Mobilization With Movement Versus Joint-Specific Manipulation in De Quervain's Tenosynovitis

Riphah International University

Status: Completed

Conditions: Tenosynovitis

Treatments: Other: Joint Specific Manipulation; Other: Mobilization with Movement

Study type: Interventional

Funder types: Other

Identifiers

NCT06918158

REC-01001 Khaista Bacha

Details and patient eligibility

About

A comparative study on the effectiveness of mobilization with movement (MWM) versus joint-specific manipulation (JSM) in patients with De Quervain's tenosynovitis typically aims to assess how each technique impacts pain relief and functional improvement. De Quervain's tenosynovitis is an inflammation of the tendons around the thumb and wrist, often causing pain, swelling, and difficulty in performing everyday tasks. The study would likely compare the two interventions by measuring pain levels, range of motion, and overall functional outcomes before and after treatment. MWM involves applying specific, controlled movements while the patient is actively engaging in their joint motion, targeting the tissue's mobility and reducing pain. JSM, on the other hand, focuses on manipulating the joint directly to restore normal function, specifically targeting the wrist and thumb regions affected by the condition.

Full description

A comparative study on the effectiveness of Mobilization with Movement (MWM) versus Joint-Specific Manipulation (JSM) in patients with De Quervain's Tenosynovitis would delve deeper into the physiological mechanisms and clinical outcomes associated with each technique, providing valuable evidence for therapeutic decision-making. De Quervain's Tenosynovitis is a condition characterized by the inflammation of the tendons at the base of the thumb, particularly affecting the abductor pollicis longus and extensor pollicis brevis tendons. This condition is commonly caused by repetitive strain, overuse, or trauma, leading to pain, swelling, and restricted movement, which significantly impacts the patient's daily activities.

Enrollment: 32 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:o Patients clinically diagnosed with De Quervain's tenosynovitis

• Age between 25-45 years.
• Positive Finkelstein test.
• Pain over the first dorsal compartment.
• Limited wrist and thumb function.
• Willingness to take part and adhere to the study's guidelines.

Exclusion Criteria:Participants fall in this category would be excluded of the study.

• Previous surgery of wrist or thumb.
• Presence of neurological symptoms like numbness, weakeness.
• Rheumatological conditions like rheumatoid arthritis.
• Pregnancy.
• Presence of wrist fracture or osteoporosis.
• Carpel tunnel syndrome.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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32 participants in 2 patient groups, including a placebo group

Joint-specific Manipulation

Experimental group

Description:

Group A

Treatment:

Other: Joint Specific Manipulation

Mobilization with Movement

Placebo Comparator group

Description:

Group B

Treatment:

Other: Mobilization with Movement