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

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

Patrocinadores

Patrocinador principal: Regis University

Fuente Regis University
Resumen breve

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.

Descripción detallada

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.

Estado general Completed
Fecha de inicio July 1, 2016
Fecha de Terminación December 31, 2017
Fecha de finalización primaria December 31, 2017
Tipo de estudio Observational
Resultado primario
Medida Periodo de tiempo
Change from Baseline Quick Disabilities of the Arm, Shoulder, and Hand questionnaire at 8 weeks up to 8 weeks
Change from Baseline Numeric Pain Rating Scale at 8 weeks up to 8 weeks
Change from Baseline Grip strength at 8 weeks up to 8 weeks
Inscripción 3
Condición
Intervención

Tipo de intervención: Other

Nombre de intervención: Physical Therapist management

Descripción: Physical Therapist management included joint manipulation, mobilization with movement, strengthening exercises, and grip proprioception training.

Elegibilidad

Método de muestreo: Non-Probability Sample

Criterios:

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

Género: All

Edad mínima: 18 Years

Edad máxima: 65 Years

Voluntarios Saludables: Accepts Healthy Volunteers

Fecha de verificación

November 2019

Fiesta responsable

Tipo: Sponsor

Palabras clave
Tiene acceso ampliado No
Condición Examinar
Información de diseño del estudio

Modelo de observación: Other

Perspectiva de tiempo: Retrospective

Fuente: ClinicalTrials.gov