De Quervain's Tenosynovitis and Phonophoresis: A Randomised Controlled Trial in Pregnant Females: De Quervain腱鞘炎和超聲透入療法：一項在懷孕的女性的隨機對照試驗

BackgroundDe 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.MethodsIn 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.ResultsThere was a statistically significant improvement in the intervention group compared to the control group in grip and pinch strength, and pain reduction.ConclusionKetoprofen 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.

中 文 摘 要背景：De Quervain腱鞘炎是在孕婦和產後婦女引起手腕疼痛的常見原因。這項研究提供了在懷孕期間利用透入療法醫治de Quervain腱鞘炎的客觀證據。方法：單盲隨機對照試驗（n = 50）。介入組病人接受酮洛芬 (ketoprofen)透入療法，而對照組病人則接受普通超聲波。兩組均接受拇指夾板固定和受指導進行伸展運動一個月。症狀和功能改善評估依據視覺疼痛分數，握力，指尖夾力，鑰匙夾力和手掌捏尺度。結果：介入組在握力，夾力和疼痛分數上，比對照組有統計學上顯著的改善。結論：酮洛芬透入療法配合拇指夾板固定和受指導進行的伸展運動，是一種安全，有效治療懷孕期間de Quervain 腱鞘炎的方法。酮洛芬透入療法在減少疼痛，消炎和改善功能方面，增強了超聲波的治療果效。