Mobilization With Movement Versus Joint-Specific Manipulation in De Quervain's Tenosynovitis

NCT ID: NCT06918158

Last Updated: 2025-04-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-17
• Study Completion Date: 2025-02-17

Brief Summary

A comparative study on the effectiveness of mobilization with movement (MWM) versus joint-specific manipulation (JSM) in patients with De Quervain's tenosynovitis typically aims to assess how each technique impacts pain relief and functional improvement. De Quervain's tenosynovitis is an inflammation of the tendons around the thumb and wrist, often causing pain, swelling, and difficulty in performing everyday tasks. The study would likely compare the two interventions by measuring pain levels, range of motion, and overall functional outcomes before and after treatment. MWM involves applying specific, controlled movements while the patient is actively engaging in their joint motion, targeting the tissue's mobility and reducing pain. JSM, on the other hand, focuses on manipulating the joint directly to restore normal function, specifically targeting the wrist and thumb regions affected by the condition.

Detailed Description

A comparative study on the effectiveness of Mobilization with Movement (MWM) versus Joint-Specific Manipulation (JSM) in patients with De Quervain's Tenosynovitis would delve deeper into the physiological mechanisms and clinical outcomes associated with each technique, providing valuable evidence for therapeutic decision-making. De Quervain's Tenosynovitis is a condition characterized by the inflammation of the tendons at the base of the thumb, particularly affecting the abductor pollicis longus and extensor pollicis brevis tendons. This condition is commonly caused by repetitive strain, overuse, or trauma, leading to pain, swelling, and restricted movement, which significantly impacts the patient's daily activities.

Conditions

Tenosynovitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

Joint-specific Manipulation

Group A

Group Type: EXPERIMENTAL

Joint Specific Manipulation

Intervention Type: OTHER

Joint Specific Manipulation

• High-velocity, low-amplitude thrust to the first carpometacarpal joint
• Radiocarpal wrist mobilization .Grade III-IV applied at end range. 2. Therapeutic excercises:
• Ball Toss
• Static web gripping
• Gentle ROM activities to maintain mobility
• Isometric exercises in all direction Ergonomics modifications

Mobilization with Movement

Group B

Group Type: PLACEBO_COMPARATOR

Mobilization with Movement

Intervention Type: OTHER

Mobilization with Movement

• The proximal row of carpals glides passively radially.
• Active thumb and wrist movements superimposed on the glide.

Therapeutic excercises:

• Ball Toss
• Static web gripping
• Gentle ROM activities to maintain mobility
• Isometric exercises in all direction

Interventions

Mobilization with Movement

Mobilization with Movement

• The proximal row of carpals glides passively radially.
• Active thumb and wrist movements superimposed on the glide.

Therapeutic excercises:

• Ball Toss
• Static web gripping
• Gentle ROM activities to maintain mobility
• Isometric exercises in all direction

Intervention Type: OTHER

Joint Specific Manipulation

Joint Specific Manipulation

• High-velocity, low-amplitude thrust to the first carpometacarpal joint
• Radiocarpal wrist mobilization .Grade III-IV applied at end range. 2. Therapeutic excercises:
• Ball Toss
• Static web gripping
• Gentle ROM activities to maintain mobility
• Isometric exercises in all direction Ergonomics modifications

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age between 25-45 years.
• Positive Finkelstein test.
• Pain over the first dorsal compartment.
• Limited wrist and thumb function.
• Willingness to take part and adhere to the study's guidelines.

Exclusion Criteria

• Previous surgery of wrist or thumb.
• Presence of neurological symptoms like numbness, weakeness.
• Rheumatological conditions like rheumatoid arthritis.
• Pregnancy.
• Presence of wrist fracture or osteoporosis.
• Carpel tunnel syndrome.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Dr.Nadeem Ahmad, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah international University Malakand Campus

Malakand, KPK, Pakistan

Countries

Pakistan

Other Identifiers

REC-01001 Khaista Bacha

Identifier Type: -

Identifier Source: org_study_id