Comparative effects of Mobilization with movement and oscillatory mobilization on De Quervain's tendinopathy

To Compare the effects of Mobilization with movement and oscillatory mobilization on pain, range of motion and disability among patients with De Quervain's tendinopathy

The design of this study is Randomized, parallel Clinical Trial. Randomization is done by lottery method. In this method, the researcher gives each participant of the trial a number. Researchers draw numbers from the box randomly to allocate participants in two groups

The eligible participants for physiotherapy referring to the Arif Memorial Hospital in Lahore city during the study period will be enrolled in the trial and will be randomly assigned to the intervention groups through the randomization. This trial will be single-blinded so that outcome accessor will not be aware of the allocation of participants.

inclusion criteria: The participants with Age 20 to 45 , who experienced pain at the wrist, over the extensor pollicis brevis and abductor pollicis longus tendons were considered positive for tenosynovitis are included and they should have positive Finkelstein test as it is used to define De Quervain. Exclusion Criteria: The participant with Radial-side wrist pain due to carpometacarpal arthritis and Fracture of the wrist, wrist operation and whose hand is immobilized are excluded.

Intervention Group A: Baseline treatment of ultrasound in continuous mode with frequency of 3 MHz and intensity of 0.1 to 1.5 W/cm2 and then Manual therapy (mobilization with movement) will be performed 3 sessions per week for 2 weeks. Intervention Group B: Baseline treatment of ultrasound as group A and then Manual therapy (oscillatory Mobilization) will be performed 3 sessions per week for 2 weeks.

Pain, Range of motion, Disability

Randomization is done by lottery method. In this method, each participant of the trial is assigned a unique number. In the next step these numbers are written on separate cards which are physically similar in shape, size, color etc. 35 cards were used. Then they are placed in a basket and thoroughly mixed. In the last step the slips are taken out randomly without looking at them and are placed into two sets randomly. Total of 28 cards were taken out, 14 participants in each group.

The blinding is achieved by concealment in which the treatment allocation for each patient from the accessor. The accessor will only assess variable at pre and post intervention. This is done to avoid biasness.