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

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.

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.

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