Vol 4 | Issue 2 | July-Dec 2019 | page: 11-15 | Pranita Rajendra Jaiswal, Ravinder Kaur Mahapatra, Nilima Bedekar, Ashok Shyam, Parag Sancheti.
Authors: Pranita Rajendra Jaiswal [1], Ravinder Kaur Mahapatra [1], Nilima Bedekar [1], Ashok Shyam [2], Parag Sancheti [2]
[1] Sancheti College of Physiotherapy, Shivajinagar, Pune, India.
[2] Sancheti Institute for Orthopaedics and rehabilitation Shivajinagar, Pune, India.
Address of Correspondenc
Dr. Ravinder Kaur Mahapatra,
Sancheti College of Physiotherapy, Shivajinagar, Pune, India.
E-mail: pranitajaiswal6@gmail.com
Abstract
Study objective: To find the additive effect of Mobilization with movement (MWM) and Ultrasound (US) as an adjunct to the conventional therapy in De Quervain’s Tenosynovitis and compare the results.
Methods: Thirty Subjects, diagnosed with DeQuervain’s tenosynovitis were included. Subjects were then randomly allotted into two group ‘A’ and group B.
Group A received Mulligan’s MWM for wrist and 1st Carpometacarpal (CMC) joint and conventional therapy for 6 days.
Group ‘B’ received Pulsed ultrasound and conventional therapy for 6 days.
Results: Both groups showed significant (p=0.00) improvement in VAS, ROM, grip and pinch Strength and Michigan Scale post treatment. However, group A (Mulligan’s MWM) showed significant improvement in VAS (p value<0.05), Pinch Strength (p<0.05) and Michigan Scale (p value =0.00) as compared to group B (Ultrasound).
Conclusion: This study concluded that, both group A and group B were effective in reducing pain, increasing ROM, pinch and grip strength and improving functional outcome of the patient. However, on comparison Mulligan’s MWM showed more significant improvement than ultrasound.
Keywords: Grip strength, pinch strength, 1st CMC, MWM, US, hand.
References
1. Howell ER. Conservative care of De Quervain’s tenosynovitis/ tendinopathy in a warehouse worker and recreational cyclist: a case report. J Can Chiropr Assoc. 2012;56(2):121-7.
2. HasanT, Abdul-AzizK, SabbourA,EmaraH. Relieving Tenderness over Anatomical Snuff Box through Penetration Enhancing Vehicles. The Internet Journal of Orthopedic Surgery.2012;19(3):1-8.
3. Sachdev A, Kashyap N, Tamaria S. Mobilization with movement in De Quervain’s tenosynovitis. Physiotherapy and Occupational Therapy Journal. 2010;3(1):39-41
4. Brandfonbrener AG. The epidemiology and prevention of hand and wrist injuries in performing artists. Hand Clin. 1990;6(3):365-77.
5. Hunter J, Mackin E, Callahan A. Rehabilitation Of The Hand. In: PetersonLM, NasserS, David Z, eds. Surgeon’s And Therapists: Management Of Tendonopathiesin the Hand and Upper extremity. Mosby; 2002, p.931-43.
6. Finkelstein H. Stenosingtendovaginitis at the radial styloid process. J Bone Joint Surg. 1930; 12B:509–40.
7. Griffiths D. Tenosynovitis and Tendovaginitis. Br Med J. 1952; 22 1(4759):645-7.
8. Putz-Anderson V. Cumulative Trauma Disorders: a Manual for Musculoskeletal Diseases of the Upper Limbs. London: Taylor & Francis; 1988.
9. Green DP, Hotchkiss RN. Operative Hand Surgery. New York: Churchill Livingstone; 1993.
10. Foye PM, Cianca JC, Prather H. Industrial medicine and acute musculoskeletal rehabilitation. 3. Cumulative trauma disorders of the upper limb in computer users. Arch Phys Med Rehabil. 2002;83(3 Suppl 1):S12-5, S33-9.
