Combined Effects of Mulligan's Mobilization With Movement and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Grip Strength Dynamometer
研究概览
简要总结
This randomized controlled trial aims to assesses the combined effects of MWM and tendon gliding exercises on hand function in smartphone users with De Quervain's Tenosynovitis, considering hand anthropometric variations.
详细描述
De Quervain's Tenosynovitis (DQT) is a painful musculoskeletal condition characterized by inflammation of the abductor pollicis longus and extensor pollicis brevis tendons within the first dorsal compartment of the wrist. It is commonly associated with repetitive thumb and wrist movements, with smartphone overuse emerging as a significant contributing factor among young adults.
Mulligan's Mobilization with Movement (MWM) has been shown to correct minor joint malalignments and reduce compressive forces on inflamed tendons, thereby improving wrist kinematics and reducing pain. Tendon gliding exercises enhance tendon excursion, minimize adhesions, and improve synovial fluid circulation, which supports recovery of thumb and wrist function. When combined, these interventions address both mechanical and functional impairments associated with DQT.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient diagnosed with De Quervain's Tenosynovitis (positive Finkelstein's test).
- •Patient having persistent thumb/wrist pain and functional difficulties for a duration of at-least 2 weeks.
- •Patient willing to participate and give informed consent.
排除标准
- •Patient with history of trauma, fracture, or surgery in the affected wrist or thumb.
- •Patient with neurological disorder affecting the upper limb.
- •Patient with systemic conditions like rheumatoid arthritis or diabetes affecting tendon function.
- •Any other co-morbidity.
研究组 & 干预措施
Mulligan's Mobilization with Movement (MWM) + Tendon Gliding Exercises (combined effect)
MWM: Radial glide of 1st MCP with active thumb extension (10 reps × 3 sets, progressed with resistance in weeks 3-4). 2- Tendon Gliding Exercises: Straight hand, hook fist, tabletop, full fist, straight fist (10 reps × 2 sets in weeks 1-2; 3 sets × 15 with resistance band in weeks 3
干预措施: MWM + Tendon Gliding Exercises (Other)
Conventional Treatment
Wrist ROM (flexion, extension, radial/ulnar deviation, pronation/supination). 2-Thumb ROM (abduction/adduction, flexion/extension, opposition/circumduction). 3-Isometric wrist/thumb strengthening. 4-Strengthening with soft ball, thumb abduction/adduction against resistance. 5-Postural and ergonomic education for smartphone usage.
干预措施: Conventional Treatment (Other)
结局指标
主要结局
Grip Strength Dynamometer
时间窗: 4 weeks
It is a valid and reliable tool used for measuring isometric hand grip strength. This objective tool will be used to assess hand muscular performance and functional status in patients with De Quervain's Tenosynovitis. The NOD digital dynamometer has been shown to provide consistent and reproducible readings. Reliability: 0.97 and Validity: 0.94.
Patient-Rated Wrist Evaluation (PRWE) Questionnaire
时间窗: 4 weeks
It is a valid and reliable patient-reported outcome measure for assessing wrist pain and functional disability. This tool will be used to evaluate wrist-related limitations in activities of daily living in DQT patients. It includes two subscales: pain and function, making it responsive to clinical changes. Reliability: 0.96 and Validity: 0.88.
Hand Anthropometry (Caliper & Measuring Tape)
时间窗: Baseline
These are reliable and valid tools used to measure various hand dimensions, including palm width, thumb length, and wrist circumference. These measurements help understand the influence of hand morphology on grip strength and functional ability in smartphone users with DQT. Reliability: 0.88 and Validity: 0.71.
次要结局
未报告次要终点