Comparison of the Efficacy of High and Low Level Laser Therapy in the Treatment of De Quervain's Tenosynovitis: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 主要终点
- Visual Pain Scale (VAS)
研究概览
简要总结
The aim in this study was to compare the effects of high and low power laser treatments in the treatment of de Quervein tenosynovitis clinically and ultrasonographically.
详细描述
De Quervain's tenosynovitis is tenosynovitis of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. Conservative management includes nonsteroidal anti-inflammatory drugs, wrist and thumb immobilization, ultrasound, and low-level laser therapy (LLLT). According to early literature, low-level laser therapy and ultrasound therapy appear to produce similar biological effects in reducing inflammation and promoting tissue healing.
In a study low-power laser therapy was found to be effective compared to placebo in de Quervain's tenosynovitis.
In a study of 35 female patients, low-power laser therapy (LLLT) combined with a thumb-supported splint was not superior to splint alone in patients with de Quervain's tenosynovitis.
In a more recent study low-power laser therapy was found to be similarly effective to ultrasound therapy.
The investigators found no studies in the literature on the effect of high-power laser therapy. The aim in this study was to compare the effects of high and low power laser treatments in the treatment of de Quervein tenosynovitis clinically and ultrasonographically.
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
- Triple (Participant, Investigator, Outcomes Assessor)
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
- 否
入选标准
- •Between18-65 years of age
- •Wrist pain for more than 3 weeks
- •Finkelstein test positive
- •Ability to understand commands
排除标准
- •Physical therapy, injections, or surgery in the upper extremity in the last 3 months
- •Fracture or trauma in the upper extremity in the last 6 months
- •Radiating pain due to cervical discopathy
- •Infection, loss of sensation, metal implant in the treatment area
- •Inflammatory rheumatic diseases
- •NSAID use
- •Pregnancy or planning pregnancy during treatment
- •Malignancy
- •Pathology in the wrist on radiograph
结局指标
主要结局
Visual Pain Scale (VAS)
时间窗: Before treatment (T0), After tratment (3. week) (T1)
Visual Pain Scale (VAS), which is easy to understand, apply and interpret, and provides valid and reliable data in a short time, is the most commonly used method in clinics. With a 100 mm visual linear scale, the patient is told that there is no pain at point 0, and that the most severe pain they have ever felt at point 100, and the patient is asked to put a mark on the point corresponding to their pain.
Jamar Dynamometer
时间窗: Before treatment (T0), After tratment (3. week) (T1)
Measurements will be made by sitting with the shoulder adducted and neutrally rotated, adjacent to the body, elbow 90 degrees flexed, wrist 0-30 degrees dorsiflexed and 0-15 degrees ulnar deviation, thumb up. Measurements will be repeated three times with 5-second intervals on the affected hand and the average of the three measurements will be recorded in kilograms. Finger grip strength will be assessed with the 'Jamar digital pinchmeter'.
Ritchie Articular Index
时间窗: Before treatment (T0), After tratment (3. week) (T1)
It is an index developed for the numerical measurement of joint tenderness in patients with rheumatoid arthritis. It is the quantitative evaluation number of the patient's response to the discomfort experienced by the joint when exposed to pressure during passive movement of the joint. It is a 4-point scale; if there is no tenderness (0), the patient complains of pain (1), the patient complains of pain and is accompanied by patient irritation (2), and the patient withdraws with pain and irritation (3). As a result, the total score obtained by summing the clinical evaluation index items made with joint tenderness is recorded.
Finkelstein test
时间窗: Before treatment (T0), After tratment (3. week) (T1)
The Finkelstein test is the occurrence of wrist pain at the level of the radial styloid during ulnar deviation of the wrist with the thumb flexed into the palm and covered with the remaining fingers.
次要结局
- Disabilities of the Arm, Shoulder and Hand Questionnaire (QUICK DASH)(Before treatment (T0), After tratment (3. week) (T1))
- Ultrasonographic evaluation(Before treatment (T0), After tratment (3. week) (T1))
研究者
Sevda Adar
Assistant Professor
Afyonkarahisar Health Sciences University