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Effect of Kinesio-taping With Routine Physical Therapy in Wrist Joint Hypermobility

7 de julio de 2026 actualizado por: University of Lahore

Routine Physical Therapy With and Without Kinesio Taping Among Patients With Wrist Joint Hypermobility

The study will be randomized controlled trial. This study will be conducted at the University of Lahore Teaching Hospital, Lahore, Pakistan. This will investigate the effects of routine physical therapy with and without Kinesio taping in patients with Wrist Joint Hypermobility. A sample size of 38 participants will be randomly assigned into two groups. Group A will receive routine physical therapy protocol, while Group B will receive the same protocol with additional Kinesio taping. The interventions will be delivered three times per week for 8 weeks. Clinical outcomes, including pain, range of motion, and functionality, will be assessed at baseline and after 8 weeks using standardized tools.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

Screening: All participants will be screened according to inclusion and exclusion criteria. Eligible individuals will provide written informed consent prior to participation.

Randomization & Allocation: Participants will be randomized into two groups using the lottery method.

Blinding: This will be a single-blind study in which the assessor will be blinded to group allocation.

Group A (Control): Participants will receive routine physical therapy treatment including Transcutaneous Electrical Nerve Stimulation (TENS), cryotherapy (if swelling), splinting recommendations, passive or active Range of Motion (ROM), strengthening, proprioceptive, dynamic and functional training exercises. Sessions will last 45 minutes, 3 times per week for 8 weeks.

Group B (Experimental): Participants will receive the same routine physical therapy protocol, plus Kinesio taping (Y-strip method) applied to the wrist joint. Each session will last 45 minutes, 3 times per week for 8 weeks.

Outcome Variables:

  1. Pain will be measured with the Numeric Pain Rating Scale (NPRS).
  2. Wrist Functionality with the Patient-Rated Wrist Evaluation (PRWE)
  3. Wrist range of motion with a universal Goniometer. Assessments will be done at baseline and after 8 weeks.

Tipo de estudio

Intervencionista

Inscripción (Actual)

38

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Pakistán
    • Punjab Province
      • Lahore, Punjab Province, Pakistán, 55150
        • University of Lahore Teaching Hospital

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Male and female participants
  • Aged 18 to 40 years.
  • Beighton score greater than or equal to 4 either less than 4 with positive family history of hypermobility
  • Intermittent or persistent wrist pain in one or both hands for more than 3 years.
  • Passive range of motion less than 50 degree in wrist extension

Exclusion Criteria:

  • Surgical history on wrist joint and upper limb in past 12 months.
  • Inflammatory and infectious joint diseases like rheumatoid arthritis, wrist OA.
  • Acute trauma or neurological conditions including radiculopathy, plexopathy, tunnel syndromes.
  • Current or past use of splints or pain-related medications.
  • Medication influencing joint mobility including corticosteroids, HRT, lipid-lowering drugs.
  • Pregnant women and those less than 1 year postpartum

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador activo: A - Control (Routine Physical Therapy)
Participants in this arm will receive the routine physical therapy protocol for wrist joint hypermobility. Treatment includes pain-modality management (Transcutaneous Electrical Nerve Stimulation (TENS) or cryotherapy depending on swelling), wrist joint passive and active range of motion exercises, strengthening exercises, proprioceptive training, dynamic strengthening, grip training, and task-specific functional exercises. A structured home-exercise plan is also provided.
Otro: Routine Physical Therapy Protocol for Wrist Joint

The routine physical therapy protocol includes:

Transcutaneous Electrical Nerve Stimulation (TENS): 10 minutes (80 Hz, pulse width 50-100 µs); avoided if swelling is present.

Cryotherapy: Used when swelling is present. Splinting: Static splints recommended for rest or night; dynamic splints for activity (as needed).

Passive & Active Range of Motion (ROM) Exercises: Flexion, extension, radial and ulnar deviation (3 sets of 7 repetitions).

Manual Resistance Strengthening: Flexion, extension, radial and ulnar deviation (3 sets of 10 repetitions).

Wrist Curls and Reverse Wrist Curls: 0.5-1 kg weight (3 sets of 7 repetitions). Proprioceptive Training: Wrist circles, tendon gliding (3 sets of 10 repetitions).

Dynamic Strengthening: Resistance band flexion and extension (3 sets of 12 repetitions).

Grip Strengthening: Soft ball/Thera putty (3 sets of 10 reps) Functional Training: Task-specific activities for 5 minutes. Frequency: 3 sessions per week for 8 weeks. Session Duration: 45 minutes

Otros nombres:
  • Intervention for Arm 1
Experimental: B - Experimental (Routine Physical Therapy with Kinesio Taping)
Participants in this arm will receive the same routine physical therapy protocol as Arm 1, with the addition of Kinesio taping applied to the wrist using a standardized "Y-strip" method. Kinesio tape is applied in the final 10 minutes of each session.
Dispositivo: Kinesio Taping (Y-strip Technique)

Kinesio taping will be applied in "Y" configuration using 5-cm elastic therapeutic tape.

Procedure:

  1. Tape Preparation:

    One base strip 10 cm Two tails 7-10 cm each

  2. Application:

    Base Anchor: Placed over the carpal region above the wrist crease. Radial Tail: Applied along forearm/wrist flexors toward the thumb side. Ulnar Tail: Applied along extensor surface toward the little-finger side.

  3. Aftercare:

Patient checks wrist movement for comfort. Tape should remain dry for one hour post-application.

Session details (combined):

45-minute sessions Heat pack or TENS for 10 minutes (if no swelling) ROM, strengthening, proprioception, dynamic training Tape applied in final 10 minutes Frequency: 3 sessions/week for 8 weeks A complete home-exercise program is also provided.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Numeric Pain Rating Scale (NPRS)
Periodo de tiempo: Baseline and at the end of 8 weeks
The Numeric Pain Rating Scale (NPRS) is an 11 point scale used to assess wrist pain intensity, ranging from 0 to 10, where 0 indicates no pain and 10 indicates worst imaginable pain. Higher scores indicate greater pain intensity.
Baseline and at the end of 8 weeks
Patient Rated Wrist Evaluation (PRWE)
Periodo de tiempo: Baseline and at the end of 8 weeks
The Patient Rated Wrist Evaluation (PRWE) questionnaire is a self reported questionnaire used to assess wrist pain and functional disability. The total score ranges from 0 to 100, with higher scores indicating greater pain and disability.
Baseline and at the end of 8 weeks
Wrist Range of Motion
Periodo de tiempo: Baseline and at the end of 8 weeks
Wrist range of motion will be measured using a universal goniometer in degrees for wrist flexion, extension, radial deviation, and ulnar deviation. Higher values indicate greater wrist mobility.
Baseline and at the end of 8 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

University of Lahore

Investigadores

  • Investigador principal: Hafiza Saliha Javed, MS-MSK, University of Lahore

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

30 de septiembre de 2025

Finalización primaria (Actual)

15 de mayo de 2026

Finalización del estudio (Actual)

15 de junio de 2026

Fechas de registro del estudio

Enviado por primera vez

13 de mayo de 2026

Primero enviado que cumplió con los criterios de control de calidad

6 de junio de 2026

Publicado por primera vez (Actual)

10 de junio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

8 de julio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

7 de julio de 2026

Última verificación

1 de agosto de 2025

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • UOL/IREB/25/09/0055

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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