title: Physiotherapy Management of People Diagnosed with de Quervain's Disease: A Case Series.
abstract: Purpose : To report the outcomes of a physiotherapy management approach for de Quervain's disease (DQD), a common hand disorder for which evidence for physiotherapy management is lacking, in 4 consecutive patients with DQD. Methods : Participants underwent a median of eight treatment sessions, consisting of mobilizations with movement, eccentric muscle training, and high-voltage electrical stimulation. Outcomes were assessed with an 11-point numeric pain rating scale (NPRS; range 1-10) and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH; range 0%-100%). Result s: Median NPRS and DASH scores decreased from a baseline of 5 and 48, respectively, to 2.8 and 19 after treatment; at 6-month follow-up, all participants reported minimal pain and disability, but one participant required a corticosteroid injection shortly after discharge from physiotherapy. Conclusions : Overall outcome was considered successful for three of four patients, comparable to the success rate previously reported for corticosteroid injections. A randomized clinical trial evaluating the efficacy of this intervention seems warranted.
authors.affiliation: Department of Physiotherapy, Ariel University.
authors.forename: Alon
authors.initials: A
authors.lastname: Rabin
authors.affiliation: Hadassah Medical Center, Jerusalem, Israel.
authors.forename: Tomer
authors.initials: T
authors.lastname: Israeli
authors.affiliation: Department of Physiotherapy, Ariel University.
authors.forename: Zvi
authors.initials: Z
authors.lastname: Kozol
keywords: de Quervain disease; eccentric exercises, manual therapy
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