Background and Objective: To examine the effect of progressive exercise program on the bleeding frequency in haemophilic patients. Material and methods: Thirty male patients with haemophilia were assigned into two equal groups; group A was the study group and consisted of 15 haemophilic patients (type A and B) with mild and moderate severity received their medical treatment and on their normal activities and participated in progressed exercise program for eight weeks and group B was the control group and consisted of 15 haemophilic patients (type A and B) with mild and moderate severity received their medical treatment and on their normal activities not participated in the exercise program for eight weeks. All patients participated in the current study three times /week for eight weeks. All subjects in both groups were assessed for pain; clotting time and muscle test. Results: Following treatment, the study group (A) demonstrated statistically highly significant improvement (P<0.001) in pain intensity measured by Borg scale for pain (P-Value was 0.000) with percentage of improvement 31.9 % and significant improvement (P<0.05) in pain (P-Value was 0.025) post treatment compared to the control group with percentage of improvement 8.38 %. Following treatment, the study group (A) demonstrated statistically highly significant improvement (P<0.01) in bleeding measured by number of bleeding episodes (P-Value was 0.004) with percentage of improvement 41.83 % and significant improvement (P<0.05) in clotting time (P-Value was 0.042) post treatment compared to the control group with percentage of improvement47.03 %. Following treatment, the study group (A) demonstrated statistically significant improvement in muscle strength measured by manual muscle test of right knee, left knee, right elbow, left elbow (P-Value was 0.005, 0.016, 0.003, 0.015) with percentage of improvement (16.78%, 19.15%, 33.19%,19.13%) respectively post treatment compared to the control group. Conclusion: From these findings we can conclude that the designed therapy program consisted of electrical stimulation, stretching exercises and range of motion exercises when accompanied with the medical treatment can achieve much more improvement in pain reduction, increasing muscle strength and decrease bleeding in patients with haemophilia.
