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

NCT07639918 | Completed DMC

• 1 other identifier: UOL/IREB/25/09/0055
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Wrist Joint Hypermobility

Keywords

Wrist Instability; Kinesio Taping; Wrist Pain; Joint Hypermobility

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  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)

  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

  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

Study Arms (2)

A - Control (Routine Physical Therapy)

ACTIVE COMPARATOR

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.

Other: Routine Physical Therapy Protocol for Wrist Joint

B - Experimental (Routine Physical Therapy with Kinesio Taping)

EXPERIMENTAL

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.

Device: Kinesio Taping (Y-strip Technique)

Interventions

Routine Physical Therapy Protocol for Wrist Joint OTHER

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

Also known as: Intervention for Arm 1

A - Control (Routine Physical Therapy)

Kinesio Taping (Y-strip Technique) DEVICE

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.

B - Experimental (Routine Physical Therapy with Kinesio Taping)

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

University of Lahore Teaching Hospital

Lahore, Punjab Province, 55150, Pakistan

Location

Related Publications (10)

• Farhadian M, Morovati Z, Shamsoddini A. Effect of Kinesio Taping on Pain, Range of Motion, Hand Strength, and Functional Abilities in Patients with Hand Osteoarthritis: A Pilot Randomized Clinical Trial. Arch Bone Jt Surg. 2019 Nov;7(6):551-560.

  PMID: 31970261 BACKGROUND

• Daman M, Shiravani F, Hemmati L, Taghizadeh S. The effect of combined exercise therapy on knee proprioception, pain intensity and quality of life in patients with hypermobility syndrome: A randomized clinical trial. J Bodyw Mov Ther. 2019 Jan;23(1):202-205. doi: 10.1016/j.jbmt.2017.12.012. Epub 2017 Dec 15.

  PMID: 30691753 BACKGROUND

• Kim GS, Weon JH, Kim MH, Koh EK, Jung DY. Effect of weight-bearing wrist movement with carpal-stabilizing taping on pain and range of motion in subjects with dorsal wrist pain: A randomized controlled trial. J Hand Ther. 2020 Jan-Mar;33(1):25-33. doi: 10.1016/j.jht.2019.02.001. Epub 2019 Mar 11.

  PMID: 30871958 BACKGROUND

• Luder G, Aeberli D, Mebes CM, Haupt-Bertschy B, Baeyens JP, Verra ML. Effect of resistance training on muscle properties and function in women with generalized joint hypermobility: a single-blind pragmatic randomized controlled trial. BMC Sports Sci Med Rehabil. 2021 Feb 8;13(1):10. doi: 10.1186/s13102-021-00238-8.

  PMID: 33557909 BACKGROUND

• Jung KS, Jung JH, Shin HS, Park JY, In TS, Cho HY. The Effects of Taping Combined with Wrist Stabilization Exercise on Pain, Disability, and Quality of Life in Postpartum Women with Wrist Pain: A Randomized Controlled Pilot Study. Int J Environ Res Public Health. 2021 Mar 30;18(7):3564. doi: 10.3390/ijerph18073564.

  PMID: 33808137 BACKGROUND

• Chaiparinya P, Gaogasigam C. Prevalence, frontal plane knee alignment, and lower limb joint pain and injury in generalized joint hypermobility in Thai physical therapy students. Reumatologia. 2022;60(2):116-124. doi: 10.5114/reum.2022.115621. Epub 2022 May 18.

  PMID: 35782028 BACKGROUND

• Chanthana P, Atthakomol P, Manosroi W, Wongpakaran T, Kraisarin J, Sananpanich K. Comparison of patient preferences and responsiveness among common patient-reported outcome measures for hand/wrist injuries or disorders. J Orthop Traumatol. 2023 Jan 9;24(1):2. doi: 10.1186/s10195-022-00681-4.

  PMID: 36622514 BACKGROUND

• Ituen OA, Anieto EM, Ferguson G, Duysens J, Smits-Engelsman B. Prevalence and Demographic Distribution of Hypermobility in a Random Group of School-Aged Children in Nigeria. Healthcare (Basel). 2023 Apr 11;11(8):1092. doi: 10.3390/healthcare11081092.

  PMID: 37107926 BACKGROUND

• Oruk DO, Karakaya MG, Yenisehir S, Karakaya IC. Effect of Kinesio taping on wrist kinematics and functional performance: A randomized controlled trial. J Hand Ther. 2023 Jan-Mar;36(1):3-12. doi: 10.1016/j.jht.2021.09.005. Epub 2021 Oct 27.

  PMID: 34756489 BACKGROUND

• Campos-Villegas C, Perez-Alenda S, Carrasco JJ, Igual-Camacho C, Tomas-Miguel JM, Cortes-Amador S. Effectiveness of proprioceptive neuromuscular facilitation therapy and strength training among post-menopausal women with thumb carpometacarpal osteoarthritis. A randomized trial. J Hand Ther. 2024 Apr-Jun;37(2):172-183. doi: 10.1016/j.jht.2022.07.005. Epub 2022 Aug 7.

  PMID: 35948454 BACKGROUND

MeSH Terms

Conditions

Joint Instability

Interventions

Methods

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

• Hafiza Saliha Javed, MS-MSK

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Study will be single and assessor blinded. Participants will be masked about other groups but they will know what treatment they will be receiving or what exercises they will be doing. Principal investigator would also not be masked or blinded because investigator would be applying the techniques on participants of both group. So participant and and principal investigator cannot be blinded. Only assessor will be blinded and he will take outcome measures without knowing the problem and treatment techniques.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 13, 2026
• First Posted: June 10, 2026
• Study Start: September 30, 2025
• Primary Completion: May 15, 2026
• Study Completion: June 15, 2026
• Last Updated: July 8, 2026

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)