Physical Health / Joint Function (Formerly Physical Therapy)

PT Nichan Zourikian
PT

Nichan has been working in the bleeding disorders community since 1994, when he joined the Sainte-Justine Pediatric/Adult Comprehensive Hemostasis and Inhibitor Center comprehensive care team.

Nichan has regularly volunteered since 1998 for the Canadian Hemophilia Society (CHS) and Quebec Chapter, as well as the World Federation of Hemophilia (WFH). Since 2000, he has been a regular faculty member at hemophilia congresses and workshops and, has traveled to over 20 countries to teach about physiotherapy in bleeding disorders.

He also led the Canadian Physiotherapists in Hemophilia Care, as a co-chair, from 2002 until 2006.

In recognition of his achievements, he received the CHS Award of Appreciation in 2005, the Quebec Chapter’s Award of Appreciation in 2009 and the prestigious WFH Inga Marie Nilsson Award in 2010.

Nichan has been a member of IPSG’s Expert Physical Therapy Working Group since its inception as a co-developer of the Hemophilia Joint Health Score (HJHS).

Key Publications
 

1.       ‘Train-the-Trainer’: an effective and successful model to accelerate training and improve physiotherapy services for persons with haemophilia in China. Chen, L., Sun, J., Hilliard, P., Zourikian, N., Hang, M., Blanchette, V., Poon, M.-C. and Luke, K. Haemophilia 2013

2.       An ‘ice age’ concept? The use of ice in the treatment of acute haemarthrosis in haemophilia. Forsyth, A. L., Zourikian, N., Rivard, G.-E. and Valentino, L. A.  Haemophila 2013

3.       The effect of cooling on coagulation and haemostasis: Should “Ice” be part of treatment of acute haemarthrosis in haemophilia? Forsyth, A. L., Zourikian, N., Valentino, L. A. and Rivard, G. E.  Haemophilia 2012

4.       Physiotherapy Evaluation and Intervention in the Acute Hemarthrosis:  Challenging the Paradigm, in Current and Future Issues in Hemophilia Care.  Zourikian N and Forsyth A (ch. 30, eds E.-C. Rodríguez-Merchán and L. A. Valentino), Wiley-Blackwell, Oxford, UK. 2011

5.       Validation of a new pediatric joint scoring system from the international prophylaxis study group: Validity of the Hemophilia Joint Health Score (HJHS).  Feldman BM, Funk SM, Bergstrom BM, Zourikian N, Hillard P, Van der Net J, Engelbert R, Petrini P, van den Berg HM, Manco Johnson MJ. Arthritis Care Res (Hoboken) 2011

6.       Comprehensive elements of a physiotherapy exercise programme in haemophilia – A global perspective. Review article. Blamey G, Forsyth A, Zourikian N, Short L, Jankovic N,  De Kleijn P, and Flannery T.  Haemophilia 2010

7.       Orthopaedic surgery in haemophilia patients with inhibitors: a practical guide to haemostatic, surgical and rehabilitative care.  Teitel JM, Carcao M, Lillicrap D, Mulder K, Rivard GE, St-Louis J, Smith F, Walker I, and Zourikian N.  Haemophilia 2009

8.       Physiotherapy following elective orthopaedic procedures. De Kleijn PBlamey GZourikian NDalzell R, and Lobet S Haemophilia  2006 

 

Current Positions/Chairs:

  • Member
    Physical Therapy Expert Working Group of the IPSG
  • Physiotherapist
    Sainte-Justine Pediatric / Adult Comprehensive Hemostasis Center

Key Institutions

  • Sainte-Justine University Hospital Center
    Pediatric / Adult Comprehensive Hemostasis Center
    Montreal, Canada

Research Activities

  • Montreal site physiotherapist for the following studies: Canadian Hemophilia Escalating Prophylaxis Study (CHPS); Canadian Quality of Life; Synoviorthesis; Long-acting FIX; and HJHS reliability and validation studies

Research Interests

  • Evidence-based physiotherapy in hemophilia/bleeding disorders
  • De-bunking claims that “Ice” in R.I.C.E. is beneficial for acute hemarthroses

Publications

January 28, 2011

Validation of a new pediatric joint scoring system from the International Hemophilia Prophylaxis Study Group: Validity of the Hemophilia Joint Health Score (HJHS).

