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

7 juli 2026 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

38

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: 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.
Övrig: 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

Andra namn:
  • Intervention for Arm 1
Experimentell: 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.
Enhet: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Numeric Pain Rating Scale (NPRS)
Tidsram: 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)
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University of Lahore

Utredare

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

Publikationer och användbara länkar

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Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

30 september 2025

Primärt slutförande (Faktisk)

15 maj 2026

Avslutad studie (Faktisk)

15 juni 2026

Studieregistreringsdatum

Först inskickad

13 maj 2026

Först inskickad som uppfyllde QC-kriterierna

6 juni 2026

Första postat (Faktisk)

10 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 juli 2026

Senast verifierad

1 augusti 2025

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • UOL/IREB/25/09/0055

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