Comparison of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis

Foundation University Islamabad58 enrolled

Overview

This study is a randomised control trial and the purpose of this study is to compare the effects of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis

Participants will be recruited into their respective groups using a coin toss method. De Quervain Tenosynovitis will be assessed using the following tests: 1. Wrist hyperflexion and abduction of thumb (WHAT) test 2. Finkelstein's / Eichhoff's test 3. De Quervain Screening Tool

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

De Quervain Syndrome

Interventions

Isometric training of thumb musclesPROCEDURE

Isometric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using manual resistance and progress with training against resistance of elastic band and theraband.I

Eccentric training for thumb musclesPROCEDURE

In Group B, eccentric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using unweighted and weighted hammer curls and progress with training using elastic band, dumbbell and theraband.

UltrasoundPROCEDURE

Therapeutic ultrasound for symptom management

Eligibility

Sex: ALLMin age: 21 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients having history of pain, tenderness in thumb region from 3 weeks or more * Age 21-50 * Both genders * Individuals meeting the diagnostic criteria i.e. * A score of 3 or more out of 7 on De Quervain screening tool. * Positive Wrist hyperflexion and abduction of thumb (WHAT) test * Positive Finkelstein's / Eichhoff's test Exclusion criteria: * Diagnosed cases of Osteoarthritis of 1st CMC joint and Rheumatoid arthritis * C6 cervical radiculopathy * Any systemic inflammatory condition like septic arthritis * Carpal Tunnel Syndrome * Complex regional pain syndrome * Previous surgery impacting the first extensor compartment of the wrist * Corticosteroid injection in the radial wrist region within 3 months of enrolment into the study * If patient had undergone isometric thumb exercises or any strengthening protocol lasting greater than 2 weeks for the management of their current episode of de Quervain's syndrome

Locations (1)

Foundation University College of Physcial Therapy

Rawalpindi, Punjab Province, Pakistan

RECRUITING

Outcomes

Primary Outcomes

Grip Strength measurement

Power grip strength will be measured using hand held dynamometer and pinch grip strength will be measured using Modified sphygmomanometer

Time frame: 4 weeks

Central Contacts

Zahra Nayyer, MS-MSKPT*

CONTACT

0349-8219386 zahranayyar727@gmail.com

Data from ClinicalTrials.gov

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