Title: Effect of Eccentric Exercise in Treatment of De-Quervian's Disease
Authors: Lilian Albert Zaky, Nagy Ahmed Zaki Mostafa Sabet, Walaa Mohsen Mohamed
DOI: http://dx.doi.org/10.18535/jmscr/v4i5.12
Abstract
Objective: This study was carried to determine the effect of eccentric exercises in treatment of De Quervian’s disease
Methods: Thirty female patients diagnosed as De Quervian’s tenosynovitis was randomly distributed into two equal experimental groups. Each patient was treated for twelve sessions each other day for a total period of four weeks. Patients in the experimental group (A) received phonophoresis, while patients in the experimental group (B) received a combined program of phonophoresis identical to those applied to group (A) in addition to eccentric exercises then visual analogue scale (VAS) was used to assess pain severity. The disability of arm, shoulder and hand outcome questionnaire (DASH) was used to assess hand functions. Jamar’s dynamometer and pinch gauge were used to assess hand grip and pinch strength.
Results: Patients of both groups showed significant improvement in all the measured variables. In between group difference, the second group showed a significant improvement than the first group in all the measured variables.
Conclusion: Both of phonophoresis and the combination of phonophoresis with eccentric exercise were effective on decreasing pain severity, functional disability as well as improving grip and pinch strength. However, the combination of phonophoresis with eccentric exercise was more effective than phonophoresis alone in treatment of De Quervian’s disease.
Keywords: De Quervian’s disease, Phonophoresis, Eccentric exercises.
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