Effects of resistance training on muscle strength in adults with haemophilia: A systematic review and meta-analysis.
Haemophilia
; 30(4): 894-904, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38845163
ABSTRACT
INTRODUCTION:
Although resistance training is frequently prescribed for people with haemophilia (PWH), no previous meta-analyses have quantified the effect of this intervention on muscle strength, nor the implications of the intervention's modality and duration.AIM:
(1) To determine the effects of resistance training on muscle strength in adults with haemophilia; (2) To determine the most effective duration and modality among the exercise protocols.METHODS:
A systematic search from inception until 28 November 2023 was conducted in PubMed, Embase, Web of Science, CENTRAL and CINAHL databases. We included randomised controlled trials or before-after studies that involved resistance training without other physiotherapy co-interventions. Study selection, data extraction and risk of bias assessment were independently performed by two reviewers. Disagreements were resolved in consultation with a third author. The level of evidence was determined according to the GRADE methodology.RESULTS:
Seven studies were included. Measurements of knee extensor strength and elbow extensor strength were included in the meta-analysis. Subgroup analysis showed significant effects for both elastic resistance protocols (SMD 0.54; 95% CI 0.02-1.07) and conventional training (isometric and weight-based equipment) (SMD 0.88; 95% CI 0.50-1.25), demonstrating small and moderate effect sizes respectively. Additionally, both protocols of duration 5-7 weeks (SMD 1.16, 95% CI 0.63-1.69) as well as those of duration ≥8 weeks (SMD 0.57, 95% CI 0.20-0.94) showed a significant difference.CONCLUSION:
Resistance training is effective in improving muscle strength of the knee and elbow extensors in PWH. Both elastic resistance and conventional training show benefits.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Força Muscular
/
Treinamento Resistido
/
Hemofilia A
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Haemophilia
Assunto da revista:
HEMATOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Reino Unido