A Comparative Study of the Efficacy of Multimodal Interventions for Tenosynovitis

Efficacy of Multimodal Interventions for Tenosynovitis: Comparative Analysis of Basic Manipulation, Tui Na, Blood Flow Restriction Training, and Magnetic Bead Application Combined With Tui Na

The goal of this clinical trial is to compare the efficacy of four treatments in patients with hand tenosynovitis. The main questions it aims to answer are:

Which treatment most effectively reduces pain and improves joint function? How do the treatments differ in improving strength and range of motion? Researchers will compare four groups-basic manipulation, tui na manipulation, blood flow restriction (BFR) training, and magnetic bead application combined with tui na-to see if there are differences in clinical outcomes.

Participants will:

Be randomly assigned to one of the four treatment groups. Receive interventions twice a week for 4-8 weeks. Undergo assessments of pain, function, range of motion, and strength before, during, and after the treatment period.

Inclusion Criteria:

• 18 to 60 years of age.
• Case diagnosis reporting symptoms of tenosynovitis of the hand for at least 3 months.
• Constant-Murley Shoulder Score: score less than or equal to 60.
• Dysfunction of the Upper Extremity, Shoulder, and Hand Scale (DASH Scale): DASH score less than 40.
• Mayo Wrist Score: score less than or equal to 60.
• Positive test results on 2 or more scales during pre-test screening.
• No structural lesions or congenital malformations of the hand or wrist.
• Finkelstein's Test: Positive (pain occurs when patient holds thumb and bends wrist toward little finger).
• Fist Clenching Test: Positive (pain increases when patient clenches fist and attempts to bend wrist toward little finger).
• No prior hand or wrist surgery or external injuries.
• No serious cardiac, pulmonary, neurological, or other systemic diseases.
• Sufficient exercise capacity to complete exercise loads of required intensity and duration.

Exclusion Criteria:

• Not between 18 and 60 years of age.
• Failed wrist function screening.
• Failed special tests.
• Presence of structural wrist lesions or congenital wrist deformities.
• History of wrist surgery, significant trauma, or wounds.
• Problems with skin irritation, infections, or open wounds.
• Conditions like anemia or low blood pressure.
• Serious cardiac, pulmonary, neurological, or other systemic diseases.
• Inability to cooperate with trial requirements or refusal to participate.