Service d'hématologie
UCL - (SLuc) Service de médecine physique et de réadaptation motrice
Keywords Haemophiliac ; Ankle arthropathy ; Balance ; Postural control
Links
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Bibliographic reference Deschamps, Kevin ; Staes, Filip ; Eerdekens, Maarten ; Peerlinck, Katheliijne ; Hermans, Cédric ; et. al. Postural control during a transition task in haemophilic children, adolescents and young adults with haemophilic ankle arthropathy. In: Haemophilia, Vol. 24, no. 4, p. 667-674 (2018)
Permanent URL http://hdl.handle.net/2078.1/197153