Provider Disclaimer. Therapeutic Taping

Size: px

Start display at page:

Download "Provider Disclaimer. Therapeutic Taping"

Tamsin Randall
5 years ago
Views:

1 Therapeutic Taping Dr. Heather Moore, DPT, CKTP Total Performance Physical Therapy Provider Disclaimer Allied Health Education and the presenter of this webinar do not have any financial or other associations with the manufacturers of any products or suppliers of commercial services that may be discussed or displayed in this presentation. There was no commercial support for this presentation. The views expressed in this presentation are the views and opinions of the presenter. Participants must use discretion when using the information contained in this presentation. Introduction to Kinesiology Taping No one correct way to tape there are a number of different tapes and taping techniques depending on what anatomical part and/or movement is in question Many different methods and types of tape available for use in the clinic Lots of self help videos that allow for patients to do it themselves Able to keep the benefits of treatment going long after leaving the clinic 1

2 Introduction to Kinesiology Taping Limited by lack of research Insurance companies do not reimburse for taping alone Easy to teach patients how to do it Will not harm the patient if it is performed incorrectly The Tape Kinesiology tape has elastic properties so the paper on the back of the tape can be easily torn without tearing the tape itself Most manufacturers will tell you not to rip the tape off your skin to remove it. Try rolling it off. When applying the tape try not to get wrinkles in the tape The Tape Try when applying the tape to not touch the adhesive part of the tape. It will decrease the longevity of the tape Try as you are setting the tape not to get wrinkles in the tap Never pull the tape to 100% of its stretch Try not to reset the tape. Once you have laid the tape down try not to pull it off the skin to reposition it 2

3 The Tape Once you activate the adhesive by rubbing the tape you may not reposition it. If you need to remove it then you will need to cut another piece of tape and start the technique over again. Different types of Taping Techniques Prophylactic Athletic Taping McConnell Taping Kinesiology Taping Kinesiology Taping Provides support and stability without restricting the joint Relieves pressure Mimics the properties of skin Same thickness as skin and inherent elastic properties Stretches to % of its original length Assists in coordination and movement Cotton and elastic Facilitates joint motion Corrects the alignment of weak muscles Increases circulation by lifting the skin Decreases edema 3

4 McConnell Taping Unload soft tissue Decrease pain Uses 2 pieces of tape, one that is therapeutic one that is not Restricts motion Patellar taping most widely used and studied Limited wear time Poor adhesive qualities when wet Athletic Tape Limiting of the movement Off loading the stress on the ligament and joint Utilizes prewrap under the tape Widely sold at drug stores Patients often confuse this for Kinesiology tape Primary purpose is not rehabilitative Acute injuries and injury prevention Different types of tape Kinesio Tex tape Spyder tech tape KT tape Perform Tex Tape Rock Tape 4

Kinesio Tex Tape Taping generally for specific muscles and conditions Lasts 2-3 days Heat activated Emphasis on evaluation of muscles prior to application Cotton and elastic Tape has 10% stretch when

5 Kinesio Tex Tape Taping generally for specific muscles and conditions Lasts 2-3 days Heat activated Emphasis on evaluation of muscles prior to application Cotton and elastic Tape has 10% stretch when on paper Kinesio Tex Tape Spyder Tech Tape Precut tape patterns Cotton and elastic Numbered sections make it easy for the patients and clinicians to apply Difficult to cut and make more specific to an individual or situation 5

6 Spyder Tech Tape Precut I strips KT Tape Edges are pre rounded Very little stretch Hard to cut Sold in running stores due to ease of application and no cutting required KT Tape 6

Perform Tex Tape Diamond shaped pattern Encourages mechanical transduction at the superficial and deep layers Has better wicking properties Increases skin breathability Better for

7 Perform Tex Tape Diamond shaped pattern Encourages mechanical transduction at the superficial and deep layers Has better wicking properties Increases skin breathability Better for people who have skin irritations Perform Tex Tape Rock Tape Longer lasting 5 days Able to cut into any length Heat activated Tape for movement not muscles Improves sports performance 7

Rock Tape Taping Reimbursement Not reimbursed by insurance companies Strapping codes MAY be used but often are denied Can tape prior to treatment and do neuromuscular reed Benefits of Taping Increase

