Comparison of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis

Launched by FOUNDATION UNIVERSITY ISLAMABAD · Feb 17, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two different types of exercise training to help manage a condition called De Quervain Tenosynovitis, which causes pain and tenderness in the thumb area. The researchers want to compare “Sub-maximal Voluntary Isometric Training,” which involves holding muscles tight without moving, to “Eccentric Training,” where muscles are lengthened while they are under tension. The goal is to see which method is more effective for relieving symptoms and helping people recover.

To participate in this study, you should be between 21 and 50 years old and have felt pain in your thumb for at least three weeks. You will also need to meet certain medical criteria, such as scoring at least 3 out of 7 on a specific screening tool. However, if you have other conditions like arthritis or have had recent treatments that could affect your thumb, you may not be eligible. If you join the trial, you can expect to engage in specific exercises over a set period, and you’ll be closely monitored to assess how well the training helps your symptoms. The study is currently looking for participants, and all genders are welcome to join.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients having history of pain, tenderness in thumb region from 3 weeks or more
• • Age 21-50
• • Both genders
• • Individuals meeting the diagnostic criteria i.e.
• • A score of 3 or more out of 7 on De Quervain screening tool.
• • Positive Wrist hyperflexion and abduction of thumb (WHAT) test
• • Positive Finkelstein's / Eichhoff's test
• Exclusion criteria:
• • Diagnosed cases of Osteoarthritis of 1st CMC joint and Rheumatoid arthritis
• • C6 cervical radiculopathy
• • Any systemic inflammatory condition like septic arthritis
• • Carpal Tunnel Syndrome
• • Complex regional pain syndrome
• • Previous surgery impacting the first extensor compartment of the wrist
• • Corticosteroid injection in the radial wrist region within 3 months of enrolment into the study
• • If patient had undergone isometric thumb exercises or any strengthening protocol lasting greater than 2 weeks for the management of their current episode of de Quervain's syndrome