The Journal of manual & manipulative therapy · 2025
Comparative short-term effects of oscillatory mobilization and mulligan MWM on pain, disability, and range of motion among De Quervain's tenosynovitis patients- a randomized clinical trial.
СтатьяРандомизированное исследованиеСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Qadir Waqas, Waheed Aleena, Niazi Rehana, Mahmood Tahir, Awan Ifra Zulqarnain
Аннотация
BACKGROUND: De Quervain's tenosynovitis is characterized by thickening and swelling of the extensor retinaculum. The most reported symptoms are pain, swelling, and discomfort over the radial styloid.
OBJECTIVE: To determine the short-term effects of oscillatory Mobilization and Mobilization with movement on pain, Range of Motion and Disability among De-Quervain's tenosynovitis.
METHODS: This single-blinded randomized clinical trial with parallel assignment was conducted at Arif Memorial Teaching Hospital on 28 patients from August 2023 to October 2023. The subjects were allocated to groups A and B, with 14 patients in each group. Group A received mobilization with movement, and Group B received oscillatory mobilization for two weeks with three sessions per week. Data were taken of each patient before and after treatment through a numeric pain rating scale for pain, a goniometer for a range of motion, and patient-related wrist evaluation for Disability. The data were analyzed using SPSS V. 22, and appropriate statistical tests were used based on data distribution and taking p < 0.05 as significant.
RESULTS: The study comprised 28(100%) participants, with 14 (50%) in each group. There were 08 males (57.1%) and 6 (42.9%) female participants in group A, whereas there were seven male (50.0%) and 7 (50.0%) female participants in group B. The mean age of patients in group A was 32.857 ± 5.815, and in group B was 31.642 ± 5.838. The pain pretreatment in Group A was 8.28 ± 1.49, while in Group B was 8.50 ± 1.22, whereas the post-treatment in Group A was 3.50 ± 0.94 while in Group B was 4.28 ± 1.14. The paired t-test showed a significant difference between the pre-and post-treatment pain scores, disability index, and range of motion with a p-value < 0.05. The Patient Rated Wrist Evaluation score value at pretreatment in Group A was 78.71 ± 4.16; in Group B, it was 76.86 ± 3.09, whereas the post-treatment in Group A was 33.39 ± 5.48, while in Group B was 38.96 ± 3.66. The independent t-test showed a significant difference between both groups for pain disability index and range of motion with a p-value < 0.05.
CONCLUSION: The study concluded that both treatments have short-term effects, but Mobilization with movement was more effective than Oscillatory movements for pain, ROM, and Disability in patients with De Quervain's tenosynovitis.
CLINICAL TRIAL REGISTRY: IRCT20220604055072N2.
OBJECTIVE: To determine the short-term effects of oscillatory Mobilization and Mobilization with movement on pain, Range of Motion and Disability among De-Quervain's tenosynovitis.
METHODS: This single-blinded randomized clinical trial with parallel assignment was conducted at Arif Memorial Teaching Hospital on 28 patients from August 2023 to October 2023. The subjects were allocated to groups A and B, with 14 patients in each group. Group A received mobilization with movement, and Group B received oscillatory mobilization for two weeks with three sessions per week. Data were taken of each patient before and after treatment through a numeric pain rating scale for pain, a goniometer for a range of motion, and patient-related wrist evaluation for Disability. The data were analyzed using SPSS V. 22, and appropriate statistical tests were used based on data distribution and taking p < 0.05 as significant.
RESULTS: The study comprised 28(100%) participants, with 14 (50%) in each group. There were 08 males (57.1%) and 6 (42.9%) female participants in group A, whereas there were seven male (50.0%) and 7 (50.0%) female participants in group B. The mean age of patients in group A was 32.857 ± 5.815, and in group B was 31.642 ± 5.838. The pain pretreatment in Group A was 8.28 ± 1.49, while in Group B was 8.50 ± 1.22, whereas the post-treatment in Group A was 3.50 ± 0.94 while in Group B was 4.28 ± 1.14. The paired t-test showed a significant difference between the pre-and post-treatment pain scores, disability index, and range of motion with a p-value < 0.05. The Patient Rated Wrist Evaluation score value at pretreatment in Group A was 78.71 ± 4.16; in Group B, it was 76.86 ± 3.09, whereas the post-treatment in Group A was 33.39 ± 5.48, while in Group B was 38.96 ± 3.66. The independent t-test showed a significant difference between both groups for pain disability index and range of motion with a p-value < 0.05.
CONCLUSION: The study concluded that both treatments have short-term effects, but Mobilization with movement was more effective than Oscillatory movements for pain, ROM, and Disability in patients with De Quervain's tenosynovitis.
CLINICAL TRIAL REGISTRY: IRCT20220604055072N2.