8 Rock Tape Taping Reimbursement Not reimbursed by insurance companies Strapping codes MAY be used but often are denied Can tape prior to treatment and do neuromuscular reed Benefits of Taping Increase circulation Decrease pain Increase joint position Provides support to joints and muscles Continue treatment outside of the clinic Improve athletic performance Used on all populations Easy to teach patients how to tape themselves 8

9 Benefits of taping Can last for multiple days Does not limit motion Able to shower and maintain daily activities Reduce swelling and inflammation Accelerate recovery and healing from intense exercise Delay fatigue and improve endurance Benefits of Taping Improve posture Prevent overuse and over contraction of working muscles Can be used during the acute, chronic, subacute and rehabilitative phases Can be used with other modalities such as heat, ice, manual therapy, electro stimulation Benefits of Taping Has both immediate and long term responses Mimics the property of skin Lifts the skin allowing for decreased pain Targets different receptors within the somatosensory system Alleviates pain Latex free 9

10 Benefits of Taping Helps with the lymphatic and circulatory drainage as areas of high pressure move to areas of low pressure Affects the fascia by lifting the skin Improve biomechanics of joint Promotes normal muscle function Applications of Tape Indications Pain Swelling/Edema Decreased ROM Decreased strength Improve athletic performance Poor posture Many more Applications of Tape Contraindications Open wound Unhealed surgery scar Active malignancy site Skin infections DVTs 10

11 Application of tape Need to have a pair of non stick scissors Decide on the brand of tape you want to use Make sure to round the corners of the tape after it is cut and ready for application Clean the area with an alcohol wipe Women who use lotion will have significantly less wear time with the tape Application of Tape Men with leg and body hair will want to shave to increase adhesiveness and wear time Cut less than the actual length that you will need as the tape will stretch allowing for less to be more After application rub the tape to activate the adhesive and allow for maximal wear time Application of tape Anchors which are the ends of the tape depending on the pieces you cut There is never any tension in the anchors 3 times of force used: Minimal very gentle stretch on the tape Moderate About 50% of the stretch of the tape Maximal or heavy force About 75% of the stretch of the tape 11

Types of Cuts The I strip One long strip of tape Most aggressive of the taping cuts Used on linear muscles and ligaments or to control gross motor movement Examples: Taping the IT Band, controlling

12 Types of Cuts The I strip One long strip of tape Most aggressive of the taping cuts Used on linear muscles and ligaments or to control gross motor movement Examples: Taping the IT Band, controlling thoracic rotation The I strip Types of Cuts The X strip Used for larger muscle groups Cut an I strip and then cut a slit at both ends forming an X Typically used for larger, longer muscles and movements Examples: biceps femoris 12

way down Often used to surround joints and muscles

13 The X strip Types of cuts The Y strip Cut an I strip and then cut down the middle about half way to ¾ of the way down Often used to surround joints and muscles Example: The deltoid or controlling for knee pain The Y strip 13

Taping cuts The fan cut Used for improving circulation Used to decrease swelling The fan strips creates channels that allow fluids to move Fluid moves from areas of higher pressure to areas of lower

14 Taping cuts The fan cut Used for improving circulation Used to decrease swelling The fan strips creates channels that allow fluids to move Fluid moves from areas of higher pressure to areas of lower pressure The fan cut Taping Techniques Shoulder instability Lateral epicondylitis Tennis elbow Knee pain Knee swelling Plantar fasciitis Ankle sprain with swelling Upper trap inhibition/postural control 14

15 Shoulder Instability This technique can be used for overhead athletes Any type of shoulder pain AC instability Shoulder instability Shoulder Instability Begin with the patient in sitting with the arm in internal rotation Cut 2 I strips The first I strip attach medially to the humeral head Anchor with no tension Apply moderate tension as you bring the tape around the back of the shoulder Shoulder Instability Once you are at the lateral border of the scapula stop the moderate tension and then apply the anchor with no tension For the second I strip tear a piece in the middle. Then with moderate to heavy tension, place the tape down on the acromium Lay the 2 anchors down with no tension 15

16 Shoulder Instability The patient should be able to move their arm freely and with less pain or the same pain then prior to the tape application Shoulder Instability Video for taping for shoulder instability Lateral Epicondylitis Commonly known as tennis elbow Can be worn while playing tennis Excessive arm hair in men proves to be difficult in keeping the tape adhered 16

