Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain's Disease: A case study

Kaneko, Shouta, Takasaki, Hiroshi and May, Stephen (2009) Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain's Disease: A case study. Journal of Hand Therapy, 22 3: 278-283. doi:10.1016/j.jht.2009.03.002


Author Kaneko, Shouta
Takasaki, Hiroshi
May, Stephen
Title Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain's Disease: A case study
Journal name Journal of Hand Therapy   Check publisher's open access policy
ISSN 0894-1130
1545-004X
Publication date 2009-07-01
Sub-type Article (original research)
DOI 10.1016/j.jht.2009.03.002
Open Access Status Not yet assessed
Volume 22
Issue 3
Start page 278
End page 283
Total pages 6
Place of publication Philadelphia, PA, United States
Publisher Hanley & Belfus
Language eng
Subject 2742 Rehabilitation
3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract Study Design: Single case report. Introduction: Mechanical diagnosis and therapy (MDT) is widely used in the management of both spinal disorders and extremity problems. However, there is no study that has introduced the application of this concept to hand therapy. Purpose of the study: To demonstrate the application of MDT to a patient with a thumb problem, which was diagnosed as de Quervain's disease. Methods: According to MDT principles, the thumb pain was assessed and treated. Results: Radio carpal joint distraction with thumb metaphalangeal flexion combined with wrist ulnar deviation was found as the directional preference, which abolished the thumb pain. After the repeated movements Finkelstein test and tenderness to pressure became negative. Conclusions: A patient apparently presenting with de Quervain's disease was classified as derangement syndrome using MDT. The pain was rapidly and successfully treated with self-management exercises. Level of Evidence: 4.
Formatted abstract
Study Design: Single case report.
Introduction: Mechanical diagnosis and therapy (MDT) is widely used in the management of both spinal disorders and extremity problems. However, there is no study that has introduced the application of this concept to hand therapy.
Purpose of the study: To demonstrate the application of MDT to a patient with a thumb problem, which was diagnosed as de Quervain's disease.
Methods: According to MDT principles, the thumb pain was assessed and treated.
Results: Radio carpal joint distraction with thumb metaphalangeal flexion combined with wrist ulnar deviation was found as the directional preference, which abolished the thumb pain. After the repeated movements Finkelstein test and tenderness to pressure became negative.
Conclusions: A patient apparently presenting with de Quervain's disease was classified as derangement syndrome using MDT. The pain was rapidly and successfully treated with self-management exercises.
Level of Evidence: 4
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes July-September 2009

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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Created: Thu, 03 Sep 2009, 17:42:23 EST by Mr Andrew Martlew on behalf of School of Health & Rehabilitation Sciences