Combined Effects of MWM and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis

Combined Effects of Mulligan's Mobilization With Movement and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis.

This randomized controlled trial aims to assesses the combined effects of MWM and tendon gliding exercises on hand function in smartphone users with De Quervain's Tenosynovitis, considering hand anthropometric variations.

De Quervain's Tenosynovitis (DQT) is a painful musculoskeletal condition characterized by inflammation of the abductor pollicis longus and extensor pollicis brevis tendons within the first dorsal compartment of the wrist. It is commonly associated with repetitive thumb and wrist movements, with smartphone overuse emerging as a significant contributing factor among young adults.

Mulligan's Mobilization with Movement (MWM) has been shown to correct minor joint malalignments and reduce compressive forces on inflamed tendons, thereby improving wrist kinematics and reducing pain. Tendon gliding exercises enhance tendon excursion, minimize adhesions, and improve synovial fluid circulation, which supports recovery of thumb and wrist function. When combined, these interventions address both mechanical and functional impairments associated with DQT.

Inclusion Criteria:

• Patient diagnosed with De Quervain's Tenosynovitis (positive Finkelstein's test).
• Patient having persistent thumb/wrist pain and functional difficulties for a duration of at-least 2 weeks.
• Patient willing to participate and give informed consent.

Exclusion Criteria:

• Patient with history of trauma, fracture, or surgery in the affected wrist or thumb.
• Patient with neurological disorder affecting the upper limb.
• Patient with systemic conditions like rheumatoid arthritis or diabetes affecting tendon function.
• Any other co-morbidity.