Effect Of Dry Needling On Quality Of Life In Patients With Trigger Fingers

NCT05671523 | Completed

• 1 other identifier: p.t.REC/012/003924
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to investigate the effect of dry needling on quality of life in patients with trigger finger

Conditions

Trigger Finger Disorder

Outcome Measures

Primary Outcomes (3)

• Life quality

  Quality of life will be assessed by quality of life questionnaire which is a broad concept that covers such areas as social, environmental, economic, and health satisfaction, health-related quality of life (HRQL) is less wide ranging, including mental and physical health and their consequences. Higher score denote higher quality of life and lower score denote lower quality of life. There are two methods for converting raw scores to transformed scores. The first transformation method converts score to range between 4-20,comparable with the WHOQOL-100. The second transformation method converts domain scores to a 0-100 scale.

  up to five weeks

• Severity of pain

  severity of pain will be assessed by visual analogue scale. Scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale "no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm). The patient will be asked to mark their current pain level on the line. They can also be asked to mark their maximum, minimum, and average pain. The examiner will score the VAS by measuring the distance in either centimeters (0 to 10) or millimeters (0 to 100) from the "no pain" anchor point.

  up to five weeks

• Hand grip strength

  Hand grip strength will be assessed by Hand grip dynamometer

  up to five weeks

Study Arms (2)

Dry needling

EXPERIMENTAL

The patients will receive ten sessions, twice a week, for five weeks of dry needling in addition to their conventional physical therapy program (splinting and ultrasound therapy.)

Procedure: Dry needling; Other: conventional treatment

conventional treatment

ACTIVE COMPARATOR

The patients will receive conventional treatment (splinting and ultrasound therapy) for 5 weeks

Other: conventional treatment

Interventions

Dry needling PROCEDURE

Firstly the skin is cleaned with a piece of cotton immersed in alcohol. Then sterilized disposable thin, stainless steel needles (25 × 0.30 mm) will be inserted into the skin over the nodule in A1 pulley anatomic location. The duration of needling will be 1 minute. The needle will be inserted deeply at 45° to the level of metacarpophalangeal level to the nodule. The needle may be inserted into the tendon. This is confirmed by needle movement when the patient flexes and extends the distal phalanx. The needle is withdrawn slowly until this motion ceases, and the needle tip is in the A1 pulley. This will be repeated 2 times per week for 5 weeks.

Dry needling

conventional treatment OTHER

Finger splint is designed to stabilize and immobilize a small finger joint. A wide, flat band offers comfortable pressure distribution and control. Contoured finger splint with a comfortable, close fit. The patient will use the splint at night. Can easily be adjusted to accommodate swollen digits. Suitable for a number of finger conditions. Therapeutic ultrasound is often used by physiotherapists to reduce pain, increase circulation and increase mobility of soft tissues. Additionally, the application of ultrasound can be helpful in the reduction of inflammation, reducing pain and the healing.

Dry needling; conventional treatment

Eligibility Criteria

• Age: 45 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients all have trigger fingers lasting at least 4 weeks.
• Both gender will be included
• Age of patients will be 45-75 years old
• Pain and tenderness at the position of A1 pulley.
• Nodule palpation, pain, and discomfort when flexing and extending the finger, presence of a clicking sound at the time of flexion or extension of the finger, snapping or locking of the finger.
• Willing and able to complete study procedures.

You may not qualify if:

• Participants with diabetes mellitus.
• History of trauma, and rheumatoid arthritis.
• Dialysis treatment.
• fingers with a history of local gouty/pyogenic disease.
• Major hand trauma and fear of needles.
• Any contraindication for deep dry needling such as anticoagulants, infections, bleeding, or psychotic conditions tumors, calcium deposits, or severe osteoarthritis.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Damanhour teaching hospital

Damanhūr, Egypt

Location

MeSH Terms

Conditions

Trigger Finger Disorder

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Tendon Entrapment; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Eman Em El halawany

  Damanhour Teaching Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: December 14, 2022
• First Posted: January 4, 2023
• Study Start: January 1, 2023
• Primary Completion: June 10, 2023
• Study Completion: June 10, 2023
• Last Updated: September 13, 2023

Record last verified: 2023-09

Locations

EG (1)