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De Quervain's tenosynovitis and phonophoresis: a randomised controlled trial in pregnant females
Hasan T, Fauzi M
Journal of Orthopaedics, Trauma and Rehabilitation 2015 Jun;19(1):2-6
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: De Quervain's tenosynovitis is a common cause of wrist pain in pregnant and postpartum females. This study provides objective evidence regarding the therapeutic efficacy of phonophoresis in treating de Quervain's disease during pregnancy. METHODS: In a single blind, randomised, controlled trial (n = 50), ketoprofen phonophoresis was given to the intervention group and conventional ultrasound (US) was given to controls, coupled with thumb splint immobilisation, and supervised strengthening and stretching exercises for 1 month. Symptomatic and functional improvement was assessed by visual pain analogue, grip, tip, key, and palmer pinch scales. RESULTS: There was a statistically significant improvement in the intervention group compared to the control group in grip and pinch strength, and pain reduction. CONCLUSION: Ketoprofen phonophoresis as an adjunct to supervised exercise and splint immobilisation is a safe and effective therapy for de Quervain's tenosynovitis during pregnancy. Phonophoresis augments the benefits of US in terms of reducing pain and inflammation, and improving functional strength.

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