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

2026年7月7日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (实际的)

38

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Punjab Province
      • Lahore、Punjab Province、巴基斯坦、55150
        • University of Lahore Teaching Hospital

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
有源比较器: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.

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

其他名称:
  • Intervention for Arm 1
实验性的: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.

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.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Numeric Pain Rating Scale (NPRS)
大体时间: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)
大体时间: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
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Hafiza Saliha Javed, MS-MSK、University of Lahore

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2025年9月30日

初级完成 (实际的)

2026年5月15日

研究完成 (实际的)

2026年6月15日

研究注册日期

首次提交

2026年5月13日

首先提交符合 QC 标准的

2026年6月6日

首次发布 (实际的)

2026年6月10日

研究记录更新

最后更新发布 (实际的)

2026年7月8日

上次提交的符合 QC 标准的更新

2026年7月7日

最后验证

2025年8月1日

更多信息

与本研究相关的术语

其他研究编号

  • UOL/IREB/25/09/0055

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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