Focused Extracorporeal Shock Wave Therapy (ESWT) Versus Traditional Physiotherapy in the Treatment of Trigger Finger

Focused Extracorporeal Shock Wave Therapy (ESWT) Versus Traditional Physiotherapy in the Treatment of Trigger Finger: a Randomized Controlled Study

Sponsors

Lead Sponsor: Cheng-Hsin General Hospital

Source Cheng-Hsin General Hospital
Brief Summary

Trigger finger is the common name of stenosing tenosynovitis of fingers, caused by repetitive trauma. Conservative treatment includes NSAIDs or other analgesic agents, activity modification, splint, and physiotherapy. Operation could be considered if conservative treatments fails. With literature reviewed, there is no treatment which is both non-invasive and effective, and also could avoid recurrence well. Extracorporeal shock wave therapy could induce angiogenesis, anti-inflammatory reaction, and recruitment of fibroblast. Although extracorporeal shock wave has been utilized in musculoskeletal diseases for more than twenty years, there is no well-designed clinical trial to prove the effectiveness of extracorporeal shock wave in treating trigger finger. The purpose of this study is to compare the effectiveness of extracorporeal shock wave therapy with traditional physical therapy for the management of trigger finger.

Overall Status Not yet recruiting
Start Date 2021-05-01
Completion Date 2022-08-31
Primary Completion Date 2021-12-31
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Quinnell stages of triggering 15 weeks
11-point numeric scale of pain 15 weeks
Chinese quick DASH (disabilities of the Arm, Shoulder, and Hand questionnaire) 15 weeks
strength of hand grip 15 weeks
sonographic image 15 weeks
Enrollment 40
Condition
Intervention

Intervention Type: Device

Intervention Name: Focused Extracorporeal Shock Wave Therapy (ESWT)

Description: 2000 impulses of 5 Hz and 0.32 mJ/mm2 , twice per week for 3 weeks

Arm Group Label: Focused Extracorporeal Shock Wave Therapy (ESWT)

Intervention Type: Device

Intervention Name: physiotherapy

Description: therapeutic ultrasound, 12 times in 3 weeks

Arm Group Label: Physiotherapy

Eligibility

Criteria:

Inclusion Criteria: - Quinnel classification grade 2 or 3 - who has only one trigger Exclusion Criteria: - who had ever treated the trigger finger - who has other musculoskeletal disease of the upper limb - who has severe coagulopathy disease - who is pregnant - who has arrhythmia or has a pacemaker - there is sensory impairment, scar, edema at the trigger finger - who has cognitive dysfunction

Gender:

All

Minimum Age:

18 Years

Maximum Age:

N/A

Healthy Volunteers:

Accepts Healthy Volunteers

Overall Contact

Last Name: Jou Yu Lin

Phone: +886-2-28264400

Phone Ext.: 3806

Email: [email protected]

Verification Date

2021-04-01

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Focused Extracorporeal Shock Wave Therapy (ESWT)

Type: Experimental

Description: 2000 impulses of 5 Hz and 0.32 mJ/mm2 , twice per week for 3 weeks

Label: Physiotherapy

Type: Active Comparator

Description: therapeutic ultrasound, 12 times in 3 weeks

Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Intervention Model Description: Our study design is mainly to compare the therapeutic effect to trigger finger between extracorporeal shock wave (PiezoWave2 ECO, produced by Richard Wolf) and traditional physiotherapy.

Primary Purpose: Treatment

Masking: Double (Investigator, Outcomes Assessor)

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