Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease

A systematic review and meta-analysis

Rocco Cavaleri, Siobhan M Schabrun, Maxine Te, Lucy S Chipchase

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

STUDY DESIGN: Systematic review with meta-analysis.

INTRODUCTION: Although corticosteroid injections are often cited as best practice in the treatment of de Quervain's disease, no reviews have compared their effectiveness to a multimodal definition of hand therapy.

PURPOSE: To compare the effectiveness of corticosteroid injections with that of i) hand therapy alone and ii) combined hand therapy/corticosteroid injection approaches in the treatment of de Quervain's disease.

METHODS: Searches of key databases were performed to identify experimental studies published between January 1950 and November 2014. Outcome measures included treatment success, pain, quality of life, and function.

RESULTS: Both corticosteroid injections and hand therapy improved pain and function from baseline, but between-group differences were not significant (across 6 studies). However, significantly more participants were treated successfully when combined orthosis/corticosteroid injection approaches were compared to i) orthoses (RR 0.53, 95% CI 0.35-0.80) and ii) injections alone (RR 0.76, 95% CI 0.64-0.89).

CONCLUSION: Combined orthosis/corticosteroid injection approaches are more effective than either intervention alone in the treatment of de Quervain's disease.

LEVEL OF EVIDENCE: 1a.

Original languageEnglish
Pages (from-to)3-11
Number of pages9
JournalJournal of Hand Therapy
Volume29
Issue number1
Early online date27 Dec 2015
DOIs
Publication statusPublished - Jan 2016
Externally publishedYes

Fingerprint

De Quervain Disease
Meta-Analysis
Adrenal Cortex Hormones
Hand
Injections
Orthotic Devices
Therapeutics
Pain
Practice Guidelines
Quality of Life
Outcome Assessment (Health Care)
Databases

Cite this

Cavaleri, Rocco ; Schabrun, Siobhan M ; Te, Maxine ; Chipchase, Lucy S. / Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease : A systematic review and meta-analysis. In: Journal of Hand Therapy. 2016 ; Vol. 29, No. 1. pp. 3-11.
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abstract = "STUDY DESIGN: Systematic review with meta-analysis.INTRODUCTION: Although corticosteroid injections are often cited as best practice in the treatment of de Quervain's disease, no reviews have compared their effectiveness to a multimodal definition of hand therapy.PURPOSE: To compare the effectiveness of corticosteroid injections with that of i) hand therapy alone and ii) combined hand therapy/corticosteroid injection approaches in the treatment of de Quervain's disease.METHODS: Searches of key databases were performed to identify experimental studies published between January 1950 and November 2014. Outcome measures included treatment success, pain, quality of life, and function.RESULTS: Both corticosteroid injections and hand therapy improved pain and function from baseline, but between-group differences were not significant (across 6 studies). However, significantly more participants were treated successfully when combined orthosis/corticosteroid injection approaches were compared to i) orthoses (RR 0.53, 95{\%} CI 0.35-0.80) and ii) injections alone (RR 0.76, 95{\%} CI 0.64-0.89).CONCLUSION: Combined orthosis/corticosteroid injection approaches are more effective than either intervention alone in the treatment of de Quervain's disease.LEVEL OF EVIDENCE: 1a.",
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Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease : A systematic review and meta-analysis. / Cavaleri, Rocco; Schabrun, Siobhan M; Te, Maxine; Chipchase, Lucy S.

In: Journal of Hand Therapy, Vol. 29, No. 1, 01.2016, p. 3-11.

Research output: Contribution to journalArticle

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T1 - Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease

T2 - A systematic review and meta-analysis

AU - Cavaleri, Rocco

AU - Schabrun, Siobhan M

AU - Te, Maxine

AU - Chipchase, Lucy S

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N2 - STUDY DESIGN: Systematic review with meta-analysis.INTRODUCTION: Although corticosteroid injections are often cited as best practice in the treatment of de Quervain's disease, no reviews have compared their effectiveness to a multimodal definition of hand therapy.PURPOSE: To compare the effectiveness of corticosteroid injections with that of i) hand therapy alone and ii) combined hand therapy/corticosteroid injection approaches in the treatment of de Quervain's disease.METHODS: Searches of key databases were performed to identify experimental studies published between January 1950 and November 2014. Outcome measures included treatment success, pain, quality of life, and function.RESULTS: Both corticosteroid injections and hand therapy improved pain and function from baseline, but between-group differences were not significant (across 6 studies). However, significantly more participants were treated successfully when combined orthosis/corticosteroid injection approaches were compared to i) orthoses (RR 0.53, 95% CI 0.35-0.80) and ii) injections alone (RR 0.76, 95% CI 0.64-0.89).CONCLUSION: Combined orthosis/corticosteroid injection approaches are more effective than either intervention alone in the treatment of de Quervain's disease.LEVEL OF EVIDENCE: 1a.

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