Akademik Veri Yönetim Sistemi
Haemophilia, 2026 (SCI-Expanded, Scopus)
Introduction: Postural balance may be affected in adults with haemophilia (AwH). Studies report decreased dynamic balance (DB), but results of static balance (SB) are contradictory in AwH. The causes of DB impairment and its associated parameters are underexplored. Aim: To examine SB and DB, and relationship of DB with joint health (JH), physical activity (PA) and kinesiophobia and, the factors contributing of DB impairment. Methods: This cross-sectional study included 43 AwH and 40 healthy men. The study groups were haemophilia group (HG) and control group (CG). SB and DB were assessed with the Posturographic Platform, and PA with International Physical Activity Questionnaire (IPAQ) for all groups. JH and kinesiophobia were evaluated with Haemophilia Joint Health Score (HJHS) and Tampa Scale for Kinesiophobia (TSK) for HG. Results: There was no significant difference in age, BMI and IPAQ between the groups (p = 0.19, p = 0.052, p = 0.96, respectively). DB was significantly lower in HG than in CG (p = 0.03). Forward-back velocity, perimeter, and mediolateral trunk sway from SB parameters in open eyes (p <0.001, p = 0.048, and p = 0.008, respectively) and eyes closed (p = 0.011, p = 0.082 and p = 0.027, respectively), and total trunk sway in open eyes (p = 0.034) were significantly higher in HG than CG. DB was correlated with JH (r = −0.551, p < 0.001) and PA (r = 0.357, p = 0.019). Univariable regression analysis showed that only DB and JH were significant (p < 0.001, R2 = 0.50). Conclusion: This study revealed that SB and DB were negatively affected in AwH. DB was associated with JH and PA, with poor JH largely explaining the reduction in DB.