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

DeQuervain's Tendinopathy Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04164303
• Other study ID #: 1407911-2
• Status: Completed
• Start date: July 1, 2016
• Est. completion date: December 31, 2017

Study information

• Verified date: November 2019
• Source: Regis University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 3
• Est. completion date: December 31, 2017
• Est. primary completion date: December 31, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

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

Related Conditions & MeSH terms

• DeQuervain's Tendinopathy
• Tendinopathy

Intervention

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

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Regis University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from Baseline Quick Disabilities of the Arm, Shoulder, and Hand questionnaire at 8 weeks	Quick DASH (0% disability to 100% disability)	up to 8 weeks
Primary	Change from Baseline Numeric Pain Rating Scale at 8 weeks	Numeric Pain Rating Scale (0-10 point scale)	up to 8 weeks
Primary	Change from Baseline Grip strength at 8 weeks	Jamar hand dynamometer Grip strength	up to 8 weeks