Visual analogue scale and lateral pinch strength of patient diagnosed with de Quervain'
Conditions
Interventions
Patient will receive 3 treatment sessions of high intensity laser therapy(1580 Joules) per week for 3 weeks. One session consists of Bio-stimulation mode and analgesia mode. Both of therapeutic modes
Experimental Device,Sham Comparator Device
High Intensity Laser Therapy ,Control group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Diagnosis of de Quervain's tenosynovitis -The 1st dorsal compartment pain and tenderness -Symptom provoked by thumb extension and abduction -Finkelstein's test: positive 2.Unilateral affected wrist and developed more than 1 month 3.Moderate to severe pain (VAS 40-80/100 mm) 4.Informed consent 5.Free from any NSAID medication for 2 weeks
Exclusion criteria
Exclusion criteria: 1. History of others wist and distal forearm disorders 2. Skin problems at the affected wrist 3. History of surgery or trauma or deformity of the affected limb 4. Neurological disease(e.g.cervical spondylosis with radiculopathy) 5. Systemic infection or rheumatologic disease 6. Contraindication of HILT(e.g. pregnancy, tumor, uncontrolled Diabetes Mellitus etc.) 7. Allergic to acetaminophen 8. On medication that has drug interaction with acetaminophen 9. History of local steroid injection at affected area in 3 months 10. Cannot wear splint due to allergic to splint or other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score pre-treatment, within 48 hours post-last-treatment and 3 weeks post-last-treatment Visual analogue scale(VAS),Lateral pinch strength pre-treatment, within 48 hours post-last-treatment and 3 weeks post-last-treatment Jamar pinch gauge(Kg.) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional outcome pre-treatment, within 48 hours post-last-treatment and 3 weeks post-last-treatment Patient-rated wrist/hand evaluation-Thai (PRW/HE -Thai),Adverse Event during entire study Medical record document | — |
Countries
Thailand
Contacts
Public ContactNutthakun Sumanapun
Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University
Outcome results
None listed