{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:37:25Z","timestamp":1787956645939,"version":"build-2784847793"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T00:00:00Z","timestamp":1389571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self\u2010monitoring of home exercise for haemophiliacs. A randomized controlled trial was conducted with intervention over 8\u00a0weeks at four hospitals in Japan. Subjects included 32 male outpatients aged 26\u201364\u00a0years without an inhibitor who were randomly allocated to a self\u2010monitoring group and a control group. Individual exercise guidance with physical activity for improvement of their knee functions was given to both groups. The self\u2010monitoring materials included an activity monitor and a feedback system so that the self\u2010monitoring group could send feedback via the Internet and cellular phone. The self\u2010monitoring was performed by checking exercise adherence and physical activity levels, bleeding history and injection of a coagulation factor. Both groups showed significant improvements in exercise adherence (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and physical function such as the strength of knee extension (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), range of knee extension (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), range of ankle dorsiflexion (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01), a modified Functional Reach (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) and 10\u00a0metre gait time (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01). In particular, improvements in exercise adherence (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05), self\u2010efficacy (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05), and strength of knee extension (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) were significant in the self\u2010monitoring group compared with those in the control group. No increase in bleeding frequency and pain scale was noted. The self\u2010monitoring of home exercise for haemophilic patients is useful for the improvement of exercise adherence, self\u2010efficacy and knee extension strength.<\/jats:p>","DOI":"10.1111\/hae.12355","type":"journal-article","created":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T14:16:25Z","timestamp":1389622585000},"source":"Crossref","is-referenced-by-count":50,"title":["Self\u2010monitoring has potential for home exercise programmes in patients with haemophilia"],"prefix":"10.1111","volume":"20","author":[{"given":"M.","family":"Goto","sequence":"first","affiliation":[{"name":"Rehabilitation Center The University of Tokyo Hospital Tokyo Japan"},{"name":"Department of Physical Therapy Graduate School of Human Health Sciences Tokyo Metropolitan University Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Takedani","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Hospital of the Institute of Medical Science The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Haga","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Hospital of the Institute of Medical Science The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ishiyama","sequence":"additional","affiliation":[{"name":"Rehabilitation Center Tokyo Medical University Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ito","sequence":"additional","affiliation":[{"name":"Rehabilitation Center Ogikubo Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Nitta","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Graduate School of Human Health Sciences Tokyo Metropolitan University Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01867.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2006.01354.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(10)63535-3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1983.tb13743.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.21.1.323"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-197501000-00008"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHM.0000156901.95289.09"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.285.6350.1233"},{"key":"e_1_2_8_11_1","unstructured":"Exercise and Physical Activity Guide for Health Promotion.To Prevent Lifestyle\u2010related Diseases. <Exercise Guide 2006> Available athttp:\/\/www0.nih.go.jp\/eiken\/programs\/pdf\/exercise_guide.pdf. 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