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Research ArticleOriginal Article
Open Access

Comparing the long-term effect of extracorporeal shockwave therapy and therapeutic ultrasound in treating trigger finger

A prospective cohort study

Reem M. Alfaifi, Alaa A. Juraybi, Abdulrahman M. Alrashed, Abdullah M. Alghidani and Hana M. Alfaifi
Saudi Medical Journal January 2025, 46 (1) 36-42; DOI: https://doi.org/10.15537/smj.2025.46.1.20240612
Reem M. Alfaifi
From the Physiotherapy Department (R. Alfaifi, Juraybi, Alrashed, Alghidani) Al-Rass General Hospital, Al-Rass; from the Neurosurgery Department (H. Alfaifi), Abha Maternity and Child Hospital, Abha, Kingdom of Saudi Arabia.
PT, MSc
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  • ORCID record for Reem M. Alfaifi
  • For correspondence: [email protected]
Alaa A. Juraybi
From the Physiotherapy Department (R. Alfaifi, Juraybi, Alrashed, Alghidani) Al-Rass General Hospital, Al-Rass; from the Neurosurgery Department (H. Alfaifi), Abha Maternity and Child Hospital, Abha, Kingdom of Saudi Arabia.
PT
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Abdulrahman M. Alrashed
From the Physiotherapy Department (R. Alfaifi, Juraybi, Alrashed, Alghidani) Al-Rass General Hospital, Al-Rass; from the Neurosurgery Department (H. Alfaifi), Abha Maternity and Child Hospital, Abha, Kingdom of Saudi Arabia.
PT
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Abdullah M. Alghidani
From the Physiotherapy Department (R. Alfaifi, Juraybi, Alrashed, Alghidani) Al-Rass General Hospital, Al-Rass; from the Neurosurgery Department (H. Alfaifi), Abha Maternity and Child Hospital, Abha, Kingdom of Saudi Arabia.
PT
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Hana M. Alfaifi
From the Physiotherapy Department (R. Alfaifi, Juraybi, Alrashed, Alghidani) Al-Rass General Hospital, Al-Rass; from the Neurosurgery Department (H. Alfaifi), Abha Maternity and Child Hospital, Abha, Kingdom of Saudi Arabia.
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  • Article
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - The figure illustrates the treatment techniques provided with parameters as following: A) Extracorporeal shockwave therapyparameter: 2,500 impulses, 1.4 bar, 10Hz, head diameter 2cm. B) Ultrasound parameter: 1.0MHz, 70% duty cycle. 6 min., head diameter 3.5 cm. C,D) The treatment posture: patients sitting with their elbow flexed 90 degrees, shoulder adducted beside their body and forearm in supination.

  • Figure 2
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    Figure 2

    - CONSORT flow diagram for extracorporeal shockwave therapy and ultrasound groups.

Tables

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    • View popup
    Table 1

    - Descriptive analysis of demographic and baseline characteristics for the extracorporeal shockwave therapy and ultrasound groups.

    VariablesShockwave therapy
    n=13
    mean±SD
    Ultrasound therapy
    n=11
    mean±SD
    P-value
    Gender1.07±.071±.000.36
    Female, n=23n=12n=11
    Male, n=1n=1n=0
    Age49.46±5.957.6±10.40.081
    Disease2.3±.852.09±.90.21
    Diabetes mellitus, n=7n=3n=4
    Hypertention, n=5n=3n=2
    None, n=12n=7n=5
    Pain severity8.23±1.167.27±1.20.38
    Finger2.5±1.32.1±1.160.13
    Thumbn=5n=4
    Indexn=0n=3
    Middlen=5n=2
    Ringn=2n=2
    Smalln=1n=0
    MP joints ROM46±23.863.7±9.460.28
    IP joints ROM23±18.536.2±26.20.15
    PIP joints ROM70.6±16.368.5±15.70.24
    DIP joints ROM9.38±8.725±11.10.28
    Hand strength12.1±7.29.4±4.10.3
    Quick-DASH75.1±25.168.38±23.60.10

    Standard division, MP: Metacarpophalangeal joints, IP: Interphalangeal joints, PIP: Proximal interphalangeal joints, DIP: Distal interphalangeal joints. ROM: range of motion

      • View popup
      Table 2

      - Comparison of pretreatment and posttreatment of the shockwave group.

