
Webinario del Día Internacional de la Mujer | 8 de marzo de 2022
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Año:: 2017
Idioma: Spanish
Autor(es)::
Authors/developers
Gilbert M, and the Orthopedic Advisory Committee of WFH.
This tool measures joint health, in the domain of body structure and function (i.e. impairment), of the joints most commonly affected by bleeding in hemophilia – knees, ankles, elbows.
It is primarily designed for adults and children with established arthropathy. It may be used when there is a need for orthopedic intervention, or as an outcome measure of physiotherapy interventions.
Date of this review:
March 7, 2011
Overall utility:
Until recently, the WFH Physical Examination Score was the main tool used to assess joint health. Although somewhat less sensitive than the Hemophilia Joint Health Score, it distinguishes between different groups of patients (e.g. mild, moderate, severe disease; prophylaxis vs. on-demand). It is probably best used for older children and adults, and in severely affected populations such as patients with uncontrolled inhibitors, or little access to factor replacement.
Limitations:
The WFH Physical Examination Score takes a long time to administer.
It may not be appropriate for younger children as normal development axial alignment changes may be scored as abnormal. It may not be appropriate for persons with mild arthropathy, such as those treated with lifelong prophylaxis, as it is insensitive to mild joint changes.
Psychometric properties:
It correlates appropriately with bleeding rates (rs=0.43) and physician global assessment of joint health (rs=0.47).
Languages studied:
Swedish, English, Dutch
Groups tested with this measure:
North American and European children with well-treated hemophilia A and B (mild, moderate and severe factor deficiency).
Escuche este webinario de 90 minutos presentado el 8 de marzo de 2022, para obtener información sobre mujeres y niñas
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