11. Foye PM, Stitik TP. De Quervain’s Tenosynovitis. In: Emedicine; Univ of Dentistry and Medicine, NJ; 2001.
12. Souza TA: In: Differential Diagnosis for the Chiropractor – Protocols and Algorithms. Gaithersburg,MD: Aspen Publishers Inc; 1997; 191-209.
13. Berkow R, Fletcher AJ: Musculoskeletal and connective tissue disorders In: The Merck Manual 16thEd.Rahway, NJ: Merck & Co., Inc; 1992:1367-1368.
14. Avci S, Yilmaz C, Sayli U: Comparison of nonsurgical treatment measures for de Quervain’s disease of pregnancy and lactation. In: J Hand Surg [Am] 2002; 27(2):322-4.
15. Bigelow R, Bremner T. Mulligan’s mobilization with movement: a review of the tenets and prescription of MWMs. NZ Journal of Physiotherapy.2008;36(3):144-164.
16. Moore KL: The Upper Limb. In: Clinically Oriented Anatomy 3rd Ed: Baltimore, MD: Williams & Wilkins; 1992; 582-588.
17. Cochrane W.G., 1963. Sampling Techniques, 2nd edition, New York: John Wiley and sons.
18. Boonstra AM, SchiphorstPreuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International Int J Rehabil Res. 2008 Jun;31(2):165-9.
19. Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. The Journal of Hand Surgery. 1998;23(4):575-587. doi:10.1016/s0363-5023(98)80042-7.
20. Norkin C, White D. Range of motion testing procedures- Part 2 Upper Extremity: The wrist and thumb. In: Measurement of Joint Range of Motion: A guide to Goniometry. 4thedPhiladelphia: F. A Davis Company, 2011; Pp: 74-81.
21. Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phisher. 1986; 66(2):206-9.
22. Mathiowetz V. Weber K, Volland G. Kashman N: Reliability and validity of hand strength evaluation. J Hand Surg .1994; 9A:222.
23. Pryce JC: Wrist position between neutral and ulnar deviation that facilitates maximum power grip strength. J Biomechanics.1980; 13:505511.
24. Mulligan B., Manual Therapy: ‘‘NAGS,’’‘‘SNAGS,’’MWMS,’’ etc., 5th Edition.
25. Robertson VJ, Baker KG. A review of therapeutic ultrasound: effectiveness studies. PhysTher. 2001; 81(7):1339-50.
26. Baker KG, Robertson VJ, Duck FA. A review of therapeutic ultrasound: biophysical effects. PhysTher. 2001; 81(7):1351-8.
27. Zusman M. Central Nervous System contribution to mechanically produced motor and sensory responses. Australian Journal of Physiotherapy 1992; 38: 245-255.
28. Abbott J. Mobilisation with movement applied to the elbow affects shoulder range of motion in subjects with lateral epicondylalgia. Man Ther 2001; 6(3): 170-177.
29. Speed CA. Therapeutic ultrasound in soft tissue lesions.Rheumatology.2001; 40:1331-36.
30. Patel N. Effectiveness of Mobilization with Movement of Elbow Compared with Manipulation of Wrist in Patients of Lateral Epicondylitis. Int J Physiother Res 2013;1(4):177-82.
31. Enwemeka CS. The effects of therapeutic ultrasound on tendon healing. A biomechanical study. Am J Phi Med Rehabil. 1989; 68:283-7.
32. Parmar S, Shyam A, Sabnis S, Sancheti P. The effect of isolytic contraction and passive manual stretching on pain and knee range of motion after hip surgery: A prospective, double-blinded, randomized study. Hong Kong Physiotherapy Journal 2011; 29(1):25-30.
33. Stanish WD, Rubinovich RM, Curwin S. Eccentric exercise in chronic tendinitis. ClinOrthopRelat Res. 1986 Jul ;( 208):65-8. PubMed PMID: 3720143.
| How to Cite this Article: Jaiswal P R, Mahapatra R K, Bedekar N, Shyam A, Sancheti P. Comparison Between Mobilization With Movement And Ultrasound In Patients With De Quervain’s Tenosynovitis. Journal of Orthopaedic and Rehabilitation 2019 July-Dec; 4(2): 11-15. |
(Abstract) (Full Text HTML) (Download PDF)
.