Hemophilia is a bleeding disorder that leads to poor clotting and continuous bleeding. When someone has a bleeding disorder, they have a tendency to bleed longer than is typical. 

People with hemophilia can have bleeding into their joints or muscles. This leads to a decrease in range of motion, strength, and function.

Physical therapy helps to stop the bleeding (by instituting rest, ice, compression, and elevation) and then gain back motion and strength to the affected area. The therapist will also assist the patient to improve body mechanics and return to prior level of function.

Sickle cell disease is an inherited blood disorder that affects red blood cells. When sickle-shaped cells block small blood vessels, less blood can reach that part of the body. Tissue that does not receive a normal blood flow eventually becomes damaged. This can lead to acute chest syndrome.

Physical therapy assists with airway clearance during an acute chest episode. A therapist might also assist with general mobility during or after other crises due to deconditioning and pain.

Physical Therapy Treatment

• Aquatic therapy
• Balance, coordination, and postural control
• Breathing and airway clearance
• Joint mobility and flexibility
• Splinting, bracing, and casting
• Strength and fitness
• Gross motor skills

Occupational Therapy Treatment

• Splinting, bracing, and casting
• Joint mobility and flexibility