An interventional study of Focused Extracorporeal Shock Wave Therapy (ESWT) and physiotherapy in Trigger Finger and Stenosing Tenosynovitis, sponsored by Cheng-Hsin General Hospital. Withdrawn. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-25.
Sponsored by Cheng-Hsin General Hospital · Not applicable, Interventional, and Treatment
Trigger finger is the common name of stenosing tenosynovitis of fingers, caused by repetitive trauma. Conservative treatment includes NSAIDs or other analgesic agents, activity modification, splint, and physiotherapy. Operation could be considered if conservative treatments fails. With literature reviewed, there is no treatment which is both non-invasive and effective, and also could avoid recurrence well.
Extracorporeal shock wave therapy could induce angiogenesis, anti-inflammatory reaction, and recruitment of fibroblast. Although extracorporeal shock wave has been utilized in musculoskeletal diseases for more than twenty years, there is no well-designed clinical trial to prove the effectiveness of extracorporeal shock wave in treating trigger finger. The purpose of this study is to compare the effectiveness of extracorporeal shock wave therapy with traditional physical therapy for the management of trigger finger.
93 studies on the registry are indexed under Trigger Finger Disorder; 22 are open to participants now.
Browse Trigger Finger Disorder studies →Cheng-Hsin General Hospital is the lead sponsor of 23 studies on the registry; 7 are open to participants now.
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Exclusion Criteria:
2000 impulses of 5 Hz and 0.32 mJ/mm2 , twice per week for 3 weeks
Device: Focused Extracorporeal Shock Wave Therapy (ESWT)
therapeutic ultrasound, 12 times in 3 weeks
Device: physiotherapy
2000 impulses of 5 Hz and 0.32 mJ/mm2 , twice per week for 3 weeks
therapeutic ultrasound, 12 times in 3 weeks
Quinnell stages of triggering
Quinnell stages of triggering classifies the trigger finger using five types during flexion and extension: normal movement (Type 0), uneven movement (Type I), actively correctable (Type II), passively correctable (Type III) and fixed deformity (Type IV).
Time frame: 15 weeks
11-point numeric scale of pain
The 11-point numeric scale of pain requires the patient to rate their pain on a defined scale. 0 is no pain and 10 is the worst pain imaginable.
Time frame: 15 weeks
Chinese quick DASH (disabilities of the Arm, Shoulder, and Hand questionnaire)
This questionnaire is a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The investigators chose the first two components: the disability and symptom section (11 items, scored 1-5). The lower score means better condition of upper limbs, and vice versa.
Time frame: 15 weeks
strength of hand grip
The strength of hand grip is to measure the maximum isometric strength of the hand and forearm muscles by a electicial grip strength device.
Time frame: 15 weeks
sonographic image
The investigators would record the characteristics of acquired sonographic images, such like the thickness of finger flexor tendon and A1 pulley, the presence of tendon sheath effusion, and the presence of increased vascularity by Doppler images.
Time frame: 15 weeks
No study locations are listed for this record.
Start is estimated for May 2021; primary completion for Dec 2021, 7 months later.
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This study is withdrawn, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.
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Cheng-Hsin General Hospital