Palmar Fibromatosis
Conditions
Keywords
Extracorporeal Shock Wave Therapy, Ultrasonography Changes, Palmar Fibromatosis
Brief summary
this study will be conducted to investigate the effect of extracorporeal shock wave therapy on ultrasonography chnges In patients with palmar fibromatosis
Detailed description
Palmar fibromatosis, also known as Dupuytren's contracture, is a condition that affects the hand and fingers. It is characterized by the thickening and tightening of the fascia, a layer of connective tissue beneath the skin of the palm. This thickening and tightening can lead to the formation of nodules or cords that restrict the movement of the affected fingers. The treatment options for palmar fibromatosis vary depending on the severity of the condition and its impact on hand function. Mild cases may not require immediate treatment but should be regularly monitored. However, if the symptoms worsen or hinder hand function, there are several treatment options available. Extracorporeal shock wave therapy (ESWT) is a non-invasive physical therapy procedure that uses high-energy sound waves to treat various musculoskeletal conditions. It is commonly used to manage pain and promote healing in conditions such as plantar fasciitis, tendinitis, calcific tendinitis, and other similar disorders The ESWT has shown promising results in reducing pain, improving function, and promoting healing in various musculoskeletal conditions. sixty patients with palmar fibromatosis will be assigned randomly to two groups; first one will receive extracorporeal shock wave with traditional therapy and the other one will receive traditional therapy only
Interventions
OTHERExtracorporeal Shock Wave Therapy
The affected hand or fingers will be positioned comfortably to ensure optimal access to the fibromatosis lesion. Gel or oil will be applied to the skin to enhance the transmission of shock waves. Shock wave therapy will be administered using the selected energy level and frequency settings. Energy level and frequency will be customized based on individual patient requirements. (1000-1500 shock/session, frequency between 5-12HZ, compression power of 1.5- 2.5 bars).and will receive traditional treatment
OTHERtraditional treatment
the patients will receive traditional treatment in the form of laser (A low-level laser device with a wavelength of 830 nm and power output of 50 mW will be used as one Of the pain relief methods), ultrasound (An ultrasound device with a frequency of 1 MHz and an intensity of 1.5 W/cm² will be used), stretching and strengthening exercise and splinting.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
extracorporeal shock wave therapy and traditional treatment
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with palmar fibromatosis. * Adults aged 18 to 70 years. * Patients of any stage of physiological change of the disease (nodules cords and contractures).
Exclusion criteria
* Patients with contraindications to extracorporeal shock wave therapy. * Patients with a history of previous surgery for palmar fibromatosis. * Patients with comorbidities or conditions that may affect the outcomes of the study. * Patients of ganglions and palmar tendon fibrosis. * Patients of sever and morbid obesity. * End stage disease with psychological disturbance nature. * Pregnant women. * Cardiac and pulmonary unstable patients may affect results.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| thickness of lesion | up to six weeks | Ultrasonography will be used to assess the thickness of lesion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disabilities of the Arm, Shoulder, and Hand | up to six weeks | The Arabic version of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire will be administered to evaluate functional outcomes.The questionnaire consists of 11 items related to daily activities and symptoms. Each item is rated on a 5-point Likert scale, with higher scores indicating greater disability |
| pressure pain threshold | up to six weeks | algometer will be used to assess pressure pain threshold |
| hand grip strength | up to six weeks | Jamar hand held dynamometer will be used to assess hand grip strength |
| finger range of motion | up to six weeks | goniometer will be used to assess finger range of motion |
Countries
Egypt
Outcome results
None listed