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Conservative Management of DeQuervain's Tendinopathy With an Orthopaedic Manual Therapy Approach Emphasizing First CMC Manipulation: A Retrospective Case Series

13. november 2019 opdateret af: Regis University

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.

Studieoversigt

Status

Afsluttet

Betingelser

DeQuervains tendinopati

Intervention / Behandling

Andet: Physical Therapist management

Detaljeret beskrivelse

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.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Patients diagnosed with DeQuervain's tendinopathy.

Beskrivelse

Inclusion Criteria:

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.

Exclusion Criteria:

Cardiovascular disorders
Non-musculoskeletal complaints
Auto-immune disorders
Patients who had received previous treatment for their condition

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål	Foranstaltningsbeskrivelse	Tidsramme
Change from Baseline Quick Disabilities of the Arm, Shoulder, and Hand questionnaire at 8 weeks Tidsramme: up to 8 weeks	Quick DASH (0% disability to 100% disability)	up to 8 weeks
Change from Baseline Numeric Pain Rating Scale at 8 weeks Tidsramme: up to 8 weeks	Numeric Pain Rating Scale (0-10 point scale)	up to 8 weeks
Change from Baseline Grip strength at 8 weeks Tidsramme: up to 8 weeks	Jamar hand dynamometer Grip strength	up to 8 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Regis University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. juli 2016

Primær færdiggørelse (Faktiske)

31. december 2017

Studieafslutning (Faktiske)

31. december 2017

Datoer for studieregistrering

Først indsendt

18. juni 2019

Først indsendt, der opfyldte QC-kriterier

13. november 2019

Først opslået (Faktiske)

15. november 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)