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), 278-284.

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Link to published version:: 10.1016/j.jht.2009.03.002

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.

Item Type: Article
Research Institute, Centre or Group: Centre for Health and Social Care Research
Identification Number: 10.1016/j.jht.2009.03.002
Depositing User: Rebecca Jones
Date Deposited: 21 Feb 2012 15:46
Last Modified: 21 Feb 2012 15:46
URI: http://shura.shu.ac.uk/id/eprint/4479

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