      VariablesPretreatment
      mean±SD
      Aftre 5 session
      mean±SD
      95%CIP-valueAfter 10session
      mean±SD
      95%CIP-value
      Pain severity8.2±1.166.5±2.7.6,2.7.0043.6±2.52.1,5.2<0.001
      MP joints ROM46±23.878±12.1-61.3,-2.6.039-43±28.8-78.8,-7.10.02
      IPjoinits ROM23±1854±26.7-80.9,18.9.16-30±38-77.2,17.20.15
      PIP joinits ROM70.6±16.388.1±18.5-38.5,3.5.09-28.7±27.9-52.1,-5.30.023
      DIP joinits ROM9.3±8.730.6±21.9-40.,-2.4.03-26.8±26.2-48.8,-4.90.023
      Hand strength12.1±7.213.7±6.8-2.9,-.12.03-2.3±2.5-3.8,-.80.005
      Quick-DASH75.1±25.177.7±21.2-8.9,3.7.3810.6±20.6-1.8,23.10.04

      SD: Standard division, MP: Metacarpophalangeal joints, IP: Interphalangeal joints, PIP: Proximal interphalangeal joints, DIP: Distal interphalangeal joints

        • View popup
        Table 3

        - Comparison of pretreatment and posttreatment of the ultrasound therapy group.

        VariablesPretreatment
        mean±SD
        Aftre 5 session
        mean±SD
        95%CIP-valueAfter 10 session
        mean±SD
        95%CIP-value
        Pain severity7.2±1.25.7±2.2.15,2.90.032.8±2.41.17,4.40.003
        MP joints ROM63.7±9.478.7±8.5-42.5,12.50.18.7±29.2-45.7,47.20.9
        IP joinits ROM36.2±26.252.5±27.8-37.1,4.60.09-12.5±5-20.4,-4.50.015
        PIP joinits ROM68.5±15.787.8±20.9-38.8,.220.05-30±16.8-45,-140.003
        DIP joinits ROM25±1132.1±12.8-10.7,-3.50.003-8.5±6.2-14.3,-2.70.011
        Hand strength9.4±4.111.6±4.8-4.7,.310.08-2.8±3.5-5.2,-.450.024
        Quick-DASH21±23.647.3±26.911.1,30.90.00132±2415.8,48.10.001

        SD: Standard division, MP: Metacarpophalangeal joints, IP: Interphalangeal joints, PIP: Proximal interphalangeal joints, DIP: Distal interphalangeal joints

          • View popup
          Table 4

          - Comparison of pretreatment, posttreatment, and 2-month measurements of the therapeutic group.

          VariablesPretreatment
          mean±SD
          Aftre 5 session
          mean±SD
          95%CIP-valueAfter 10 session
          mean±SD
          95%CIP-value95%CIP-value
          Pain severity0.81±1.040.44-1.3,2.90.08±1.2-2.4,2.50.94-2.9±.76-4.6,-1.2.001
          MP joints ROM-0.75±14.20.95-34.3,32.826±18.6-18,700.238.5±16.1.37,76.60.04
          IP joinits ROM1.5±18.20.93-41.7,44.74.2±18.3-39.1,47.60.828.5±14.7-6.4,63.40.09
          PIP joinits ROM0.26±10.190.97-21.7,22.2.8±9.8-20.4,220.9310.7±8-6.7,28.10.2
          DIP join its ROM-1.5±9.40.8-22,18.92.6±11.1-21.3,26.70.812.5±8.3-5.4,30.40.15
          Hand strength2±2.40.4-3.1,7.12.2±2.2-2.5,6.90.36.1±2.11.5,10.60.01
          Quick-DASH30.4±9.80.00510.1,50.828.1±11.24.3,51,90.02-1.8±8-18.9,15.20.81

          SD: Standard division, MP: Metacarpophalangeal joints, IP: Interphalangeal joints, PIP:Proximal interphalangeal joints, DIP: Distal interphalangeal joints

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          Comparing the long-term effect of extracorporeal shockwave therapy and therapeutic ultrasound in treating trigger finger
          Reem M. Alfaifi, Alaa A. Juraybi, Abdulrahman M. Alrashed, Abdullah M. Alghidani, Hana M. Alfaifi
          Saudi Medical Journal Jan 2025, 46 (1) 36-42; DOI: 10.15537/smj.2025.46.1.20240612

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          Comparing the long-term effect of extracorporeal shockwave therapy and therapeutic ultrasound in treating trigger finger
          Reem M. Alfaifi, Alaa A. Juraybi, Abdulrahman M. Alrashed, Abdullah M. Alghidani, Hana M. Alfaifi
          Saudi Medical Journal Jan 2025, 46 (1) 36-42; DOI: 10.15537/smj.2025.46.1.20240612
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          Keywords

          • trigger finger
          • shockwave
          • extracorporeal shockwave
          • ESWT
          • US
          • therapeutic

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