Phonophoresis Versus Low-Level Laser on Dequervain

NCT06147869 | Completed

• 1 other identifier: Phonophoresis versus laser
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

De Quervain's tenosynovitis is a frequently encountered pain of the hand and wrist. It results from compression and irritation of the extensor pollicis brevis and abductor pollicis longs tendons as they pass through the first dorsal compartment of the wrist. Patients complain of tenderness and swelling proximal to the radial styloid process, as well as pain in the wrist and on the radial side of the hand. Owing to persistent pain and inflammation, the pinch and grasp strength of the hand is considerably compromised, coupled with tenderness over the anatomical snuff box. Although the condition occurs in both females and males, it is significantly more common in women, especially during pregnancy and postpartum. This condition can be caused by micro traumas that occur in the course of repetitive mechanical activities and systemic diseases of the connective tissue.The symptom of de Quervain syndrome is pain in the forearm at the height of the radial styloid process. The pain intensifies during the extension of the thumb. Other symptoms include redness and swelling in the region. Physiotherapeutic treatment is an important element of conservative treatment of de Quervain syndrome .

Conditions

de Quervain Tenosynovitis

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale (VAS)

  This scale will be used by each patient before and after the treatment course to estimate the intensity of pain. The Visual Analogue Scale (VAS) is a graphic rating scale with numerical values ranging from 0 to 4, placed equidistantly on a line 10 cm long, drawn horizontally.

  4 weeks

Study Arms (2)

photopheresis

ACTIVE COMPARATOR

Device: phonophoresis

Low level laser

ACTIVE COMPARATOR

Device: Low level laser therapy

Interventions

phonophoresis DEVICE

Phonophoresis is a method of driving topically applied substances across tissues using ultrasound (US) to enhance percutaneous absorption of selected drugs such as corticosteroids, local anaesthetics, and salicylates

photopheresis

Low level laser therapy DEVICE

Low-level laser (light) therapy (LLLT) is a fast-growing technology used to treat a multitude of conditions that require stimulation of healing, relief of pain and inflammation, and restoration of function.

Low level laser

Eligibility Criteria

• Age: 25 Years - 35 Years
• Gender Eligibility Details: women with dequervain tenosynovities pospartum
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- 1. All participates are clinically diagnosed as they have De Quervain's tenosynovitis . 2. All patient will have positive Finkelstein test. 3. All patient will have severe pain, tenderness and swelling near the base of the thumb over the styloid process of the radius of their dominant hand and limitation of motion of the thumb and wrist joint. 4. Their ages will be ranged from 25-35 years old. 5. Their body mass index (BMI) will not exceed 30 kg/m2
• The type of delivery is normal and caesarean section.
• Their parity will be ranged from (2-4 children).
• All patients will not receive any medical treatment to relieve pain or decrease inflammation.
• All patients are not pregnant.

You may not qualify if:

• (1) Patients have diabetic mellitus, hypertension. (2) Patients have any cardiovascular diseases, heart diseases, renal diseases or any diseases (3) Patients have Rheumatoid Arthritis or Gout. (4) Patients have Cervical spondylosis with radiculopathy or any spinal diseases. (5) Patients have leukemia or tumor(benign or malignant)or even breast cancer. (6) Patients have double crush syndrome, carpal bone fracture or joint osteo-arthritis. (7) Patients have any deformities in their hands. (8) Patients have burns, ulcers, open wounds or any skin diseases in their dominant hands. (9) Patients have received medications or have injected with steroid in their tender point.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Sadat General Hospital

Cairo, Egypt

Location

MeSH Terms

Conditions

De Quervain Disease

Interventions

Phonophoresis; Low-Level Light Therapy

Condition Hierarchy (Ancestors)

Tendon Entrapment; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Drug Administration Routes; Drug Therapy; Therapeutics; Laser Therapy; Phototherapy

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: student at master degree

Model Details: This study will be carried out on forty lactating women suffering from De Quervain's tenosynovitis after 6 weeks from the delivery. They will be selected randomly from the out patient clinic of orthopedic in Kasr El Aini Hospital. Their ages will be ranged from 25-35 years old, their body mass index (BMI) will not exceed 30 Kg/m2 and their parity will be ranged from (2-4 children).

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 28, 2023
• Study Start: December 1, 2023
• Primary Completion: January 30, 2024
• Study Completion: June 30, 2024
• Last Updated: August 23, 2024

Record last verified: 2024-08

Locations

EG (1)