Comparison of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Isometric training of thumb muscles, Eccentric training for thumb muscles, Ultrasound.
- Who it may be relevant to
- Registry conditions: De Quervain Syndrome. Basic parameters: 21 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study is a randomised control trial and the purpose of this study is to compare the effects of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis
Detailed description
Participants will be recruited into their respective groups using a coin toss method. De Quervain Tenosynovitis will be assessed using the following tests:
1. Wrist hyperflexion and abduction of thumb (WHAT) test 2. Finkelstein's / Eichhoff's test 3. De Quervain Screening Tool
Interventions
- Procedure Isometric training of thumb muscles
Isometric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using manual resistance and progress with training against resistance of elastic band and theraband.I - Procedure Eccentric training for thumb muscles
In Group B, eccentric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using unweighted and weighted hammer curls and progress with training using elastic band, dumbbell and theraband. - Procedure Ultrasound
Therapeutic ultrasound for symptom management
Primary outcome measures
- Grip Strength measurement [Time frame: 4 weeks]
Eligibility criteria
Inclusion criteria
- Patients having history of pain, tenderness in thumb region from 3 weeks or more
- Age 21-50
- Both genders
- Individuals meeting the diagnostic criteria i.e.
- A score of 3 or more out of 7 on De Quervain screening tool.
- Positive Wrist hyperflexion and abduction of thumb (WHAT) test
- Positive Finkelstein's / Eichhoff's test
Exclusion criteria
- Diagnosed cases of Osteoarthritis of 1st CMC joint and Rheumatoid arthritis
- C6 cervical radiculopathy
- Any systemic inflammatory condition like septic arthritis
- Carpal Tunnel Syndrome
- Complex regional pain syndrome
- Previous surgery impacting the first extensor compartment of the wrist
- Corticosteroid injection in the radial wrist region within 3 months of enrolment into the study
- If patient had undergone isometric thumb exercises or any strengthening protocol lasting greater than 2 weeks for the management of their current episode of de Quervain's syndrome
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physcial Therapy — Rawalpindi
Identifiers
NCT: NCT06839690 · FUI/CTR/2025/1