The Effect of Cassava Waxes Hot Bath on Pain, Pressure Pain Threshold and Hand Function Among Patients With Trigger Finger

Официальное название

The Effect of Cassava Waxes Hot Bath on Pain, Pressure Pain Threshold and Hand Function Among Patient With Trigger Finger: Single-Blind Randomized Controlled Trial Study

Обзор

Objective: This study aimed to evaluate the efficacy of cassava wax hand immersion combined with ultrasound therapy on pain severity, pain threshold, finger locking frequency, and hand functional ability in patients with trigger finger. We assessed immediate, short-term, and long-term treatment outcomes. Methods: This was a randomized controlled trial. Thirty-eight eligible volunteers were randomly assigned to two groups. The experimental group received ultrasound therapy combined with cassava wax hand immersion, while the control group received ultrasound therapy alone. Treatments were administered three times per week for four weeks.

Вмешательства

• Устройство ultrasound therapy and cassava wax hot immersion
  participants sat in a comfortable position with their hand placed on a pillow or cushion. Ultrasound gel was applied to the base of the painful finger, and ultrasound therapy was performed for 5 minutes at a frequency of 3 MHz and an intensity of 0.5-1 W/cm. Afterward, the hand was cleaned and immersed in cassava wax heated to 125°F (51.7°C). The affected hand was dipped into the wax for 3 seconds, then removed. This process was repeated for 10 cycles. The hand was then wrapped in a plastic bag
• Устройство ultrasound therapy
  1\. ultrasound therapy Ultrasound gel was applied to the base of the painful finger, and ultrasound therapy was performed for 5 minutes at a frequency of 3 MHz and an intensity of 0.5-1 W/cm.

Первичные конечные точки

• Visual Analog Scale (VAS) [Срок оценки: - Time 1: Baseline or Day 1 - Time 2:After treatment, the first time of immediate effect - Time 3: After treatments in 4 weeks - Time 4: 1 month after finishing treatments in 4 weeks.]
• Pressure pain threshold [Срок оценки: - Time 1: Baseline or Day 1 - Time 2:After treatment, the first time of immediate effect - Time 3: After treatments in 4 weeks - Time 4: 1 month after finishing treatments in 4 weeks.]
• Pain frequency [Срок оценки: - Time 1: Baseline or Day 1 - Time 2: After treatments in 4 weeks - Time 3: 1 month after finishing treatments in 4 weeks.]
• Disability of the arm, shoulder and hand [Срок оценки: - Time 1: Baseline or Day 1 - Time 2: After treatments in 4 weeks - Time 3: 1 month after finishing treatments in 4 weeks.]

Критерии участия

Критерии включения

• Having a diagnosis of trigger finger by a physician or a specialized physical therapist
• Present with all of the following symptoms: pain at the base of the affected finger, triggering (catching/locking) as a primary symptom (though pain often increased with it), and a palpable or audible triggering sensation during finger flexion and extension.
• Able to understand and follow the research procedures.

Критерии исключения

• Having a history of neurological conditions, such as stroke or diseases causing sensory impairment in the upper limbs.
• Having arthritis or infection in the upper limbs
• Having Rheumatoid Arthritis.
• Having a skin condition in the wrist or hand area, upper limb fractures within the last 6 months, or those affecting movement.
• Having musculoskeletal deformities of the upper limbs that impact movement.
• Having an inflammation (e.g., pain, swelling, redness, warmth) in the wrist and fingers
• Having a history of upper limb surgery, an allergy to cassava starch/flour.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Таиланд · 1 центр

• Narongsak Khamnon — Chiang Rai

Идентификаторы

NCT: NCT07128043 · NarongsakMFU2568

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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