Comparative Effects of Paraffin Bath Therapy and ESWT in Patients With De Quervain Tenosynovitis

Study Overview
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Brief Summary
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There is no study in the literature comparing both paraffin bath therapy and Extracorporeal Shock Wave Therapy (ESWT) in the treatment of patients with De Quervain Tenosynovitis. The aim of this study is performing this comparison.

Official Title
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Comparative Effects of Paraffin Bath Therapy and Extracorporeal Shock Wave Therapy on Pain and Hand Functions in Patients With De Quervain Tenosynovitis

Conditions
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De Quervain Disease

Intervention / Treatment
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* Device: Paraffin Bath Therapy
* Device: Extracorporeal Shock Wave Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being 18 years or older Meeting De Quervain diagnostic criteria Not having applied any physical therapy modality to the hand-wrist in the last 1 month Not using pain medication in the last 1 month, Not using local anesthetics or steroid injections on the hand-wrist in the last 3 months Have received written consent to participate in the study, and have come to the last control at the 6th week. Exclusion Criteria: Neurological diseases (especially neuropathies), Malignancy, Rheumatological diseases Pregnancy History of hand/wrist fracture or surgery Hand/wrist trauma in the last 1 month Coagulation disorder diseases

Ages Eligible for Study
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Minimum Age: 18 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Paraffin Bath Therapy<br>Paraffin bath therapy is a physical therapy method that can create a temperature increase of 7.5 °C in the joint capsule and 4.5 °C in the muscle. | Device: Paraffin Bath Therapy<br>* Device named 'Fizyowax 1300' (Fizyomed, Turkey).<br>|
| Active Comparator: Extracorporeal Shock Wave Therapy<br>Extracorporeal shock wave therapy (ESWT) is a noninvasive treatment that involves delivery of shock waves to injured soft tissue to reduce pain and promote healing. | Device: Extracorporeal Shock Wave Therapy<br>* Device named 'Elettronica Pagani,Italy' and will be used with radial probe.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | patient's self-assessment of pain, in the range of 0 to 10, higher scores mean a worse | at baseline (before the treatment) | 
| Visual Analogue Scale (VAS) | patient's self-assessment of pain, in the range of 0 to 10, higher scores mean a worse | 2 weeks after baseline (at the end of treatment) | 
| Visual Analogue Scale (VAS) | patient's self-assessment of pain, in the range of 0 to 10, higher scores mean a worse | 6 weeks after baseline (one month after the end of treatment) | 
| Duruöz Hand Index (DHI) | Duruöz Hand Index (DHI) is a functional disability scale that can be used successfully to assess the functional disability with different hand arthropathies. It consists of 18 items that evaluate hand and wrist activities. The answers are evaluated on a 6-level (0-5) Likert scale and the total score ranges from 0 to 90. | at baseline (before the treatment) | 
| Duruöz Hand Index (DHI) | Duruöz Hand Index (DHI) is a functional disability scale that can be used successfully to assess the functional disability with different hand arthropathies. It consists of 18 items that evaluate hand and wrist activities. The answers are evaluated on a 6-level (0-5) Likert scale and the total score ranges from 0 to 90. | 2 weeks after baseline (at the end of treatment) | 
| Duruöz Hand Index (DHI) | Duruöz Hand Index (DHI) is a functional disability scale that can be used successfully to assess the functional disability with different hand arthropathies. It consists of 18 items that evaluate hand and wrist activities. The answers are evaluated on a 6-level (0-5) Likert scale and the total score ranges from 0 to 90. | 6 weeks after baseline (one month after the end of treatment) |