{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:07:26Z","timestamp":1784300846415,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Persons with haemophilia (PwH) have a risk of bleeding in joints, especially in elbow, knee and ankle. In the long term, this leads to haemophilic arthropathy (HA), which results in joint deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to examine how walking speed and HA affect (1) foot pressure distribution, (2) average vertical peak pressure, and (3) knee and ankle joint angles during walking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a motion analysis system (DIERS 4DmotionLab), 30 PwH and 31 healthy controls (CG) were examined at speeds of 3, 4, and 5\u00a0km\/h. Groups were additionally divided according to the severity of HA, in the subgroups PwH(major) and PwH(minor).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Regarding different gait speeds, no differences were found between PwH and CG in peak pressure distribution. However, pedobarography showed a significant reduction in average vertical peak pressure in the second half of the stance phase in PwH(major) compared to CG (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.007). Joint angle measurements showed reduced plantar flexion (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.041), dorsiflexion (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.011), and descriptive, non\u2010significant knee flexion in PwH(major) at different speeds. Knee extension did not differ between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study confirms that PwH, especially those with advanced HA, show impaired gait pattern. While different walking speeds had no impact on peak pressure values compared to CG, force transmission was reduced in PwH in the second half of the stance phase. This, in conjunction with reduced mobility in the ankle joints, indicates impaired power transmission in the propulsion phase which is well compensated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hae.70305","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:21:22Z","timestamp":1778138482000},"page":"1032-1041","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gait Pattern at Different Speeds in Persons With Haemophilia"],"prefix":"10.1111","volume":"32","author":[{"given":"Marius","family":"Br\u00fchl","sequence":"first","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"},{"name":"Department of Orthopaedics and Trauma Surgery University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"M\u00f6llers","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil","family":"Hmida","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"},{"name":"Department of Orthopaedics and Trauma Surgery University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Tomschi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Goldmann","sequence":"additional","affiliation":[{"name":"Institute For Experimental Haematology and Transfusion Medicine University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank A.","family":"Schildberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Oldenburg","sequence":"additional","affiliation":[{"name":"Institute For Experimental Haematology and Transfusion Medicine University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas C.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hilberg","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm6070063"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14564"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/284358"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14154"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2022.01.008"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.15060"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.46989\/001c.94374"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3791\/59103"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20353"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12020567"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201014\u2010249"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.21608\/jcmrp.2024.381485"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14890"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/b-003-127005"},{"key":"e_1_2_13_17_1","volume-title":"Gait Analysis (Normal and Pathological Function)","author":"Jacquelin Perry J. 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