17 Lateral Epicondylitis Begin by cutting 2 Y strips Measure one from the wrist to the elbow Measure the other one from the lateral epicondyle around to the medial epicondyle Have the patient in sitting and have them in shoulder flexion, elbow extension and wrist flexion Lateral Epicondylitis Begin taping near the thumb just superior to the wrist Have the patient maintain the position as splay the 2 tails of the Y out so that they are on either side of the epicondyle Moderate tension is used Then anchor with no tension Lateral Epicondylitis Start the second smaller Y strip on the outside of the elbow just above the lateral epicondyle Angle one tail below the crease in the elbow with moderate force Angle one tail above the crease in the elbow with moderate tension Anchor both tails with no tension 17

18 Lateral Epicondylitis Make sure the patient has full range of motion and no more pain then usual after taping Lateral Epicondylitis Video for taping for lateral epicondylitis Knee pain and swelling 18

19 Taping for knee swelling Begin by positioning the patient The patient should be relaxed with the knee in extension. The knee should be relaxed so if the patient is unable to achieve full extension then put them in a comfortable position Make sure the area is clean and free from unhealed scars or open wounds Taping for knee swelling Cut 2 fan cuts The cuts should be big enough to extend from the super patella to the tibial tuberosity Want to cut almost exact length needed since the stretch on the tape will be minimal Start one fan cut superior and medial to the patella. Taping for knee swelling Tear the tape and anchor the starting piece superior and medial to the patella but not on the patella Then splay the fingers of the tape out (approximately 4-5 depending on the size of the knee) and with minimal tension lay them down Rub each of the finger-like extension and the anchor to activate the heat 19

20 Taping for knee swelling Take the next piece of tape and start the anchor at the superior lateral patella. Do NOT tape the anchor on the patella Splay the fingers going across the patella so that the fingers end on the medial aspect of the knee Lay each finger down with minimal tension Rub each of the extensions down to activate the heat Taping for knee swelling Important things to remember when taping for knee swelling: There is minimal tension in the fan and no tension in the anchor. The patient should be able to maintain full range of motion Rounding the edges of each finger like projection will allow for the tape to stay on longer Do NOT begin your taping technique with the anchor on the patella Taping for knee swelling It is important to instruct the patient on proper care of the tape i.e. if the edges start to curl up you should not take a scissors and start trimming them You may also cut a small piece of tape to apply at the end of both fans so that it lasts longer and does not get caught on clothing. 20

21 Taping for knee swelling Who can benefit: Anyone with knee swelling Total knee replacements if the scar has healed After running if swelling is present Chondromalacia patella Ligament sprains This is a safe and effective way to begin draining fluid out of the knee Taping for knee swelling Video for knee swelling Taping for knee pain 3 I strips, 2 long and one short Moderate tension will be applied through the tape so you can cut the lengths a little shorter For the longer pieces: One will begin inferior to the patella on the medial aspect With moderate tension loop up and around and end at the quad 21

22 Taping for knee pain Once you reach the top of the quad back of the tension and anchor with no tension For the second piece of tape begin on the inferior lateral aspect of the quad. Again, for either piece do not start on the patella Wrap the tape around the patella with moderate force Taping for knee pain Once you reach the other piece of tape back off the tension and anchor with no tension The third piece of tape is going to go below the patella and extend medial and lateral of the knee Tear the tape in the middle on either side leaving the middle part exposed. Taping for knee pain With heavy or close to maximal stretch on the tape lay it down just below the patella. Then lay the 2 anchors down with no tension 22

23 Taping for knee pain Positioning the patient Have them sitting on a table with their leg relaxed bent to about a 90 degree angle. Their leg should be relaxed, the angle is arbitrary Make sure the area is clean and free from open wounds Make sure the patient is able to move with less pain and the same or better range after taping Taping for knee pain Who would benefit: Any patient experiencing knee pain Ligaments sprains IT Band tendinitis Runners knee And many more. Taping for knee pain Video for knee pain 23

