Conservative management of De Quervain's tendinopathy with an orthopedic manual physical therapy approach emphasizing first CMC manipulation: a retrospective case series.
De Quervain's tendinopathy (DQT) is a musculoskeletal disorder that limits hand function of affected individuals. Management of DQT can include splinting, activity modification, medications, corticosteroid injections, physical therapist management, and surgery. There is limited evidence to support t...
| Publicado en: | Physiotherapy Theory & Practice Vol. 38; no. 4; pp. 587 - 597 |
|---|---|
| Autores principales: | , , |
| Formato: | case study pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155832230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155832230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Apr2022 vid: 38 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 155832230 145575499 155832230 155832230 10.1080/09593985.2020.1771800 155832230 ppf: 587 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Conservative management of De Quervain's tendinopathy with an orthopedic manual physical therapy approach emphasizing first CMC manipulation: a retrospective case series. aug: au: Young, Scott W. Young, Thomas W. MacDonald, Cameron W. affil: Rueckert-Hartman College for Health Professions, School of Physical Therapy, Regis University, Denver, Colorada, USA sug: subj: Conservative Treatment De Quervain Disease Therapy Tendinopathy Therapy Orthopedic Care Manual Therapy Methods Physical Therapy Methods Manipulation, Orthopedic Methods Hand Physiology De Quervain Disease Surgery Tendinopathy Surgery Human Retrospective Design Adrenal Cortex Hormones Administration and Dosage Physical Therapy Exercise Carpometacarpal Joints Surgery Movement Muscle Strengthening Proprioception Scales Dynamometry Questionnaires Office Visits Descriptive Statistics Treatment Outcomes Female Male Young Adult Middle Age Middle Aged: 45-64 years Female Male ab: De Quervain's tendinopathy (DQT) is a musculoskeletal disorder that limits hand function of affected individuals. Management of DQT can include splinting, activity modification, medications, corticosteroid injections, physical therapist management, and surgery. There is limited evidence to support the combination of manual therapy and exercise interventions within an Orthopedic Manual Physical Therapy (OMPT) approach when managing patients with DQT. Three patients identified with DQT underwent a multi-modal treatment regimen including carpometacarpal (CMC) thrust and non-thrust manipulation, end range radiocarpal mobilization, mobilization with movement (MWM), strengthening exercises, and grip proprioception training. Outcomes were assessed using the numeric pain rating scale (NPRS), Jamar hand dynamometer grip strength, and the Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire. These measures were administered at baseline and discharge. Each patient demonstrated improvements in all outcome measures and required ten visits or less to reach a satisfactory outcome. The NPRS improved by a mean of 7.1 points on a 0–10 scale, Quick DASH improved by an average of 37.1%, and grip strength improved by a mean of 27.6 pounds. Each patient was able to return to daily tasks without pain and all improvements were maintained at six month follow-up. An impairment based OMPT management approach was effective in managing three patients with DQT. The inclusion of first CMC manipulation within this multi-modal approach may enhance conservative management of patients with DQT. Because a cause and effect relationship cannot be inferred from a case series, further research is recommended to investigate the efficacy of this management approach. pubtype: Academic Journal doctype: case study pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|