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:: https://doi.org/10.1016/j.jht.2009.03.002
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    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 - Does NOT include content added after October 2018: Centre for Health and Social Care Research
    Identification Number: https://doi.org/10.1016/j.jht.2009.03.002
    Page Range: 278-284
    Depositing User: Rebecca Jones
    Date Deposited: 21 Feb 2012 15:46
    Last Modified: 11 Oct 2018 08:21
    URI: http://shura.shu.ac.uk/id/eprint/4479

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