Comparison of the effectiveness of two splints in the conservative treatment of De Quervain tenosynovitis

Öz

Purpose: Thumb spica splint and exercise are widely used in the conservative management of De Quervain tenosynovitis. Using the short opponens splint with exercise is an alternative protocol in conservative treatment. Our aim was, to investigate the effectiveness of two different splints in the conservative management of De Quervain tenosynovitis. Methods: Forty subjects with De Quervain tenosynovitis were randomly allocated into two groups. Twenty subjects in the first group were treated with immobilization with thumb spica orthosis and an exercise program. Twenty subjects in the second group were treated with immobilization with the short opponens splint and the same exercise program. The splints were worn throughout the day for three days after which they were used only at night. Treatment was continued for six weeks. Exercises consisted of stretching exercises after the fourth day and tendon gliding and strengthening exercises following the second week. All subjects were assessed before and after treatment. Assessment consisted of pain, tenderness, grasping activities, pinch meter, Minnesota tests, Functional Scale of Upper Extremity. Results: Inter group comparisons showed no difference between the groups for any of the measured parameters (p>0.05). Intra group comparisons for pre-post treatment showed a significant difference in favor of post treatment values in all measured parameters (p<0.05). Conclusion: The results of this study imply that both splints can be used in the conservative management of De Quervain tenosynovitis if they are accompanied by an appropriate exercise program. The short opponens splint can be a choice with providing minimize functional limitation in management of De Quervain tenosynovitis

Anahtar Kelimeler

• De Quervain Disease, Splints, Exercise

De Quervain tenosinovitinin konservatif tedavisinde iki splintin etkinliğinin karşılaştırılması

Öz

Amaç: Başparmak spica ortezi ve egzersiz, De Quervain tenosinovitin konservatif tedavisinde yaygın olarak kullanılmaktadır. Konservatif tedavide, kısa opponens splinti ile egzersiz alternatif bir tedavi protokolü olarak kullanıldı. Amacımız, De Quervain tenosinovitin konservatif tedavisinde iki splintin etkinliklerinin karşılaştırılması idi. Yöntem: De Quervain tenosinoviti olan 40 birey rastgele yöntemle iki gruba ayrıldı. Birinci gruptaki 20 birey, başparmak Spica ortezi ve egzersiz programı ile tedavi edildi. İkinci gruptaki 20 birey ise kısa opponens splinti ile immobilize edilip aynı egzersiz programı ile tedavi edildi. Bireyler splinti, 3 gün boyunca sürekli giydikten sonra sadece geceleri kullandı. Tedavi altı hafta süresince uygulandı. Egzersiz programı, 4. günden itibaren başlanılan germe egzersizlerinden, ikinci haftadan itibaren de tendon kaydırma ve kuvvetlendirme egzersizlerinden oluşmaktaydı. Tüm bireyler tedavi öncesinde ve sonrasında değerlendirildi. Değerlendirme; ağrı, hassasiyet, kavrama kuvveti ve fonksiyonunu, çimdikleyici kuvvet ölçümünü, Minnesota testlerini, üst ekstremite fonksiyon skalasını içermekte idi. Bulgular: Değerlendirilen tüm parametreler açısından gruplar arasında anlamlı bir fark bulunmadı (p>0.05). Fakat gruplar içinde tedavi öncesi ve tedavi sonrası karşılaştırıldığında tüm değerlendirilen parametreler tedavi sonrası lehine anlamlı fark ile sonuçlandı (p

Anahtar Kelimeler

• De Quervain hastalığı, Splintler, Egzersiz

Kaynakça

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