Awan Waqar Ahmed, Babur Muhammad Naveed, Masood Tahir
J Back Musculoskelet Rehabil. 2017;30(4):691-697. doi: 10.3233/BMR-160591.
The management of De Quervain's disease is determined more by Intuition than scientific data. The choice of first line conservative option for the management of De Quervain's disease is still a topic of debate.
To evaluate the effectiveness of therapeutic ultrasound with or without spica splint in the management of De Quervain's disease (DQD).
Randomized controlled trial (RCT).
Outpatient department of Al-Nafees Medical College Hospital, Islamabad, Pakistan.
Thirty patients who had the history of the De Quervain's disease for at least 6 months were enrolled in the study. The ages of the patient were 30-50 year. The population included housewives, maids, painters, and teachers.
Thirty patients were divided into two groups. The control group was treated with therapeutic ultrasound while in the experimental group thumb spica splitting was also added. The data was collected from the subjects through Quick Disabilities of the Arm, Shoulder and Hand questionnaire. The demographic data was presented in the form of tables. Intervention-induced changes within the groups were investigated using paired sample t-test while independent sample t-test was used to compare the two groups.
Significant changes within both groups (p ≤ 0.05) were observed as a result of intervention. Additionally, significant differences in some instrument items were found between experimental and control group (p ≤ 0.05) after intervention. However, some items did not demonstrate significant changes in both groups likely because there was no effect of De Quervain's disease on those items before the intervention.
The results showed that the use of therapeutic ultrasound and spica splint together is more effective than using therapeutic ultrasound alone in the conservative management of De Quervain's disease.
This study provides evidence to the relevant clinicians and professionals on the utility of therapeutic ultrasound combined with thumb spica splint in the conservative management of DQD.
桡骨茎突狭窄性腱鞘炎的治疗更多地取决于直觉而非科学数据。对于桡骨茎突狭窄性腱鞘炎的一线保守治疗方案的选择仍是一个有争议的话题。
评估有或无短臂石膏夹板的治疗性超声在桡骨茎突狭窄性腱鞘炎（DQD）治疗中的有效性。
随机对照试验（RCT）。
巴基斯坦伊斯兰堡纳菲斯医学院医院门诊部。
30例有至少6个月桡骨茎突狭窄性腱鞘炎病史的患者纳入研究。患者年龄为30至50岁。研究对象包括家庭主妇、女仆、油漆工和教师。
30例患者分为两组。对照组采用治疗性超声治疗，而实验组还加用拇指短臂石膏夹板固定。通过手臂、肩部和手部快速残疾问卷从受试者收集数据。人口统计学数据以表格形式呈现。组内干预引起的变化采用配对样本t检验进行研究，而独立样本t检验用于比较两组。
干预后两组均观察到显著变化（p≤0.05）。此外，干预后实验组和对照组在一些仪器项目上存在显著差异（p≤0.05）。然而，两组中的一些项目未显示出显著变化，可能是因为在干预前桡骨茎突狭窄性腱鞘炎对这些项目没有影响。
结果表明，在桡骨茎突狭窄性腱鞘炎的保守治疗中，联合使用治疗性超声和短臂石膏夹板比单独使用治疗性超声更有效。
本研究为相关临床医生和专业人员提供了关于治疗性超声联合拇指短臂石膏夹板在DQD保守治疗中的效用的证据。
