US Physical therapists provide a framework that supports activity associated bleeding risk assessment for people with hemophilia.

PT experts quantify the risk of bleeding associated with a specific activity and factors to decrease risk

NHF 2017 (Chicago, IL August 24-26): Results from the Activity-Intensity-Risk (AIR) Survey and Consensus Meeting of US Physical Therapists were presented in a poster on Sports/Recreational Activity-Specific Range and Drivers of Risk in People With Hemophilia at the annual National Hemophilia Foundation (NHF) meeting.  The aim of AIR was to go beyond single activity risk scores to assess activity-specific risk ranges, bleed-specific risks, and inherent/modifiable factors that increase risk.  Eighteen peer-nominated physical therapists provided low and high risk assessments (on a 5-point scale) for ~ 100 sports/recreational activities, making distinctions for different positions, as well as sports with different rules of contact. Some sports, such as swimming, have both their low and high risks assessed at the lower end of the scale, while for some sports, such as tackle football, both the low and high risks are at the high end of the scale. Key drivers of risk include year-round participation, overtraining, competitive level, improper body mechanics, use of safety equipment, and engaging in tricks or stunts. AIR provides insights into activity-specific risks for people with hemophilia, potentially providing a broader framework for patients and families to work with their treatment center teams in assessing activity with respect to quantifying the risk of bleeds associated with a specific activity and for recognizing how certain activities may be modified to decrease risk.


Activity Intensity Risk survey and consensus meeting were sponsored by Novo Nordisk Inc.