De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females

Background: De Quervain's tenosynovitis is a common cause of wrist pain in pregnant and postpartum females. This study provides objective evidence regarding the therapeutic efficacy of phonophoresis in treating de Quervain's disease during pregnancy. Methods: In a single blind, randomised,...

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Main Authors: Tabinda Hasan, Mahmood Fauzi
Format: Article
Language:English
Published: SAGE Publishing 2015-06-01
Series:Journal of Orthopaedics, Trauma and Rehabilitation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2210491715000068
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author Tabinda Hasan
Mahmood Fauzi
author_facet Tabinda Hasan
Mahmood Fauzi
author_sort Tabinda Hasan
collection DOAJ
description Background: De Quervain's tenosynovitis is a common cause of wrist pain in pregnant and postpartum females. This study provides objective evidence regarding the therapeutic efficacy of phonophoresis in treating de Quervain's disease during pregnancy. Methods: In a single blind, randomised, controlled trial (n = 50), ketoprofen phonophoresis was given to the intervention group and conventional ultrasound (US) was given to controls, coupled with thumb splint immobilisation, and supervised strengthening and stretching exercises for 1 month. Symptomatic and functional improvement was assessed by visual pain analogue, grip, tip, key, and palmer pinch scales. Results: There was a statistically significant improvement in the intervention group compared to the control group in grip and pinch strength, and pain reduction. Conclusion: Ketoprofen phonophoresis as an adjunct to supervised exercise and splint immobilisation is a safe and effective therapy for de Quervain's tenosynovitis during pregnancy. Phonophoresis augments the benefits of US in terms of reducing pain and inflammation, and improving functional strength.
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spelling doaj.art-f33130b39f3145059b684181b35407c12022-12-22T01:17:42ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172015-06-011912610.1016/j.jotr.2014.04.001De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant FemalesTabinda Hasan0Mahmood Fauzi1Department of Anatomy, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaDepartment of Ophthalmology, Jazan General Hospital, Jazan, Saudi ArabiaBackground: De Quervain's tenosynovitis is a common cause of wrist pain in pregnant and postpartum females. This study provides objective evidence regarding the therapeutic efficacy of phonophoresis in treating de Quervain's disease during pregnancy. Methods: In a single blind, randomised, controlled trial (n = 50), ketoprofen phonophoresis was given to the intervention group and conventional ultrasound (US) was given to controls, coupled with thumb splint immobilisation, and supervised strengthening and stretching exercises for 1 month. Symptomatic and functional improvement was assessed by visual pain analogue, grip, tip, key, and palmer pinch scales. Results: There was a statistically significant improvement in the intervention group compared to the control group in grip and pinch strength, and pain reduction. Conclusion: Ketoprofen phonophoresis as an adjunct to supervised exercise and splint immobilisation is a safe and effective therapy for de Quervain's tenosynovitis during pregnancy. Phonophoresis augments the benefits of US in terms of reducing pain and inflammation, and improving functional strength.http://www.sciencedirect.com/science/article/pii/S2210491715000068abductor pollisis longusde Quervain's diseasephonophoresistendinitistenosynovitis
spellingShingle Tabinda Hasan
Mahmood Fauzi
De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
Journal of Orthopaedics, Trauma and Rehabilitation
abductor pollisis longus
de Quervain's disease
phonophoresis
tendinitis
tenosynovitis
title De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
title_full De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
title_fullStr De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
title_full_unstemmed De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
title_short De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females
title_sort de quervain s tenosynovitis and phonophoresis a randomised controlled trial in pregnant females
topic abductor pollisis longus
de Quervain's disease
phonophoresis
tendinitis
tenosynovitis
url http://www.sciencedirect.com/science/article/pii/S2210491715000068
work_keys_str_mv AT tabindahasan dequervainstenosynovitisandphonophoresisarandomisedcontrolledtrialinpregnantfemales
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