Mobilization With Movement Versus Soft Tissue Mobilization in Patients With De Quervain Tenosynovitis

Study Overview
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Brief Summary
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this study will investigate the effects of mobilization with movement in addition to soft tissue mobilization on pain and range of motion in patients suffering from De Quervain Tenosynovitis.

Detailed Description
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De quervain tenosynovitis also known as stenosing tenosynovitis is a condition which occur when tendons at the base of thumb pinched and become irritated. Several treatment options are available like ultrasound, Graston therapy, thrust or non-thrust manipulation, mobilization with movement, soft tissue mobilization but this study focus on 2 treatments to improve malalignment of the joint and also reduce pain. First treatment is mobilization with movement in which passive accessory mobilization from therapist while active mobility is performed by patient. Second technique is soft tissue mobilization in which passive glides are applied. The purpose of study is to make comparison between mobilization with movement and soft tissue mobilization.

Official Title
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Effects of Mobilization With Movement Versus Soft Tissue Mobilization on Pain Function and ROM in Patients With De Quervain Tenosynovitis: A Randomised Controlled Trail

Conditions
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De Quervain Syndrome

Intervention / Treatment
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* Other: Mulligan Mobilization
* Other: Soft Tissue Mobilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female 20 to 50 years Subjects with pain in base of thumb (9) Subject with positive fienklstein test Exclusion Criteria: History of radiculopathy History of systemic illness History of connective tissue disorder Rheumatoid arthritis History of hand or wrist injury or acute trauma Subject with negative fienklstein test

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mulligan Mobilization<br>Mobilization with movement (3 sets per 10 repetitions). | Other: Mulligan Mobilization<br>* It is technique in which passive mobilization is applied by therapist to improve the normal position and by holding the passive glide active movement in restricted direction of motion to reduce pain or improve range of motion or function. A total of 3 sets of 10 repetition three times a week on alternate days for 6 week<br>|
| Experimental: Soft tissue mobilization<br>Soft tissue mobilization (3 sets per 10 repetitions) | Other: Soft Tissue Mobilization<br>* in this technique for joint the passive glides are applied, for CMC joint mobilization patient hand is rest on table. The therapist grasp trapezium with one hand and 1st metacarpal between index and thumb of other hand to apply glide. A total of 3 sets of 10 repetition three times a week on alternate days for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale | It is a 100 mm scale drawn on a paper to determine the level or intensity of pain in range of (0 to 10) | 3 months | 
| Goniometry | The science of measuring the joint ranges in each plane of the joint is called goniometry. Goniometer is a device that measures an angle or permits the rotation of an object to a definite position. Neck flexion, extension, side bending and rotation will be assessed | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ROM, de quervains tenosynovitis, pain, manual therapy