Effectiveness of Astym Treatment For de Quervain's Tenosynovitis

NYU Langone Health32 enrolled

Overview

To determine if the addition of Astym treatment to traditional therapy produces a more positive outcome then traditional therapy alone for the treatment of de Quervain's tenosynvitis. Two groups will be examined with one group receiving traditional therapy and the other group receiving traditional therapy in addition to Astym treatment protocol.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

de Quervain's Disease

Interventions

Occupational therapyOTHER

Occupational therapy for de Quervain's Tenosynovitis

Occupational therapy with ASTYMDEVICE

Occupational therapy for de Quervain's Tenosynovitis plus ASTYM

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: i. Positive Finkelstein's test: The client will report pain over the first compartment of the extensor retinaculum when the thumb is tucked in the hand and deviated ulnarly. ii. Persistent symptoms for \>3 wks which have not resolved after an additional 3 weeks of splinting iii. A diagnosis by a physician of "de Quervain's", "fist compartment tenosynovitis", or "radial styloid tenosynovitis" iv. Patients must agree and comply to a predetermined splinting regimen Exclusion Criteria: i. History of cortical steroid injection to affected wrist and/or thumb ii. History of previous wrist trauma to affected limb iii. Comorbidity such as carpal tunnel syndrome (CTS), radial tunnel syndrome, osteoarthritis, rheumatoid arthritis, auto-immune disease or inflammatory conditions, lateral epicondylitis or tendinopathies iv. Clotting deficits v. Positive Cozen's sign which would indicate intersection syndrome vi. Post-partum mothers \<6 months and pregnant women

Locations (1)

NYU Langone Medical Center, Center for Musculoskeletal Care

New York, New York, United States

Outcomes

Primary Outcomes

Numeric Rating Scale for Pain

This scale is a single point scale from 0-10. The participant picks one number to represent their pain, where 0 represents no pain and 10 represents worst pain imaginable.

Time frame: 4.5 months

Secondary Outcomes

Sequential Occupational Dexterity Assessment (SODA) Score

This is a test to measure dexterity and bimanual abilities in activities of daily living. It includes 12 tasks with participants being scored on their ability, difficulty and pain during the task. Scores on the individual tasks are summed, and the range of the total SODA score is 0-108. A higher score indicates a higher dexterity.

Time frame: 1.5 months

Quick Dash Score

It is a questionnaire that measures an individual's ability to complete tasks, absorb forces, and severity of symptoms. The QuickDASH tool uses a 5-point Likert scale from which the patient can select an appropriate number corresponding to his/her severity level/ function level. QuickDASH Scoring Formula = (\[(sum of n responses)/n\] -1)(25) where n represents the number of completed items. Higher scores indicate a greater level of disability and severity, whereas, lower scores indicate a lower level of disability. The score on both test ranges from 0 (no disability) to 100 (most severe disability).

Time frame: 4.5 months

Data from ClinicalTrials.gov

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