Journal of Physical Therapy and Health Promotion
Journal of Physical Therapy and Health Promotion(PTHP)
ISSN:2376-1601(Print)
ISSN:2376-1636(Online)
Frequency: Annually
Website: www.bowenpublishing.com/pthp/
Effectiveness of Therapeutic Ultrasounds on Postpartum De Quervain’s Tenosynovitis: A Randomized Controlled Trial
Abstract:
Lactating women have been reported to be at higher risk for De Quervain’s tenosynovitis. However, there is no consensus on the conservative treatment of this disease, which differs based on the severity of its signs and symptoms. This study was performed to investigate the effectiveness of ultrasound therapy in women with postpartum De Quervain’s disease. A randomized, placebo-controlled, double-blind study was designed. Twenty lactating women between 20 and 25 years of age with De Quervain's tenosynovitis, enrolling in the study were randomly assigned into two groups including continuous ultrasound and placebo ultrasound. Patients were evaluated at baseline and at the end of the treatment by a visual analog scale and thumb pinch strength (Tip, Key and Palmar pinch strength). Pre-intervention showed no significant differences between the study and control groups’ pain scores and thumb pinch strengths (p>0.05). After 4 weeks’ intervention, the study group showed a decreased pain score compared to the control group (p< 0.05). Also observed was an increase and significant differences for all thumb pinch strengths (p<0.05) in the study group. In the control group, no differences were observed in the pain scores or thumb pinch strength between pre- and post-intervention (p> 0.05). The ultrasound therapy was effective in promoting reduction of wrist pain and improving the function status of the affected hand in lactating women with De Quervain’s tenosynovitis.
Keywords:De Quervain's disease; Ultrasound; Postnatal; Therapy
Author: Fayiz El-Shamy,Magda Morsy

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