Effectiveness of Astym Treatment For de Quervain's Tenosynovitis

Study Overview
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Brief Summary
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To determine if the addition of Astym treatment to traditional therapy produces a more positive outcome then traditional therapy alone for the treatment of de Quervain's tenosynvitis. Two groups will be examined with one group receiving traditional therapy and the other group receiving traditional therapy in addition to Astym treatment protocol.

Official Title
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Effectiveness of Astym Treatment For de Quervain's Tenosynovitis

Conditions
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de Quervain's Disease

Intervention / Treatment
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* Other: Occupational therapy
* Device: Occupational therapy with ASTYM


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: i. Positive Finkelstein's test: The client will report pain over the first compartment of the extensor retinaculum when the thumb is tucked in the hand and deviated ulnarly. ii. Persistent symptoms for >3 wks which have not resolved after an additional 3 weeks of splinting iii. A diagnosis by a physician of de Quervain's, fist compartment tenosynovitis, or radial styloid tenosynovitis iv. Patients must agree and comply to a predetermined splinting regimen Exclusion Criteria: i. History of cortical steroid injection to affected wrist and/or thumb ii. History of previous wrist trauma to affected limb iii. Comorbidity such as carpal tunnel syndrome (CTS), radial tunnel syndrome, osteoarthritis, rheumatoid arthritis, auto-immune disease or inflammatory conditions, lateral epicondylitis or tendinopathies iv. Clotting deficits v. Positive Cozen's sign which would indicate intersection syndrome vi. Post-partum mothers <6 months and pregnant women

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Occupational therapy<br>Traditional therapy for de Quervain's Tenosynovitis | Other: Occupational therapy<br>* Occupational therapy for de Quervain's Tenosynovitis<br>|
| Experimental: Occupational therapy with ASTYM<br>Traditional therapy for de Quervain's Tenosynovitis plus ASTYM | Device: Occupational therapy with ASTYM<br>* Occupational therapy for de Quervain's Tenosynovitis plus ASTYM<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Rating Scale for Pain | This scale is a single point scale from 0-10. The participant picks one number to represent their pain, where 0 represents no pain and 10 represents worst pain imaginable. | 4.5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sequential Occupational Dexterity Assessment (SODA) Score | This is a test to measure dexterity and bimanual abilities in activities of daily living. It includes 12 tasks with participants being scored on their ability, difficulty and pain during the task. Scores on the individual tasks are summed, and the range of the total SODA score is 0-108. A higher score indicates a higher dexterity. | 1.5 months | 
| Quick Dash Score | It is a questionnaire that measures an individual's ability to complete tasks, absorb forces, and severity of symptoms. The QuickDASH tool uses a 5-point Likert scale from which the patient can select an appropriate number corresponding to his/her severity level/ function level. QuickDASH Scoring Formula = ([(sum of n responses)/n] -1)(25) where n represents the number of completed items. Higher scores indicate a greater level of disability and severity, whereas, lower scores indicate a lower level of disability. The score on both test ranges from 0 (no disability) to 100 (most severe disability). | 4.5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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de Quervain's disease, de Quervain's tenosynovitis., ASTYM, de Quervain's treatment