De Quervain Disease, Hand Tenosynovitis
Conditions
Keywords
Hand rehabilitation
Brief summary
The objective of the study is to compare pain reduction and disability reduction in two groups of patients diagnosed with de Quervain syndrome who will undergo ultrasound-guided infiltrative treatment with corticosteroid as per normal clinical practice: * the control group will subsequently be subjected to a standard treatment based on the European guidelines of the HANDGUIDE group, * the experimental group will subsequently carry out a program of eccentric exercises.
Interventions
OTHERRehabilitation
-the experimental group will carry out a program of eccentric exercises following the infiltration and will also wear the wrist brace for 4 weeks.
OTHERStandard
-the standard group will carry out a program of generic exercises following the infiltration and will also wear the wrist brace for 4 weeks.
Sponsors
Istituto Ortopedico Rizzoli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients of both sexes with a minimum age of 18 years; * Medical diagnosis of de Quervain syndrome assessed through orthopedic clinical examination e confirmation by ultrasound; * Signing of the informed consent and participation in the study.
Exclusion criteria
* Patients who are not self-sufficient or not able to understand and want; * Presence of other pathologies in the hand affected by de Quervain pathology, such as intersection syndrome, neuropathies, fractures, rhizoarthrosis, arthrosis of the radio-carpal or intercarpal joint, intercarpal instability, cervical radiculopathy, rheumatic or metabolic pathologies; * Pregnant or breastfeeding women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | At baseline (day 0) | An 11-point Numeric Pain Rating Scale (NPRS) ranging from 0 to 10 was anchored on the left with the phrase "No Pain" and on the right with the phrase "Worst Imaginable Pain." Patients rated their current, best, and worst level of pain during the last 24 hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disabilities of Arm, Shoulder and Hand | At baseline (day 0) | The Disabilities of Arm, Shoulder and Hand (DASH) score consists of 30 questions and is used to assess functional disorders of the upper extremity. The possible score ranges from 0 to 100 points. 0 points represent a complete, unrestricted function of the upper extremities, while 100 points represent the greatest possible functional impairment. |
| Patient-Rated Wrist Evaluation | At baseline (day 0) | The Patient-Rated Wrist Evaluation (PRWE) is a 15-item questionnaire designed to measure wrist pain and disability in activities of daily living. |
Countries
Italy
Contacts
CONTACTFederico Pilla, MD
CONTACTFabio Vita, MD
Outcome results
None listed