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Official Journal of the Italian Sports Medicine Federation
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,163
Online ISSN 1827-1863
Pecorella G., Lo Coco L., Cristofalo M. G., Francavilla V., Savojardo M., Galiano S., Parisi A., Marchese L., Palmeri F., Francavilla G.
Università degli Studi - Palermo, Istituto di Clinica Medica e Malattie Cardiovascolari, Cattedra di Medicina dello Sport
Recently we have undertaken the retrospective investigation of the pathologies that involve the Sport Medicine, because they recover the limitative role of the locomotive apparatus of the patients and provoke different types of invalidity; so we have tried to understand if it’s supposed the presence of the sport physician even in the specialized “Centre” of the study of the haemophilic disease.
This necessity has appeared due to the knowledge of the difficulties that the haemophilic subject confront because of very faces the problems alone, remaining abandoned and the being isolated within the antique prejudices in the favourable condition of “hypokinetic disease”, and in the flow of time it brings him to the more profound physical malformations that can distract him from the society.
But in the context of this sad reality there are some haemophilic subjects who practice the sport activities, even if at the amateurs level, with the adequate metabolic adaptations, in the same way as the healthy contemporaries, increasing the work of cardiovascular and the respiratory systems, it effects positively especially the muscular-skeleton system, such types of adaptations serve to limit the spontaneous haemorrhaged episodes and the regressive alterations. Before having started our research work, we have studied the physiopathology of the haemophilic disease, to have its clinical outline, to verify its pathogenesis which is linked to the genetic anomaly and understand the fact that it will involve different aspect connected with the lack of the factor VIII, or factor IX, or factor XI. So we have enucleated different clinical sides of the disease, which sometimes became evident only after a trauma: the muscular-skeleton lesions are connected with the formation of the hematomas, haemerthros, modify the muscular-skeleton structure with the all time increasing physical malformations and can be transferred into the permanent invalidity. The grave haemorrhage form is the maximum expression of the vascular damage, which provokes death. Even if recently the certain prognostication is considerably improved for the possibility of the new kinds of therapy, due to the opportunities of the genetic engineering. To our mind, it becomes fundamental, that therapy which substitutes the Factor VIII joins the programme of motor activity that guarantees the modification of the quality of the disease and the life style of a patient.
To practice any sport activity determines reactive grow of the sick persons capacity of the olerance to sufferings and prevent them carefully from the pathologies connected with haemorrhage.