Effect of Therapeutic Ultrasound Versus Anti-inflammatory Drugs in the Treatment of Trigger Finger

NCT ID: NCT05467501

Last Updated: 2022-07-20

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-31
• Study Completion Date: 2023-02-28

Brief Summary

to determine the effect of US on pain intensity in TF patients 2) to determine the effect of US on number of daily finger triggering in TF patients.

Detailed Description

Trigger finger (T.F) is a disorder characterized by snapping or locking of a finger. Painful popping or clicking sound is elicited by flexion and extension of the involved digit . It is a multifactorial disease. The common mechanism of triggering is that there is a mismatch of diameter between flexors tendons and the annular pulley (retinacular sheath) of the finger. Some studies found inflammatory cells as a part of the pathology, hence anti-inflammatory drugs are the first line of treatment .

Therapeutic ultrasound (US) is a form of acoustic energy which is often used in physical therapy. When US enters the body, it can affect the cells and tissues through thermal and non-thermal mechanisms. While a thermal mechanism has a direct heating effect which promotes anti-inflammatory response with increase blood flow, evidence indicates, however, that non thermal mechanisms are thought to play a primary role in producing a therapeutically significant biological effect (i.e. the stimulation of tissue regeneration) . So my question is in T.F patients does therapeutic ultrasound decrease pain more than anti-inflammatory drugs?

Conditions

Trigger Finger

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Ultrasound group

Therapeutic ultrasound application. US parameters are 0.8 W/cm for intensity, 3 MHz for frequency and 5 min application. The device that will be used is medserve, England (the head of the device is 5cm). The physical therapy will by 6 sessions (every day). PT sessions will be done by the same physical therapist.

Group Type: EXPERIMENTAL

Theraputic ultrasound

Intervention Type: DEVICE

Therapeutic ultrasound

placepo group

group B will have a non-steroidal anti-inflammatory drug as prescribed by the same orthopedist and 2 session of massage with the head of ultrasound.

Group Type: ACTIVE_COMPARATOR

Theraputic ultrasound

Intervention Type: DEVICE

Therapeutic ultrasound

Interventions

Theraputic ultrasound

Therapeutic ultrasound

Intervention Type: DEVICE

Other Intervention Names

antiinflamatory drug

Eligibility Criteria

Inclusion Criteria

1 - patients will be included to this study if they are trigger finger patients ( clinically evaluated and refereed by orthopedist).

Exclusion Criteria

1 - complete locked finger. 2-Ages below 18 y. 3-Patients with any other hand pathology .

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Eslam Elsayed Ali Shohda

OTHER_GOV

Sponsor Role: lead

Responsible Party

Eslam Elsayed Ali Shohda

Dr

Responsibility Role: SPONSOR_INVESTIGATOR

Central Contacts

Eslam Elsayed Shohda, phd,pt

Role: CONTACT

dreslamelsayed@hotmail.com

01009482231

Other Identifiers

GeneralCTHI

Identifier Type: -

Identifier Source: org_study_id