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01.12.2023 | Original Article

Effectiveness of high-intensity laser application combined with splinting and therapeutic exercise in subacute de Quervain’s tenosynovitis: A pilot study

verfasst von: Tanach Chongkriengkrai, Nantawan Koonalinthip, Hathaya Jongprasitkul, Apatchanee Piriyajarukul, Tuangtip Surarangsit, Jariya Boonhong

Erschienen in: Lasers in Medical Science | Ausgabe 1/2023

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Abstract

The purpose of this study is to determine the additional effect of high-intensity laser therapy (HILT) when combined with therapeutic exercise and splinting in the treatment of patients diagnosed with de Quervain’s tenosynovitis. Nineteen patients diagnosed with de Quervain’s tenosynovitis were randomly divided into two groups: the HILT group and the sham HILT group. A total of 9 HILT or sham HILT sessions were administered, with 3 sessions per week for 3 consecutive weeks. Both groups received the thumb spica splint and therapeutic exercise. A comparison was conducted between the two groups, as well as pre- and post-treatment, focusing on the following outcomes: Visual Analog Scale (VAS) for pain, hand grip strength, and Thai version of Patient-Rated Wrist and Hand Evaluation (PRWHE-Thai) as a disability score. No significant differences were found between the HILT group and the sham group across all evaluated outcomes. However, when examining changes within each group over time, both the HILT and sham groups showed significant reductions in pain and improvements in disability score at the follow-up assessments compared to baseline. On the other hand, no statistically significant differences were observed in grip strength outcomes at any of the measured time points. The combination of HILT with a splint and exercise demonstrates effectiveness as a method for pain management and functional improvement in patients with subacute de Quervain’s tenosynovitis. It is important to note that HILT does not offer any additional advantages when compared to the combined use of a splint and exercise.

Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C (2004) Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 51(4):642–651. https://doi.org/10.1002/art.20535CrossRefPubMed

Ranney D, Wells R, Moore A (1995) Upper limb musculoskeletal disorders in highly repetitive industries: precise anatomical physical findings. Ergonomics 38(7):1408–1423. https://doi.org/10.1080/00140139508925198CrossRefPubMed

Abi-Rafeh J, Kazan R, Safran T, Thibaudeau S (2020) Conservative management of de Quervain stenosing tenosynovitis: review and presentation of treatment algorithm. Plast Reconstr Surg 146(1):105–126. https://doi.org/10.1097/prs.0000000000006901CrossRefPubMed

Goel R, Abzug JM (2015) de Quervain’s tenosynovitis: a review of the rehabilitative options. Hand (N Y) 10(1):1–5. https://doi.org/10.1007/s11552-014-9649-3CrossRefPubMed

Dompe C, Moncrieff L, Matys J, Grzech-Leśniak K, Kocherova I, Bryja A et al (2020) Photobiomodulation-underlying mechanism and clinical applications. J Clin Med 9(6). https://doi.org/10.3390/jcm9061724

Mansouri V, Arjmand B, Rezaei Tavirani M, Razzaghi M, Rostami-Nejad M, Hamdieh M (2020) Evaluation of efficacy of low-level laser therapy. J Lasers Med Sci 11(4):369–380. https://doi.org/10.34172/jlms.2020.60CrossRefPubMedPubMedCentral

Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G (2020) Physical modalities for the conservative treatment of wrist and hand’s tenosynovitis: a systematic review. Semin Arthritis Rheum 50(6):1280–1290. https://doi.org/10.1016/j.semarthrit.2020.08.006CrossRefPubMed

Sharma R, Aggarwal AN, Bhatt S, Kumar S, Bhargava S (2015) Outcome of low level lasers versus ultrasonic therapy in de Quervain’s tenosynovitis. Indian J Orthop 49:542–548CrossRefPubMedPubMedCentral

Sharma R, Thukral A, Kumar S, Bhargava SK (2002) Effect of low level lasers in de Quervains tenosynovitis: prospective study with ultrasonographic assessment. Physiotherapy 88(12):730–734. https://doi.org/10.1016/S0031-9406(05)60716-XCrossRef

10.

