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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Joint-specific Manipulation | Experimental | Group A |
|
| Mobilization with Movement | Placebo Comparator | Group B |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobilization with Movement | Other | Mobilization with Movement
Therapeutic excercises:
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain Reduction - Measured using the Numeric Pain Rating Scale (NPRS) (0-10 scale). | Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), a validated tool where participants rate their pain on a scale from 0 no pain to 10 worst possible pain. | 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Wrist Function - Assessed with the Patient-Rated Wrist Evaluation (PRWE) (0-100 scale). | Functional wrist use will be assessed using the Patient-Rated Wrist Evaluation (PRWE), which evaluates pain and disability on a 100-point scale, with higher scores indicating greater impairment. Clinical signs will be assessed using Finkelstein's Test, a standard diagnostic test for De Quervain's tenosynovitis, recorded as positive or negative. Data will be analyzed using pre- and post-intervention comparisons within and between groups to determine the effectiveness of each intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Signs - Evaluated using Finkelstein's Test (Positive/Negative). | Clinical Signs will be assessed using Finkelstein's Test, recorded as positive or negative based on the presence of pain during the maneuver. | 6 months |
Inclusion Criteria:o Patients clinically diagnosed with De Quervain's tenosynovitis
Exclusion Criteria:Participants fall in this category would be excluded of the study.
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| Name | Affiliation | Role |
|---|---|---|
| Dr.Nadeem Ahmad, MS | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah international University Malakand Campus | Malakand | KPK | 23060 | Pakistan |
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| ID | Term |
|---|---|
| D013717 | Tenosynovitis |
| ID | Term |
|---|---|
| D052256 | Tendinopathy |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D009068 | Movement |
| ID | Term |
|---|---|
| D010829 | Physiological Phenomena |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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RCT
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|
| Joint Specific Manipulation | Other | Joint Specific Manipulation
|
|
| 6months |