Analyze the Comparison of the Effectiveness of Kinesio ®and Dynamic Taping for De Quervain's Tenosynovitis

Taipei Medical University

Status: Terminated

Conditions: De Quervain's Tenosynovitis

Treatments: Other: Kinesio ®; Other: Dynamic taping

Study type: Interventional

Funder types: Other

Identifiers

NCT07062276

TMU-IJRB-N202111055

Details and patient eligibility

About

_De Quervain's tenosynovitis is inflammation and swelling of the tendon caused by repetitive thumb movements. In severe cases, the tendon sliding is limited, resulting in limited joint range of motion and affecting the quality of life. Kinesio ®can effectively improve pain, edema, and assist functional movements. The elasticity of the patch creates wrinkles to relax the extensor pollicis brevis and the abductor longus muscle of the thumb. The dynamic tape is a new type of treatment. The material has high resilience. Its purpose is to help muscles and tissues absorb external forces and reduce tissue energy consumption. By adjusting the human motor control mode, the work of injured tissues can be reduced, thereby improving the discomfort of sports injuries , accelerating the recovery of injured tissues and reducing the load of the extensor pollicis brevis tendon and the abductor pollicis longus tendon to assist the two tendons in their work. However, in the past, there was no dynamic taping applied to the study of De Quervain's tenosynovitis, and no dynamic taping and Kinesio ® applied to the study of De Quervain's tenosynovitis.

Full description

PURPOSE:To explore the effectiveness of dynamic taping intervention in cases of stenosis of the De Quervain's tenosynovitis and the comparison with the effectiveness of Kinesio ®_ METHODS:The study collected data on cases of De Quervain's tenosynovitis in the rehabilitation department of a hospital in northern Taiwan. The tape was performed by a functional therapist trained Kinesio ® C level and dynamic tape level 1 course. The finger pinch strength and grip strength were assessed immediately before and after the intervention; The Patient-Rated Wrist Evaluation was used to assess pain and difficulty in performing activities of daily living. Obtain data after the case actually performs activities of daily living.

Data analysis: Nonparametric test will be used in the comparison of the pre- and post-evaluation data inter group. The analysis will be carried out using SPSS Statistic (v20.0) and α<0.05.

Enrollment: 8 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• An outpatient case of De Quervain's tenosynovitis referred by a rehabilitation physician.
• Symptoms need to last for more than 1 month.
• The case did not administer any medications and did not receive any rehabilitation treatment before being transferred to the occupational therapy department.
• The case will not have any uncomfortable reaction to Kinesio ® and dynamic taping.
• The case or the main caregiver can understand and cooperate with the relevant instructions of the research.
• Those who are willing to sign the consent form after fully understanding this research

Exclusion criteria

• Medical personnel have identified medical problems that may affect the test
• Authors of stroke recurrence or epilepsy during the intervention
• Participate in other experimental researches on rehabilitation efficacy during this research period
• Those who refuse to sign the subject's consent form

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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8 participants in 2 patient groups

Dynamic taping

Experimental group

Description:

The participants are taped by an occupational therapist trained in dynamic taping Level 1. Dynamic taping is to reduce the load on the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons and assist them to do motion. The patient's thumb metacarpophalangeal joint should be extended to the bottom, and the radiocarpal joint and thumb metacarpal carpal joint should be abducted to the bottom.Attach the starting end of the dynamic taping to the thumb, extend the patch to the length where the tension begins to be felt, and then attach it. The end end does not need to have tension on the forearm.

Treatment:

Other: Dynamic taping

Kinesio

Active Comparator group

Description:

The participants are taped by an occupational therapist who has received Class C training in kinesio. It provides sensory input and creates a subcutaneous space, thereby reaching the extensor pollicis brevis and abducting the pollicis longus. The relaxing and lifting pain relief effect. The length of the tape is measured from the interphalangeal joint through the metacarpal wrist joint to the distal radius of the case, and then the anchor point is under the interphalangeal joint, and then the extensor pollicis brevis, abductor pollicis longus stretch position, and the patch is along this Two muscles attach to the radius. The length of the second patch is about 2 to 3 grids. The middle of the patch is the anchor point, and the anchor point is at the tendon sheath (the place of pain). The two sides of the patch are pulled a little to create a subcutaneous space at the painful place to improve the pain condition.

Treatment:

Other: Kinesio ®