24 Plantar fasciitis Position the patient in supine with the foot in dorsiflexion hanging off the end of the table Make sure the area is clean Make sure the area is free from open wound and sores Taping for plantar fasciitis Cut an I strip Measure from about the middle to ¾ of the gastroc to the metatarsal heads on the bottom of the foot This will be a unique I strip as 1 part of it will be cut into a fan and one will be used as an I strip The part used as a fan will have minimal tension in it The part used on the achilles tendon and up the back of the calf will have moderate force applied Taping for plantar fasciitis The pivot point will be the calcaneous or the heel Cut 5 finger like projections into one end of the tape Tear right above the finger like projections and anchor that with no tension to the calcaneous Then with moderate force place the tape up the back of the calf 24

25 Taping for plantar fasciitis Stop before the top of the calf Apply the anchor with no tension Take the fan piece extend the anchor onto the bottom of the calcaneous (heel) with no tension With minimal tension place each one of the projections inline with the metatarsals Rub each piece to activate the adhesive Taping for plantar fasciitis Cut another I strip This one is going to go on the metatarsal arch and be applied with medium to heavy tension so you can cut this piece a little shorter since you will be applying significant stretch to it Have the patient remain on their stomach Have the patient relax the foot Taping for plantar fasciitis Stating on the outside of the foot outside the 5 th metatarsal Anchor with no tension Provide medium to heavy tension as you come across the arch As you come to the first metatarsal anchor with no tension You may also apply a small strip with no tension to keep the projections in place 25

26 Taping for plantar fasciitis Things to remember This is a good one to teach your patients at home since it comes off quickly Make sure you patient has full range of motion and less or the same pain that you did prior to taping Make sure you do not but the tape on 100% stretch Plantar fasciitis Video for taping for plantar fasciitis Ankle sprain with swelling This is a generic technique that can be done with any ankle sprain medial or lateral Further taping classes will get into more specific techniques when taping for more specific ligaments This technique will help with pain and also reduce the swelling 26

27 Ankle sprain with swelling Position the patient in sitting with the ankle in neutral The patient may also be in supine Clean the area Make sure there are not open wounds in the area Ankle sprain with swelling Measure for 2 fan strips going from just above the medial and lateral malleoli to the outside of the foot Then cut the I strip so it is long enough to go from one malleloli to the other going underneath the foot Begin by cutting the 2 fan strips Start the anchor of one just above the medial malleolus Ankle sprain with swelling Apply the anchor with no tension Bring the strips of the fan across the foot and lay them down with minimal tension Try to anchor each fan strip with no tension if possible Begin the second fan strip just above the lateral malleolus Anchor with no tension 27

28 Ankle sprain with swelling Extend the fan projections across the ankle with minimal tension Anchor with no tension With the patient maintaining as close to neutral as they can take the long I strip rip the middle piece off With moderate to heavy tension place the tape on the bottom of the foot Ankle sprain with swelling Applying moderate force place the tape across the arch of the foot Then cross over the dorsum of the foot tape above the malleoli Once you reach the malleoli release the tension Anchor with no tension Ankle sprain with swelling Take the other side of the tape and with moderate to heavy tension come across the dorsum of the foot and above the malleoli Once you reach the malleoli anchor with no tension At the end of the technique test the range of motion and pain to make sure the ROM remains and the pain is less 28

29 Ankle Sprain with swelling Video for taping for Ankle Sprain with swelling UT Inhibition/Postural Correction Use this taping technique on people with: Neck pain Poor posture Headaches Sitting at a computer all day Shoulder pain UT Inhibition/Postural Correction Position your patient in sitting Cut 2 Y strips The first Y strip starts just above the spine of the scapula Place the anchor down with no tension Have the patient side bend the head away from the tape Place one strip of the Y on the anterior part of the UT 29

30 UT Inhibition/Postural Correction The Y strip will go on the posterior part of the upper trap In each of the Y tails place moderate tension and then have no tension in anchor For the second longer Y strip start in the middle of the first Y strip and have the patient bring the shoulder posterior UT Inhibition/Postural Correction Have the strip follow the border of the scapula down to the opposite inferior border of the scapula Apply medium to heavy pressure for each of the tails and then no tension in the anchor UT Inhibition/Postural Correction Video for taping for UT Inhibition/Postural Correction 30

31 Questions??? 31

Kinesiology Tape. Table of contents:

Kinesiology Tape. Table of contents: 1 Kinesiology Tape Welcome to the Anuva application center. These application guidelines and general use instructions are intended to be used with Anuve professional quality Kinesiology tape and if followed