Combined Effects of MWM and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis

NCT07484737 | Recruiting DMC

• 1 other identifier: REC/ Sadia Wajid 02281
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to assesses the combined effects of MWM and tendon gliding exercises on hand function in smartphone users with De Quervain's Tenosynovitis, considering hand anthropometric variations.

Conditions

DeQuervain's Tenosynovitis

Keywords

Mulligan's Mobilization with Movement; Tendon Gliding Exercises; Hand Anthropometry; Dequeverian tenosynovitis

Outcome Measures

Primary Outcomes (3)

• Grip Strength Dynamometer

  It is a valid and reliable tool used for measuring isometric hand grip strength. This objective tool will be used to assess hand muscular performance and functional status in patients with De Quervain's Tenosynovitis. The NOD digital dynamometer has been shown to provide consistent and reproducible readings. Reliability: 0.97 and Validity: 0.94.

  4 weeks

• Patient-Rated Wrist Evaluation (PRWE) Questionnaire

  It is a valid and reliable patient-reported outcome measure for assessing wrist pain and functional disability. This tool will be used to evaluate wrist-related limitations in activities of daily living in DQT patients. It includes two subscales: pain and function, making it responsive to clinical changes. Reliability: 0.96 and Validity: 0.88.

  4 weeks

• Hand Anthropometry (Caliper & Measuring Tape)

  These are reliable and valid tools used to measure various hand dimensions, including palm width, thumb length, and wrist circumference. These measurements help understand the influence of hand morphology on grip strength and functional ability in smartphone users with DQT. Reliability: 0.88 and Validity: 0.71.

  Baseline

Study Arms (2)

Mulligan's Mobilization with Movement (MWM) + Tendon Gliding Exercises (combined effect)

EXPERIMENTAL

MWM: Radial glide of 1st MCP with active thumb extension (10 reps × 3 sets, progressed with resistance in weeks 3-4). 2- Tendon Gliding Exercises: Straight hand, hook fist, tabletop, full fist, straight fist (10 reps × 2 sets in weeks 1-2; 3 sets × 15 with resistance band in weeks 3

Other: MWM + Tendon Gliding Exercises

Conventional Treatment

OTHER

Wrist ROM (flexion, extension, radial/ulnar deviation, pronation/supination). 2-Thumb ROM (abduction/adduction, flexion/extension, opposition/circumduction). 3-Isometric wrist/thumb strengthening. 4-Strengthening with soft ball, thumb abduction/adduction against resistance. 5-Postural and ergonomic education for smartphone usage.

Other: Conventional Treatment

Interventions

MWM + Tendon Gliding Exercises OTHER

MWM: Radial glide of 1st MCP with active thumb extension (10 reps × 3 sets, progressed with resistance in weeks 3-4). 2- Tendon Gliding Exercises: Straight hand, hook fist, tabletop, full fist, straight fist (10 reps × 2 sets in weeks 1-2; 3 sets × 15 with resistance band in weeks 3-4).

Mulligan's Mobilization with Movement (MWM) + Tendon Gliding Exercises (combined effect)

Conventional Treatment OTHER

1- Wrist ROM (flexion, extension, radial/ulnar deviation, pronation/supination). 2-Thumb ROM (abduction/adduction, flexion/extension, opposition/circumduction). 3-Isometric wrist/thumb strengthening. 4-Strengthening with soft ball, thumb abduction/adduction against resistance. 5-Postural and ergonomic education for smartphone usage

Conventional Treatment

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patient diagnosed with De Quervain's Tenosynovitis (positive Finkelstein's test).
• Patient having persistent thumb/wrist pain and functional difficulties for a duration of at-least 2 weeks.
• Patient willing to participate and give informed consent.

You may not qualify if:

• Patient with history of trauma, fracture, or surgery in the affected wrist or thumb.
• Patient with neurological disorder affecting the upper limb.
• Patient with systemic conditions like rheumatoid arthritis or diabetes affecting tendon function.
• Any other co-morbidity.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Begum Akhtar Rukhsana Hospital (stroke and rehab centre)

Rawalpindi, Punjab Province, Pakistan

RECRUITING

Study Officials

• Maria khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

maria Khalid, MSOMPT

CONTACT

03315369768; maria.khalid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2026
• First Posted: March 20, 2026
• Study Start: February 20, 2026
• Primary Completion: May 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: March 27, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)