NCT07484737

Combined Effects of MWM and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis

Combined Effects of Mulligan's Mobilization With Movement and Tendon Gliding Exercises in Smartphone Users With De Quervain's Tenosynovitis.

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 44 (estimated)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 18 Years – 25 Years
• Healthy volunteers: Not accepted

Summary

This randomized controlled trial aims to assesses the combined effects of MWM and tendon gliding exercises on hand function in smartphone users with De Quervain's Tenosynovitis, considering hand anthropometric variations.

Detailed description

De Quervain's Tenosynovitis (DQT) is a painful musculoskeletal condition characterized by inflammation of the abductor pollicis longus and extensor pollicis brevis tendons within the first dorsal compartment of the wrist. It is commonly associated with repetitive thumb and wrist movements, with smartphone overuse emerging as a significant contributing factor among young adults. Mulligan's Mobilization with Movement (MWM) has been shown to correct minor joint malalignments and reduce compressive forces on inflamed tendons, thereby improving wrist kinematics and reducing pain. Tendon gliding exercises enhance tendon excursion, minimize adhesions, and improve synovial fluid circulation, which supports recovery of thumb and wrist function. When combined, these interventions address both mechanical and functional impairments associated with DQT.

Conditions

• DeQuervain's Tenosynovitis

Interventions

Type	Name	Description
OTHER	MWM + Tendon Gliding Exercises	MWM: Radial glide of 1st MCP with active thumb extension (10 reps × 3 sets, progressed with resistance in weeks 3-4). 2- Tendon Gliding Exercises: Straight hand, hook fist, tabletop, full fist, straight fist (10 reps × 2 sets in weeks 1-2; 3 sets × 15 with resistance band in weeks 3-4).
OTHER	Conventional Treatment	1- Wrist ROM (flexion, extension, radial/ulnar deviation, pronation/supination). 2-Thumb ROM (abduction/adduction, flexion/extension, opposition/circumduction). 3-Isometric wrist/thumb strengthening. 4-Strengthening with soft ball, thumb abduction/adduction against resistance. 5-Postural and ergonomic education for smartphone usage

Timeline

• Start date: 2026-02-20
• Primary completion: 2026-05-01
• Completion: 2026-06-01
• First posted: 2026-03-20
• Last updated: 2026-03-27

Locations

1 site across 1 country: Pakistan