Splinting vs Exercise in De Quervain's Tenosynovitis

Condition(s) studied

Investigational drug(s) / intervention(s)

splint: static wrist-hand splint + education on activity modification and positioning in daily life

Exercise Therapy: Home-based Exercise Therapy + Education on activity modification and positioning in daily life

Study summary

De Quervain's disease is a painful tenosynovitis of the abductor pollicis longus and extensor pollicis brevis muscle tendons located in the first dorsal compartment. The primary treatment for De Quervain's disease is conservative; surgical intervention is rarely required. Currently, there is no standardized treatment protocol supported by strong, up-to-date evidence.

The aim of this study is to compare the effectiveness of a static hand-wrist resting splint and exercise therapy in the conservative treatment of De Quervain's tenosynovitis. Patients will be evaluated in terms of pain levels, functional/symptom status, hand-finger strength, pressure pain threshold (PPT), tendon cross-sectional area measured by ultrasound, and the presence of effusion findings (semiquantitative; 0-3), and patient satisfaction.

Eligibility

Primary outcome measure(s)

• VAS pain — baseline, week 2 and week 6
  VAS pain activity and rest: 0 no pain; 10 unbearable/max. pain.
• Patient Rated Wrist Evaluation( PRWE) — baseline, week 2 and week 6
  The Patient-Rated Wrist Evaluation (PRWE) is a brief and effective self-report questionnaire that allows patients to assess their own wrist and hand problems. The PRWE consists of two main subscales: the Pain Subscale (0-50 points) and the Function Subscale (0-50 points). The total score ranges from 0 (no disability) to 100 (maximum pain and functional impairment).
• The Disabilities of the Arm, Shoulder and Hand (DASH) — baseline, week 2 and week 6
  The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a self-reported outcome measure used to assess the impact of upper extremity disorders on daily activities. It consists of 30 items, each scored on a 5-point Likert scale ranging from 1 (no difficulty) to 5 (unable to perform). The total score ranges from 0 to 100, where 0 indicates no disability and 100 indicates severe functional limitation.

Trial sites (1)

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