Sports and hemophilia: antagonist or protagonist.

Until recent years the life for the person with hemophilia was dictated by the severity and frequency of bleeding episodes. Those with hemophilia tended to be overprotected and not allowed to participate in sporting activities normal to their peer group. The past 2 decades has seen a dramatic change in attitudes, mainly due to the introduction of factor replacement, home therapy, and comprehensive care programs. Those involved in the care of people with hemophilia now recognize that sport and exercise can reduce or prevent intraarticular hemorrhages. The arguments for and against sport as described in the literature from 1960 to 1990 are reviewed. Swimming, golf, and table tennis were recommended by doctors, whereas most contact sports, including football, were discouraged. The move toward more active pursuits brings with it an increase in sporting injuries, which is addressed in this article, but more importantly the prevention of injuries is highlighted.

[1]  L. Micheli,et al.  Sports injuries in children and adolescents. Questions and controversies. , 1995, Clinics in sports medicine.

[2]  J. D. Mondenard.  Activités physiques chez l'enfant «malade», des sports sur ordonnance , 1990 .

[3]  L. Micheli,et al.  Musculoskeletal assessment and training: the young athlete. , 1988, Clinics in sports medicine.

[4]  B. M. Buzzard,et al.  Physiotherapy Management of Haemophilia: An update , 1988 .

[5]  J. Varni,et al.  Behavioral treatment of adherence to therapeutic exercise by children with hemophilia. , 1987, Archives of physical medicine and rehabilitation.

[6]  L. Micheli,et al.  Strength Training for Children , 1986, Journal of pediatric orthopedics.

[7]  B. Guyer,et al.  The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System. , 1986, American journal of public health.

[8]  M. Rick,et al.  Changes in coagulation parameters with exercise in patients with classic hemophilia , 1984, American journal of hematology.

[9]  L. Micheli.  Overuse injuries in children's sports: the growth factor. , 1983, The Orthopedic clinics of North America.

[10]  W. Greene,et al.  A Modified Isokinetic Strengthening Program for Patients with Severe Hemophilia , 1983, Developmental medicine and child neurology.

[11]  B. Cahill,et al.  Weight training-related injuries in the high school athlete , 1982, The American journal of sports medicine.

[12]  B. Zaricznyj,et al.  Sports-related injuries in school-aged children , 1980, The American journal of sports medicine.

[13]  K. Wilkins.  The uniqueness of the young athlete: musculoskeletal injuries , 1980, The American journal of sports medicine.

[14]  R. Duthie,et al.  Management of musculoskeletal problems in the hemophilias. , 1978, The Orthopedic clinics of North America.

[15]  J. Weissman.  Rehabilitation medicine and the hemophilic patient. , 1977, The Mount Sinai journal of medicine, New York.

[16]  S. L. Dietrich.  REHABILITATION AND NONSURGICAL MANAGEMENT OF MUSCULOSKELETAL PROBLEMS IN THE HEMOPHILIC PATIENT , 1975, Annals of the New York Academy of Sciences.

[17]  D. Boone.  Management of musculoskeletal problems of hemophilia. , 1974, Physical Therapy.

[18]  D. Komp,et al.  The Role of Athletics in the Total Care of the Hemophiliac , 1972 .

[19]  E. Austin,et al.  Use of physical therapy modalities in the treatment of orthopedic and neurologic residuals in hemophilia. , 1961, Archives of Physical Medicine and Rehabilitation.