Conservative Management of DeQuervain's Tendinopathy With an Orthopaedic Manual Therapy Approach Emphasizing First CMC Manipulation: A Retrospective Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 3
- 主要终点
- Change from Baseline Quick Disabilities of the Arm, Shoulder, and Hand questionnaire at 8 weeks
研究概览
简要总结
This is a retrospective review of three patients with DeQuervain's Tendinopathy (DQT) that had successful outcomes with a manual therapy focused approach provided by Physical Therapist management.
详细描述
DeQuervain's tendinopathy (DQT) is a musculoskeletal disorder that limits hand function of affected individuals. Management of DQT can include splinting, activity modification, medications, corticosteroid injections, Physical Therapy, and surgery. There is limited evidence to support the combination of manual therapy and exercise interventions within an Orthopaedic Manual Physical Therapy (OMPT) approach when managing patients with DQT. Three patients identified with DQT underwent a multi-modal treatment regimen including carpometacarpal (CMC) thrust and non-thrust manipulation, end range radiocarpal mobilization, mobilization with movement (MWM), strengthening exercises, and grip proprioception training. Outcomes were assessed using the numeric pain rating scale (NPRS), Jamar hand dynamometer grip strength, and the Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire. These measures were administered at baseline and discharge.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Five or more items present on the DQT screening tool devised by Batteson et al.:
- •Pain over the radial styloid
- •Tenderness over the dorsal thumb
- •Pain with active thumb flexion
- •Localized swelling over the thumb
- •Positive Finkelsteins test
- •Thickening of the tendon sheath of the first dorsal extensor compartment
- •Pain with resisted thumb extension.
排除标准
- •Cardiovascular disorders
- •Non-musculoskeletal complaints
- •Auto-immune disorders
- •Patients who had received previous treatment for their condition
结局指标
主要结局
Change from Baseline Quick Disabilities of the Arm, Shoulder, and Hand questionnaire at 8 weeks
时间窗: up to 8 weeks
Quick DASH (0% disability to 100% disability)
Change from Baseline Numeric Pain Rating Scale at 8 weeks
时间窗: up to 8 weeks
Numeric Pain Rating Scale (0-10 point scale)
Change from Baseline Grip strength at 8 weeks
时间窗: up to 8 weeks
Jamar hand dynamometer Grip strength
次要结局
未报告次要终点