De-Quervain’s Tenosinovitli Hastalarda Düşük Düzeyli Laser Tedavisinin Etkisi

Abstract

The aim of the present study was to assess the efficacy of low level laser therapy (LLLT) combined with thumb support wirst splint in patients with de Quervain's tenosynovitis and to investigate whether the thumb support wirst splint combined with LLLT is superior to splint-alone. Thirty-five female patients with a positive Finkelstein test and radial styloid tenderness were included in this study. Patients were divided two group. Patients in group 1(n=18) were applied LLLT combined thumb support wirst splint and patients in group 2 (n=17) wore thumb support wirst splint-only. Patients were instructed to use one splint full time for a period of 3 weeks. LLLT was applied five times a week, for a total of 15 sessions. Visual analog scale (VAS), grip-strength, and global improvement as reported on a verbal scale (VSGI) were used for evaluations. Clinical evaluations were performed at baseline and at the end of the treatment. Before the treatment, clinical parameters were similar between the treatment groups. Posttreatment VAS significantly improved in both groups compared to the pretreatment values (group 1; p<0.001, group 2; p=0.016). Grip strength and VSGI only improved in group 1 after treatment (p=0.020, p<0.001). There was no posttreatment difference in any parameter when the groups were compared with each other (p> 0.05). As a result of this study, it is found that there is no difference between groups in the treatment of De Quervain's tenosynovitis. It has been thought that both treatment methods provide symptomatic relief.

Efektivitas Pemberian Intervensi Fisioterapi pada Kasus De Quervain's Tenosynovitis

“…So that in DQT conditions, the signs and symptoms that arise, such as pain and swelling, can be reduced after the application of functional LLLT in the patient's hand increases. 15,16 Providing other modalities in the form of extracorporeal shock wave therapy can also be applied to DQT conditions. Haghighat et al's 2020 study used extracorporeal shock wave therapy on DQT patients and proved that giving this intervention can reduce pain.…”

“…13 The prevalence of DQT is estimated to be around 0.5% in males and 1.3% in females. 14,15 The highest prevalence occurs in the age group of 30 to 55 years and most often occurs in the female sex, presumably because women have a large radius styloid process angle. 16 Diagnosis of DQT can be made based on clinical manifestations and test results, such as the Finkelstein test.…”

“…16 Different physiotherapy interventions can be applied to DQT cases, such as ultrasound therapy modalities, low-level laser therapy, extracorporeal shock wave therapy, splinting, Kinesio Taping (KT), and various types of exercise. 8,9,15,16 However, of the many physiotherapeutic interventions, the evidence to support the effectiveness of these interventions is still limited, so in this research journal, researchers would like to review further the effectiveness of providing physiotherapy interventions in the case of DQT.…”