One exercise program cannot meet the needs of all people with haemophilia. Remember that each case is unique. The number of exercises and repetitions depends on the age and physical condition of the person, the time elapsed since the injury and, of course, the type of joint or muscle that has been damaged.
The wrong exercise, an exercise performed in the wrong way, an exercise performed at the wrong time (e.g., too soon after bleeding, or at the stage of recovery), or an exercise performed at the wrong frequency or intensity, can hurt even more the injured tissue.
The calendar of personalized program of physiotherapy exercises is a handy tool, which ensures that all parameters for designing the program are taken into account. It is a dynamic over time record of the exercises performed to repair a joint or muscle after a bleeding episode. As the rehabilitation needs of the joints and muscles change over time, this file shows the tolerance of the joint to the changes of the difficulty levels and the number of repetitions.
This calendar is designed by the physiotherapist in collaboration with the patient and their doctor. Sample page of a calendar regarding rehabilitation exercises of the joint, knee and gastrocnemius muscle:
1.WFH. Guidelines for the management of haemophilia. 2012.
Available at: http://www1.wfh.org/publications/files/pdf-1472.pdf [Accessed 24 October 2019].
2.Exercises for people with hemophilia by Kathy Mulder. WFH 2006.
Available at: https://elearning.wfh.org/resource/exercises-for-people-with-hemophilia/