Volume : VI, Issue : I, January - 2017
COMPARATIVE STUDY OF ULTRASOUND AND LASER THERAPY FOR TREATMENT OF STENOSING TENOSYNOVITIS
Dr Amit Kumar, Dr. Piyush Mittal, Dr. Gaurang Bhabhor
Abstract :
Background: de Quervain’s tenosynovitis is an inflammation of abductor pollicis longus (APL) and extensor pollicis evis (EPB)
muscle tendon sheaths at the level of radial styloid process. Its conservative management includes nonsteroidal anti?inflammatory
drugs, wrist and thumb immobilization, ultrasonic therapy (US Th.) and low level laser therapy (LLLT). Literature is scanty on
comparative efficacy of US Th. and LLLT for its management. This prospective study evaluates outcome of US Th. versus LLLT
in de Quervain’s disease.
Materials and Methods: Thirty patients clinically diagnosed de Quervains tenosynovitis were included in the study and randomly
assigned to two groups.The average age was 36 years (range: 21?45 years). One group was given LLLT and the other US Th. for
a total of 7 exposures on alternate days. The clinical criteria used were Finkelstein’s test, tenderness over radial styloid (Ritchie’s
tenderness scale), grip strength, pain (visual analog scale [VAS]) and radiological criteria was ultrasonographic assessment
of change in thickness of APL and EPB tendon sheath. They were measured before commencement and at the end of seven
sessions of therapy, as per standard procedure.
Results: Significant improvement was seen within both groups in the following outcome measures assessed: Ritchie’s tenderness
scale, grip strength and VAS. Finkelstein’s test was not significantly improved in either groups. Ultrasonographic measurement of
tendon sheath diameters, the mediolateral (ML), and anteroposterior (AP) diameters was not found to be significantly different in
the US Th. group and the laser therapy group after treatment. On compå both the groups, no statistically significant difference
was found. However, looking at the mean values, the grip strength and VAS showed better improvement in the US Th. group as
compared to the laser therapy group.
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DOI : 10.36106/ijsr
Cite This Article:
DR AMIT KUMAR, DR.PIYUSH MITTAL, DR.GAURANG BHABHOR, COMPARATIVE STUDY OF ULTRASOUND AND LASER THERAPY FOR TREATMENT OF STENOSING TENOSYNOVITIS, International Journal of Scientific Research, Volume : 6 | Issue : 1 | JANUARY 2017
Number of Downloads : 504
References :
DR AMIT KUMAR, DR.PIYUSH MITTAL, DR.GAURANG BHABHOR, COMPARATIVE STUDY OF ULTRASOUND AND LASER THERAPY FOR TREATMENT OF STENOSING TENOSYNOVITIS, International Journal of Scientific Research, Volume : 6 | Issue : 1 | JANUARY 2017
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