Song HJ, Seo HJ, Lee Y, Kim SK (2018) Effectiveness of high-intensity laser therapy in the treatment of musculoskeletal disorders: a systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 97(51):e13126. https://doi.org/10.1097/md.0000000000013126CrossRefPubMed

11.

Starzec-Proserpio M, Grigol Bardin M, Fradette J, Tu LM, Bérubè-Lauzière Y, Paré J et al (2022) High-intensity laser therapy (HILT) as an emerging treatment for vulvodynia and chronic musculoskeletal pain disorders: a systematic review of treatment efficacy. J Clin Med 11(13). https://doi.org/10.3390/jcm11133701

12.

Arroyo-Fernández R, Aceituno-Gómez J, Serrano-Muñoz D, Avendaño-Coy J (2023) High-intensity laser therapy for musculoskeletal disorders: a systematic review and meta-analysis of randomized clinical trials. Journal of clinical medicine 12(4). https://doi.org/10.3390/jcm12041479

13.

McCormack HM, de Horne DJL, Sheather S (2009) Clinical applications of visual analogue scales: a critical review. Psychol Med 18(4):1007–19. https://doi.org/10.1017/S0033291700009934CrossRef

14.

Welchek CM, Mastrangelo L, Sinatra RS, Martinez R (2009) Qualitative and quantitative assessment of pain. In: Ginsberg B, Viscusi ER, de Leon-Cassasola OA, Sinatra RS (eds) Acute pain management. Cambridge University Press, Cambridge, pp 147–171CrossRef

15.

Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C et al (2011) A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing 40(4):423–429. https://doi.org/10.1093/ageing/afr051CrossRefPubMed

16.

Atthakomol P, Manosroi W, Mongkonkamthon A, Buranaworathitikul P, Wongcharoen W, Tongprasert S et al (2021) Cross-cultural adaptation, construct validity, reliability, and responsiveness of the Thai version of the Patient-Rated Wrist/Hand Evaluation (Thai PRWHE). Qual Life Res 30(6):1793–1802. https://doi.org/10.1007/s11136-021-02760-1CrossRefPubMed

17.

Dundar U, Turkmen U, Toktas H, Ulasli AM, Solak O (2015) Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers Med Sci 30(3):1097–1107. https://doi.org/10.1007/s10103-015-1716-7CrossRefPubMed

18.

Farrar JT, Portenoy RK, Berlin JA, Kinman JL, Strom BL (2000) Defining the clinically important difference in pain outcome measures. Pain 88(3):287–294. https://doi.org/10.1016/s0304-3959(00)00339-0CrossRefPubMed

19.

Dundar Ahi E, Sirzai H (2023) Short-term effectiveness of high-intensity Laser therapy in de Quervain tenosynovitis: a prospective, randomized, controlled Study. Medeniyet Med J 38(1):24–31. https://doi.org/10.4274/MMJ.galenos.2023.67279CrossRef

20.

Ezzati K, Laakso EL, Salari A, Hasannejad A, Fekrazad R, Aris A (2020) The beneficial effects of high-intensity laser therapy and co-interventions on musculoskeletal pain management: a systematic review. J Lasers Med Sci 11(1):81–90. https://doi.org/10.15171/jlms.2020.14CrossRefPubMedPubMedCentral

21.

Huisstede BM, Coert JH, Fridén J, Hoogvliet P (2014) Consensus on a multidisciplinary treatment guideline for de Quervain disease: results from the European HANDGUIDE study. Phys Ther 94(8):1095–1110. https://doi.org/10.2522/ptj.20130069CrossRefPubMed

Titel: Effectiveness of high-intensity laser application combined with splinting and therapeutic exercise in subacute de Quervain’s tenosynovitis: A pilot study
verfasst von: Tanach Chongkriengkrai
Nantawan Koonalinthip
Hathaya Jongprasitkul
Apatchanee Piriyajarukul
Tuangtip Surarangsit
Jariya Boonhong
Publikationsdatum: 01.12.2023
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 1/2023
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-023-03892-1

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Effectiveness of high-intensity laser application combined with splinting and therapeutic exercise in subacute de Quervain’s tenosynovitis: A pilot study

Abstract

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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