DOI: 10.36347/sjams.2020.v08i10.023

Pages: 2337-2342

Background: de Quervain's disease has been described as an entrapment of the extensor pollicis brevis and abductor pollicis longus tendons in the first dorsal compartment of the wrist is a common cause of wrist and hand pain. Treatment of the disease consist of pharmacological & non-pharmacological. The non-Pharmacological includes immobilization, therapeutic heat and cold, electrical nerve stimulator, thumb stabilizer splint, postural correction at work and the adjustment of tools and equipment. The medication included non-steroidal Anti-inflammatory Drugs (NSAIDs) and analgesic, an injection of a steroid mixed with xylocaine into tendon sheaths. Objective: Main goal of this study is to evaluate the effect of Thumb spica splint in the management of de Quervain disease. Methods: This randomized clinical trial was performed in the Department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, over a period of six months. Study population were the patients of de Quervain’s disease attending the out- patient department of Physical Medicine and Rehabilitation during the study period. Meticulous history taking, clinical examination and relevant investigations were done. Samples was selected by consecutive sampling from the population who are eligible as per inclusion and exclusion criteria from a definite date till desired sample size is reached and eligible participants were allocated into two groups, group A-experimental or interventional group and group B-control group by randomization with the help of lottery. Experimental group was managed by activities of daily living (ADLs) instructions, non-steroidal anti-inflammatory agents (NSAIDs), ultrasound therapy (UST), along with Thumb spica splint. Control group received previous management except Thumb spica splint. Here Tynor brand Thumb spica splint was advised to use to all patient in experimental group, same analgesic drugs Tab. Naproxen 250mg two times daily after meal was given to all....