A prospective randomized clinical trial of prescription of full-time versus as-desired splint wear for de Quervain tendinopathy

Menendez, Mariano E.; Thornton, Eavan; Kent, Suzanne E.; Kalajian, Tyler Arek; Ring, David

doi:10.1007/s00264-015-2779-6

Cited by 21 publications

(18 citation statements)

References 36 publications

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“…The importance of rest and immobilization in de Quervain may be less than originally theorized, particularly due to myxoid changes rather than inflammatory processes. 5 Menendez et al 17 showed that full-time splint wear versus as-desired splint wear had no effect on disability, grip strength, pain intensity, or patient satisfaction, concluding that strict rest by immobilization is not disease modifying. Our study found results to be comparable in nearly all measured outcomes between treatment groups, as well as a significantly higher prevalence of radial wrist pain in patients who received 3 weeks of immobilization.…”

Section: Discussionmentioning

confidence: 99%

Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial

Ippolito

Hauser

Patel

et al. 2018

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial

Ippolito

Hauser

Patel

et al. 2018

Hand (New York, N,Y.)

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“…Further investigation of multimodal interventions compared to other intervention options may also be warranted. The outcomes from this study are promising given that orthoses alone have not demonstrated clinically important improvements in 6 weeks 56 or symptom resolution in a postpartum population. 57 Education and individualised advice may be a key component, as has been demonstrated in other musculoskeletal conditions.…”

Section: Discussionmentioning

confidence: 89%

Isometric thumb extension exercise as part of a multimodal intervention for de Quervain’s syndrome: A randomised feasibility trial

et al. 2023

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Introduction de Quervain’s syndrome is a painful condition commonly presented to hand therapists. Exercise is utilised as an intervention, but isometric exercise has not been investigated. We aimed to assess the feasibility and safety of isometric thumb extension exercise for de Quervain’s syndrome and to explore differences between high-load and low-load isometric exercise. Methods This parallel-group randomised clinical feasibility trial included individuals with de Quervain’s syndrome. All participants underwent a 2 week washout period where they received an orthosis, education, and range of motion exercises. Eligible participants were then randomised to receive high or low-load isometric thumb extension exercises, performed daily for 4 weeks. Feasibility and safety were assessed by recruitment and drop-out rates, adherence, adverse events, and participant feedback via semi-structured interviews. Secondary outcomes included patient-reported outcomes for pain and function, and blinded assessment of range of motion and strength. Results Twenty-eight participants were randomised. There were no drop-outs after randomisation, and no serious adverse events. Adherence to exercise was 86.7%, with 84% of participants stating they would choose to participate again. There were clinically and statistically significant improvements in pain and function over time ( p < 0.001) but not in range of motion or strength. There were no statistically significant between-group differences. Conclusions Isometric thumb extension exercise within a multimodal approach appears a safe and feasible intervention for people with de Quervain’s syndrome. A large multi-centre trial would be required to compare high- and low-load isometric exercises. Further research investigating exercise and multimodal interventions in this population is warranted.

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“…Menendez et al [18] compared the effect of fulltime vs. desired time use of splinting for DS in a randomized controlled study, and they couldn't find a difference in symptom relief between two groups. We didn't compare this difference in our cohort.…”

Section: Discussionmentioning

confidence: 99%

De Quervain olgularında konservatif tedavi başarısını etkileyen faktörler

Ceylan

Kaya

Çaypınar

et al. 2018

Archives of Clinical and Experimental Medicine

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Aim: De Quervain's disease, which is known as tenosynovitis of the first radial dorsal compartment, usually is a self-limiting condition and it could be managed conservatively. In this study, we aimed to evaluate the factors affecting the success of the conservative treatment. Methods: Patients who admitted to outpatient service with radial styloid pain and diagnosed as de Quervain's disease between March 2014 and December 2016 were enrolled to our study. A total number of 84 patients evaluated retrospectively, and 12 of them excluded due to inadequate patient information, previous interventions in other clinics, and lost to follow up. Patients' files with regard to the patients' data on age, sex, duration of symptomatic period, history of previous trauma, season of admission and need of surgery were evaluated. Results: Mean age of the patients was 42.24 (range 16-66) years. Of the cohort, 58 patients (80.6%) were female and the remaining patients (19.4%) were male. Mean length of pre-admission symptomatic period was 2.2 (range 1-12) months. There was no significant correlation between the resistance to treatment and the duration of the symptoms (r=0.4597). Sixty-one of 72 patients (84.7%) received one month of orthosis and oral/local medication and they were all healed. The remaining 11 patients with persistent pain received additional steroid injections. The mean age was 46.72 years at the injection group, and 10 of these 11 were female. Two female patients from these 11 resistant cases underwent surgical decompression. Conclusion: In conclusion, our study also supported the self-limiting clinical feature of de Quervain's disease. Most of the patients have satisfactory results with conservative treatment or corticosteroid injections if needed. Most of the patients who needed corticosteroid injections in addition to splint use were female; therefore, the female patients should be informed in this aspect.

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A prospective randomized clinical trial of prescription of full-time versus as-desired splint wear for de Quervain tendinopathy

Cited by 21 publications

References 36 publications

Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial

Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial

Isometric thumb extension exercise as part of a multimodal intervention for de Quervain’s syndrome: A randomised feasibility trial

De Quervain olgularında konservatif tedavi başarısını etkileyen faktörler

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