Graston Technique and Myofascial Release in De Quervain's Tenosynovitis

Effects of Graston Technique and Myofascial Release in De Quervain's Tenosynovitis

This research compares how well the Graston Technique and Myofascial Release Therapy work to reduce pain and improve flexibility for those struggling with De Quervain's tenosynovitis

Study Overview

• Status: Completed
• Conditions: DeQuervain's Tenosynovitis of the Wrist; DeQuervain's Tenosynovitis; DeQuervain Tendinopathy; DeQuervains Tenosynovitis
• Intervention / Treatment: Other: Graston Technique; Other: Myofacial Release Therapy

Detailed Description

This randomized trial compared the Graston Technique against Myofascial Release in 32 patients with De Quervain's tenosynovitis. Participants were randomly split into two groups of 16, with both receiving baseline ultrasound and exercise therapy. Over four weeks (eight sessions total), outcomes were evaluated using the Numeric Pain Rating Scale, the DASH questionnaire, and goniometer measurements to determine the impact on pain and range of motion.

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab Province
    • Gujranwala, Punjab Province, Pakistan
      • Elite College of Management Sciences, Gujranwala

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age group of twenty one to fifty years
• individuals having positive test for dequervains tenosynovitis
• pain > 6 weeks

Exclusion Criteria:

• arthritis
• any neurological syndrome of hand
• any pathology of hand skeletal structure
• any surgery
• pregnancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Graston Technique; this experimental groups was treated with Graston technique for Dequervains Tenosynovitis	Other: Graston Technique; Use of IASTM Tool to treat Dequervains Tenosynovitis. 2 sessions per week were administered along with conventional physical therapy.
Experimental: Myofacial Release Therapy; this experimental groups was treated with Myofacial Release therapy for Dequervains Tenosynovitis	Other: Myofacial Release Therapy; Use of Myofascial release therapy to treat Dequervains Tenosynovitis. 2 sessions per week were administered along with conventional physical therapy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Pain Rating Scale	Numeric Pain Rating Scale is a tool used to report pain and has a scale or 0 to 10 in which 0 means no pain and 10 means extreme pain.	4 weeks
Disabilities of the Arm, Shoulder and Hand Questionnaire	It is used to measure how a person's upper-limb issues affect their daily life. A score of 0 represents no disability. A score of 100 represents extreme disability.	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Range of Motion	Goniometry is used to measure improvement in joint Range of Motion of hand.	4 weeks

Collaborators and Investigators

• Sponsor: Elite College of Management Sciences, Gujranwala, Pakistan
• Investigators: Study Director: Usman Iqbal Janjua, PhD Rehabilitation Sciences, Elite College of Management Sciences, Gujranwala

Publications and helpful links

General Publications

• Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13.
• Ali M, Asim M, Danish SH, Ahmad F, Iqbal A, Hasan SD. Frequency of De Quervain's tenosynovitis and its association with SMS texting. Muscles Ligaments Tendons J. 2014 May 8;4(1):74-8. eCollection 2014 Jan.
• Alduqsi, B. (2024). An exploration of the use of Kinesio taping, long thumb spica orthosis (splint) and corticosteroid injections as a nonsurgical approach for treating DeQuervain's tenosynovitis.
• Ahuja NK, Chung KC. Fritz de Quervain, MD (1868-1940): stenosing tendovaginitis at the radial styloid process. J Hand Surg Am. 2004 Nov;29(6):1164-70. doi: 10.1016/j.jhsa.2004.05.019.
• Dundar Ahi E, Sirzai H. Short-term Effectiveness of High-intensity Laser Therapy in De Quervain Tenosynovitis: A Prospective, Randomized, Controlled Study. Medeni Med J. 2023 Mar 28;38(1):24-31. doi: 10.4274/MMJ.galenos.2023.67279.

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2025
• Primary Completion (Actual): April 10, 2026
• Study Completion (Actual): April 30, 2026

Study Registration Dates

• First Submitted: May 8, 2026
• First Submitted That Met QC Criteria: May 8, 2026
• First Posted (Actual): May 14, 2026

Study Record Updates

• Last Update Posted (Actual): May 19, 2026
• Last Update Submitted That Met QC Criteria: May 15, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Keywords: Graston technique; myofascial release; wrist pain; De Quervain's Tenosynovitis
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Muscular Diseases; Tendinopathy; Tendon Entrapment; De Quervain Disease
• Other Study ID Numbers: 2021-066493

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No