Effectiveness of High-intensity Laser Therapy in De Quervain Tenosynovitis

Kocaeli University

Status: Completed

Conditions: De Quervain Disease

Treatments: Device: high intensity laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05141799

2/2020.K-061

Details and patient eligibility

About

68 De Quervain tenosynovitis(MPS) diagnosed patients will be randomly divided into 2 groups. To groups; splinting+exercise+high-intensity laser therapy (HILT) and splinting+exercise+sham HILT will be applied. Visual anolog scale (VAS) scores, quick Disabilities of the Arm, Shoulder, and Hand (QDASH) questionnaire and Hand grip strength measurements of the patients before-after treatment will be recorded and will be evaluated statistically.

Enrollment: 64 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients diagnosed with unilateral De Quervain tenosynovitis 18-65 years old

Exclusion criteria

• pain history of less than four weeks,
• upper extremity entrapment neuropathy,
• major psychiatric disease,
• upper extremity surgical treatment history,
• malignancy history,
• chronic rheumatic disease,
• cervical radiculopathy,
• cervical myelopathy,
• local corticosteroid injection prior to De Quervain tenosynovitis and receiving physical therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

high-intensity laser therapy (HILT)

Active Comparator group

Description:

we will apply the HILT device to the most painful area of the wrist in two phases. In both phase I and phase II, the laser will be applied using continuous circular movements. The first three sessions (phase I) will be used to provide analgesic effects at an intermittent phase, applying a 75 sec, 8 W, 6 J/cm2 treatment for a total of 150 J of energy. The subsequent six sessions (phase II) will provide a biostimulatory effect at a continuous phase, applying a 30 sec, 6 W, 120 to 150 J/cm2 treatment. The HILT will be applied for a total of nine treatment sessions over a period of three consecutive weeks.

Treatment:

Device: high intensity laser therapy

sham HILT

Sham Comparator group

Description:

We will apply the HILT device to the most painful area of the wrist by using continuous circular movements, but the laser instrument will switched off during applications. The sham HILT will be applied for a total of nine treatment sessions over a period of three consecutive weeks.

Treatment:

Device: high intensity laser therapy