This randomized controlled trial aims to assesses the combined effects of MWM and tendon gliding exercises on hand function in smartphone users with De Quervain's Tenosynovitis, considering hand anthropometric variations.
Patient diagnosed with De Quervain's Tenosynovitis (positive Finkelstein's test).
Patient having persistent thumb/wrist pain and functional difficulties for a duration of at-least 2 weeks.
Patient willing to participate and give informed consent.
Patient with history of trauma, fracture, or surgery in the affected wrist or thumb.
Patient with neurological disorder affecting the upper limb.
Patient with systemic conditions like rheumatoid arthritis or diabetes affecting tendon function.
Any other co-morbidity.
Parallel
MWM + Tendon Gliding Exercises
Other interventionMWM: Radial glide of 1st MCP with active thumb extension (10 reps × 3 sets, progressed with resistance in weeks 3-4). 2- Tendon Gliding Exercises: Straight hand, hook fist, tabletop, full fist, straight fist (10 reps × 2 sets in weeks 1-2; 3 sets × 15 with resistance band in weeks 3-4).
Conventional Treatment
Other intervention1- Wrist ROM (flexion, extension, radial/ulnar deviation, pronation/supination). 2-Thumb ROM (abduction/adduction, flexion/extension, opposition/circumduction). 3-Isometric wrist/thumb strengthening. 4-Strengthening with soft ball, thumb abduction/adduction against resistance. 5-Postural and ergonomic education for smartphone usage
Grip Strength Dynamometer
It is a valid and reliable tool used for measuring isometric hand grip strength. This objective tool will be used to assess hand muscular performance and functional status in patients with De Quervain's Tenosynovitis. The NOD digital dynamometer has been shown to provide consistent and reproducible readings. Reliability: 0.97 and Validity: 0.94.
Patient-Rated Wrist Evaluation (PRWE) Questionnaire
It is a valid and reliable patient-reported outcome measure for assessing wrist pain and functional disability. This tool will be used to evaluate wrist-related limitations in activities of daily living in DQT patients. It includes two subscales: pain and function, making it responsive to clinical changes. Reliability: 0.96 and Validity: 0.88.
Hand Anthropometry (Caliper & Measuring Tape)
These are reliable and valid tools used to measure various hand dimensions, including palm width, thumb length, and wrist circumference. These measurements help understand the influence of hand morphology on grip strength and functional ability in smartphone users with DQT. Reliability: 0.88 and Validity: 0.71.
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