PB1843 EFFECT OF ADHERENCE TO PHYSICAL THERPY REGIMEN ON JOINTS OUTCOMES FOR HEMOPHILIAC CHILDREN AT ZAGAZIG UNIVERSITY HOSPITALS
Bibliographic record
Abstract
Background: The maintenance of healthy joints and muscles is crucial to the quality of life of patients with hemophilia. Clotting factor replacement may stop or even prevent bleeds but it does not restore joint or muscle function. Only regular movement and exercise and adherence to them can do that. Physiotherapy aims to bring relief from pain, restore muscle power and control, restore range of joint movement and prevent further injury to a target joint. Enhancing adherence, joint function and decreasing pain by using physiotherapy is the major hope for all hemophiliac patients, especially in developing countries with limited access to treatment. Aims: to Identify the effect of adherence to physical therapy regimen on joint outcomes for children with hemophilia. Methods: A quasi–experimental study was conducted on a sample of “35” children were suffering from hemophilia “A” or “B” at the Pediatric Hematology outpatient clinic at Zagazig University Hospitals. The knee joint was selected to perform the physiotherapy regimen Tools was composed of three parts Part I: a structured interview sheet. Part II assessment of adherence using (attendance at clinic appointments, SIRASa and Patient Self‐Report Scale of their Home‐Based Rehbiltation adherence). Part III was the assessment of the musculoskeletal status and joint evaluation using (Gibert score, FISH© and the musculoskeletal data sheet). Results: ‐ There was a significant statistical relation and improvement in the mean score of functional ability of the studied group throughout the intermediate and post‐test phases than the pre‐test phase. ‐ There was a significant statistical improvement in the studied sample adherence and knee joint outcomes throughout the study phases. Summary/Conclusion: the adherence to physiotherapy have a profound effect on improving joint outcomes. So,we recommend encouraging the awareness of hemophiliac patients about physiotherapy and its beneficial role in decreasing the musculoskeletal complications.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".