Females with FVIII and FIX deficiency have reduced joint range of motion

Details

• Alternative Title:
  Am J Hematol
• Personal Author:
  Sidonio, Robert F. ; Mili, Fatima D. ; Li, Tengguo ; Miller, Connie H. ; Hooper, William C. ; DeBaun, Michael R. ; Soucie, Michael
• Corporate Authors:
  The Hemophilia Treatment Centers Network
• Description:
  Little is known about rates of joint bleeding among females with FVIII/FIX deficiency or hemophilia carriers. In a cross-sectional study, we tested the hypothesis that females with FVIII or FIX deficiency enrolled in the Universal Data Collection (UDC) project had a reduced mean overall joint range of motion (ROM) compared with historic controls from the Normal Joint Study. Demographics, clinical characteristics, and joint ROM measurements on 303 females without a bleeding disorder and 148 females with FVIII and FIX deficiency, respectively, between the ages of 2-69 years and a body mass index (BMI) ≤ 35 were compared. Multivariate linear regression was performed with the overall joint ROM (sum of the right and left ROM measurements of five joints) as the dependent variable and FVIII or FIX activity as the independent variable adjusting for age, race, BMI, and number of joint bleeds reported over the last 6 months. As FVIII and FIX activity decreased, the mean overall joint ROM became reduced and in most cases was significantly lower than that of the controls regardless of age and clinical hemophilia severity. Further investigation of reduced joint ROM as evidence of subclinical joint bleeding in females with FVIII and FIX deficiency is warranted.
• Subjects:
  Adolescent Adult Aged Article Body Mass Index Case-Control Studies Child Child, Preschool Cross-Sectional Studies Demography Factor IX Factor VIII Female Hemophilia A Hemophilia B Humans Joints Middle Aged Range Of Motion, Articular Severity Of Illness Index

  More +
• Source:
  Am J Hematol. 2014; 89(8):831-836.
• Pubmed ID:
  24838518
• Pubmed Central ID:
  PMC4477796
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; UL1 RR024975/RR/NCRR NIH HHS/United States ; UL1 RR024975/RR/NCRR NIH HHS/United States
• Volume:
  89
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:db405c7369f8ea4dd3b396e49a647473414ce5610c2c106a2553420660ec35a9
• Download URL:
  https://stacks.cdc.gov/view/cdc/31743/cdc_31743_DS1.pdf
• File Type:
  [PDF - 247.48 KB ]