Department of Orthopedics, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Physical Therapy, Migdal Hameah Clinic, Clalit Health Services, Tel Aviv, Israel, Rappaport Faculty of Medicine, Technion-Institute of Technology, Haifa, Israel.
Isr Med Assoc J. 2023 Apr;25(4):286-291.
Physiotherapy can help treat of trigger fingers (TF).
To compare efficacy of fascial manipulation (FM) and traditional physiotherapy (TP) techniques in treatment of TF.
Nineteen patients were randomized in the FM group and 15 in the TP group. All patients underwent eight physiotherapy sessions. The Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and visual analogue scale (VAS) scores, staging of stenosing tenosynovitis (SST) classification, triggering frequency, grip and pinch strength were recorded before and after treatment. We surveyed participants at 6 months for recurrence, further treatment, and the VAS and QuickDASH scores. The primary outcome measure was reduction in QuickDASH and VAS scores.
Both FM and TF improved the QuickDASH and VAS scores at 6 months follow-up, without a significant difference. The QuickDASH score in the FM group improved from 28.4 ± 17.1 to 12.7 ± 16.3; TF scores improved from 27 ± 16.7 to 18.8 ± 29.4 (P = 0.001). The VAS score improved from 5.7 ± 2.1 to 1.2 ± 2.1 and from 4.8 ± 1.8 to 2 ± 2.6 for both groups, respectively (P < 0.001). SST and grip strength also improved following treatment, regardless of modality. At 6 months, four patients (22%) with an SST score of 1, three (30%) with a score of 2, and two (40%) with a score of 3A underwent additional treatment.
Both FM and TP techniques are effective for the treatment of TF and should be considered for patients who present with SST scores of 1 or 2.
物理疗法可以帮助治疗扳机指（TF）。
比较筋膜手法（FM）和传统物理疗法（TP）技术治疗 TF 的疗效。
19 名患者随机分为 FM 组和 TP 组。所有患者均接受 8 次物理治疗。治疗前后记录手臂、肩部和手部残疾（QuickDASH）和视觉模拟量表（VAS）评分、狭窄性腱鞘炎分期（SST）分类、扳机频率、握力和捏力。我们在 6 个月时对复发、进一步治疗以及 VAS 和 QuickDASH 评分进行了调查。主要结局测量指标是 QuickDASH 和 VAS 评分的降低。
FM 和 TF 均可改善 6 个月时的 QuickDASH 和 VAS 评分，但无显著差异。FM 组的 QuickDASH 评分从 28.4±17.1 改善至 12.7±16.3；TF 组从 27±16.7 改善至 18.8±29.4（P=0.001）。两组的 VAS 评分均从 5.7±2.1 改善至 1.2±2.1，从 4.8±1.8 改善至 2±2.6（均 P<0.001）。SST 和握力也得到了改善，无论治疗方式如何。6 个月时，4 名 SST 评分为 1 的患者（22%）、3 名 SST 评分为 2 的患者（30%）和 2 名 SST 评分为 3A 的患者（40%）接受了额外治疗。
FM 和 TP 技术均对 TF 有效，对于 SST 评分为 1 或 2 的患者应考虑采用。
