About this trial
"Being able to participate in games and activities with their friends" is one of the things that matters most to boys with haemophilia. At present, there is a lack of robust evidence to determine whether muscle strengthening exercise can improve or negatively affect outcomes for young children with haemophilia. With the help of boys with haemophilia, their parents and physiotherapists the investigators have developed an exercise programme designed to increase muscle strength. Using this intervention the investigators will undertake a single-blinded, two-arm pragmatic randomised controlled trial (RCT) of a 12-week intervention verses usual care of boys with haemophilia aged 6-12 years of age.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
von Willebrand disease
past history of fracture or trauma to the lower limb
orthopaedic surgery
acquired brain injury or any other disturbance of the central nervous system; joint or muscle bleed in the lower limb in the past 6 weeks
Trial design
Parallel
Treatments tested in this trial
Exercise
Other intervention12-week exercise intervention
Usual Care
Other interventionusual care
Treatment groups
Trial outcomes
Primary outcomes
Muscle strength of the dominant knee extensors at 24 weeks
Maximum isometric torque (Newton.metres/kilogram of body weight)
Secondary outcomes
Muscle strength of the ankle plantarflexors and non-dominant knee extensors at 24 weeks
maximum isometric torque (Newton.metres/kilogram of body weight)
Bleeding episodes and coagulation factor usage
Number of bleeding episodes (number) and amount of coagulation factor used for treatment (number)
Six-minute timed walk (6MTW)
Distance walked in 6 minutes (metres)
Timed up and down stairs (TUDS)
Time taken to ascend and descend a flight of 12 steps (seconds)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
East Kent Hospitals University NHS Foundation Trust
Lead sponsor
Great Ormond Street Hospital for Children NHS Foundation Trust
Collaborator
University of Kent
Collaborator