Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Introduction: De Quervain's disease is described as painful stenosing tenosynovitis of the first dorsal compartment of the hand. Purpose: was to clarify the effect of eccentric exercise in treatment of De Quervain{u2019}s disease on decreasing pain severity, functional disability and improving grip and pinch strength. Subjects: Thirty female patients diagnosed as De Quervian{u2019}s tenosynovitis, their age ranged from (25-45) years old, duration of illness ranged from 3 to 6 months, participated in this study. Methodology: Subjects were randomly distributed into two equal experimental groups. Each patient was treated for 12 sessions each other day for a total period of 4 weeks. Patients in the first experimental group received phonophoresis, while patients in the second experimental group received a combined program of phonophoresis identical to those applied to the first experimental group in addition to eccentric exercises. Visual analogue scale (VAS) was used to assess pain severity, The disability of arm, shoulder and hand outcome questionnaire (DASH) was used to assess hand functions. Jamar dynamometer and pinch gauge were used to assess hand grip and pinch strength. Results: Patients of both groups showed significant improvement in all the measured variables. In between group difference the second group showed a significant improvement than the first group in all the measured variables

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