Sivanesan, K R (2016) Functional Independence Score of people with Hemophilia and Factors affecting It. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
BACKGROUND: Haemophilia is rare genetic disorder commonly affecting males with spontaneous bleeding. Recurrent joint bleed or hemarthrosis is very common in such patient. Chronic arthropathy sets in over a period of time leading to severe restriction of joint movements. In this study we have assessed the joint status of haemophilia patients using a tool called FISH – functional independence score in haemophilia patients, which is a performance based assessment tool. AIM OF THE STUDY: 1. To assess the functional status of haemophilia patients using FUNCTIONAL INDEPENDENCE SCORING IN HEMOPHILIA (FISH). 2. To assess the factors influencing functional status of haemophilia patients. METHODS: In this cross sectional study we have studied 58 subjects for 8 activities under 3 categories – self-care (eating and grooming, bathing and dressing), transfers (chair transfer and squatting) and locomotion (walking, stair climbing and running). Each activity was scored from 1 to 4 according to the level of assistance required. RESULTS: As a whole the mean age of patients were 28, mean FISH score was 26 lowest FISH score was for squatting, and stair climbing, Knee joint was the commonly involved joint. Presence of co-morbidities, ageing, low I.Q and multi joint involvement significantly lowered FISH score, whereas bleeding episodes, severity, physiotherapy and distance travelled for treatment did not affect the score. CONCLUSION: This study gave insight into joint status of haemophilic patients, and the factors influencing their functionality.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.201311163 |
| Uncontrolled Keywords: | Haemophilia ; functional independence score ; Functional Independence Scoring in Hemophilia (FISH) ; haemophilic arthropathy. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Feb 2019 03:19 |
| Last Modified: | 06 Feb 2019 03:19 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10505 |
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