Authors
Feldman BM, Funk S, Bergstrom B-M, Zourikian N, Hilliard P, van der Net J, Engelbert RHH, Petrini P, van den Berg M , Manco-Johnson M, Rivard GE, Abad A, and Blanchette VS.
Citation
Arthritis Care & Research 2011 Feb; 63 (2):223-30.
July 1, 2008

The Haemophilia Joint Health Score (HJHS) international validation study.

Authors
Feldman B M, Funk S, Hilliard P, van der Net J, Zourikian N, Bergstrom B-M, Engelbert RHH, Abad A, Petrini P, Manco-Johnson M, and on behalf of the International Prophylaxis Study Group.
Citation
Haemophilia 2008, 14 (S2), 83 # 12 PO 85.
June 1, 2008

PT HJHS Pre-Congress Workshop

The XXVII International Congress of the World Federation of Hemophillia (June 1-5, 2008 – Istanbul, Turkey)
Authors
Hilliard, P, Funk S, Zourikian N, Bergstrom B-M, van der Net JJ, and Feldman BM
Citation
June 1, 2008

The Haemophilia Joint Health Score (HJHS) international validation study

The XXVIII World Federation of Hemophillia Congress (June 1-5, 2008 – Istanbul, Turkey).
Authors
Feldman B M, Funk S, Hilliard P, van der Net J, Zourikian N, Bergstrom B-M, Engelbert RHH, Abad A, Petrini P, Manco-Johnson M, and on behalf of the International Prophylaxis Study Group.
Citation
August 15, 2006

Hemophilia joint health score reliability study.

Authors
Hilliard P, Funk S, Zourikian N, Bergstrom B-M, Bradley CS, McLimont M, Manco-Johnson M, Petrini P, van den Berg M, and Feldman BM.
Citation
Haemophilia 2006 Sept; 12: 518 – 525.
August 15, 2006

Reliability study of the Hemophilia Joint Health Score.

Authors
Hilliard P, Funk S, Zourikian N, Bergstrom B-M, Bradley CS, McLimont M, Manco-Johnson M, Petrini P, van den Berg M, and Feldman BM.
Citation
Haemophilia 2004 Oct; 10 (S3): 79 # 16 S 03.
June 10, 2006

Hemophilia Joint Health Score instructional video and manual.

Authors
Hilliard P, Abad A, Bradley CS, Funk S, Zourikian N, and Bergstrom B-M.
Citation
Haemophilia 2006 May; 12 (S2): # 18 FP 532
May 21, 2006

Hemophilia Joint Health Score instructional video and manual

The XXVII World Federation of Hemophillia Congress (May 21-25, 2006 - Vancouver, Canada).
Authors
Hilliard P, Abad A, Bradley CS, Funk S, Zourikian N, and Bergstrom B-M.
Citation
October 17, 2004

Reliability study of the Hemophilia Joint Health Score

The XXVI World Federation of Hemophillia Congress (October 17-21, 2004 - Bangkok, Thailand).
Authors
Hilliard P, Funk S, Zourikian N, Bergstrom B-M, Bradley CS, McLimont M, Manco-Johnson M, Petrini P, van den Berg M, and Feldman BM.
Citation
October 8, 2004

Physical therapy and imaging outcome measures in a haemophilia population treated with factor prophylaxis: current status and future directions.

Authors
Manco-Johnson MJ, Pettersson H, Petrini P, Babyn PS, Bergstrom B-M, Bradley CS , Doria AS, Feldman BM, Funk S, Hilliard P, Kilcoyne R, Lundin B, Nuss R, Rivard G, Schoenmakers MA, van den berg M, Wiedel J, Zourikian N, and Blanchette VS.
Citation
Haemophilia 2004 Oct; 10 (S4):88 – 93.