Comparison of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis
NCT ID: NCT06839690
Last Updated: 2025-02-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
58 participants
INTERVENTIONAL
2024-07-18
2025-06-20
Brief Summary
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Detailed Description
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1. Wrist hyperflexion and abduction of thumb (WHAT) test
2. Finkelstein's / Eichhoff's test
3. De Quervain Screening Tool
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Sub-maximal Voluntary Isometric training Group
Group A will recieve ultrasound therapy for symptoms management and isometric training of thumb muscles (abducttor pollices longus and extensor pollices brevis) to gain improvement in range of motion and strength
Isometric training of thumb muscles
Isometric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using manual resistance and progress with training against resistance of elastic band and theraband.I
Ultrasound
Therapeutic ultrasound for symptom management
Eccentric training Group
Group B will receive the ultrasound therapy similar to group A for symptoms management and eccentric training of thumb muscles to gain improvement in range of motion and strength of thumb
Eccentric training for thumb muscles
In Group B, eccentric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using unweighted and weighted hammer curls and progress with training using elastic band, dumbbell and theraband.
Ultrasound
Therapeutic ultrasound for symptom management
Interventions
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Isometric training of thumb muscles
Isometric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using manual resistance and progress with training against resistance of elastic band and theraband.I
Eccentric training for thumb muscles
In Group B, eccentric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using unweighted and weighted hammer curls and progress with training using elastic band, dumbbell and theraband.
Ultrasound
Therapeutic ultrasound for symptom management
Eligibility Criteria
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Inclusion Criteria
* Age 21-50
* Both genders
* Individuals meeting the diagnostic criteria i.e.
* A score of 3 or more out of 7 on De Quervain screening tool.
* Positive Wrist hyperflexion and abduction of thumb (WHAT) test
* Positive Finkelstein's / Eichhoff's test
Exclusion Criteria
* C6 cervical radiculopathy
* Any systemic inflammatory condition like septic arthritis
* Carpal Tunnel Syndrome
* Complex regional pain syndrome
* Previous surgery impacting the first extensor compartment of the wrist
* Corticosteroid injection in the radial wrist region within 3 months of enrolment into the study
* If patient had undergone isometric thumb exercises or any strengthening protocol lasting greater than 2 weeks for the management of their current episode of de Quervain's syndrome
21 Years
50 Years
ALL
No
Sponsors
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Foundation University Islamabad
OTHER
Responsible Party
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Locations
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Foundation University College of Physcial Therapy
Rawalpindi, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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FUI/CTR/2025/1
Identifier Type: -
Identifier Source: org_study_id
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