Football Specific Kinesiology Taping

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1 Go Stronger, Longer Football Specific Kinesiology Taping We are a Movement Company that dabbles in tape How Well are you Moving? 3 1

2 Movement Criteria Control Mobility Control Mobility Control It s more than just tape on the skin 2

3 Goals 1. How it works? 2. Physiological Effects 3. Current Research 4. Kinesiology Taping 101 a) Indications/Contraindications b) Pain Mitigation Taping Applications c) Acute/Chronic Edema Taping Applications d) Static/Dynamic Posture Taping Applications e) Acute/Chronic Scar Taping Applications 5. Q/A Taping History 3

4 4

5 5

6 does it really work? 18 6

7 Research Update Systematic Review 7

8 Adjunct to Exercise 8

9 Compromised State 9

10 28 Literature Conclusions Kinesiology tape has been shown in studies to: Improve muscle strength Improve ROM Reduce pain Alter timing of muscle activity Decrease swelling Improve posture However, more research is required. Pain Decompression Neuro-Sensory 10

11 Extension of the Brain = SKIN Hair Follicles Root Hair Plexus 11

12 Skin Brain Connection = Paus, Ralf., Schmelz, Martin., Biro, Tamas., Steinhoff, Martin. Frontiers in pruritus research: scratching the brain for more effective itch therapy. J Clin Invest. 2006; 116(5): what are we dealing with? Pain Mitigation 12

13 Gate Control Theory of Pain Melzack, Ronald, and Patrick D. Wall. "Pain mechanisms: a new theory." Survey of Anesthesiology 11.2 (1967): Melzack, R. (2005), Evolution of the Neuromatrix Theory of Pain. The Prithvi Raj Lecture: Presented at the Third World Congress of Wo 13

14 BPS Approach PSYCHO BIO SOCIAL Kamper SJ, Apeldoorn AT, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database of Systematic Reviews 2014, Issue 9. Art No: CD Decompression 14

15 Skin RCS Superficial Fascia Nerves/Blood/Lymph Vessels RCP Deep Fascia Force Transmission RCS RCP MSK Ultrasound 15

16 ITB Case Study

17 Pre Tape Post Tape Edema Taping Studies n=24, standard physiotherapy vs. standard physiotherapy + kinesiology tape Neuro-Sensory 17

18 Schleip R. (2003) Stimulation of mechanoreceptors Interstitial receptors and Ruffini Endings Tissue Manipulation - soft touch & sheer tape Hypothalamic tuning Global muscle tone Autonomic Nervous System - Brain Palpable tissue response Intra-fascial smooth muscles Hilton s Law (1863) The same trunks of nerves whose branches supply the groups of muscles moving a joint furnish also a distribution of nerves to the skin over the insertions of the same muscles; and - what at this moment more especially merits our attention - the interior of the joint receives its nerves from the same source. 18

19 Patellar Taping Effects Effects of Patellar Taping on Brain Activity during Knee Joint Proprioception Tests Using functional Magnetic Resonance Imaging Michael J.Callaghan, Shane McKie, Paul Richardson, Jacqueline A.Oldham 19

20 59 Tactile Acuity and Pain 60 20

21 Take Home Message = = Can Tape Help? 1 educate understand pain 2 move improve aberrant patterns 3 maintain increase physical capacity 21

22 The Tape 180% Stretch 2 Extension (meters) Force (Newton) Stickier Time (s) Grab (shorter is better) 0 22

23 Rocktape h20 24 HR/Day Up To 5 Days Does Direction Matter? 23

24 Direction of Application? Stretch or No Stretch? Tape Care Tips Skin: dry and free of cream and oils Hair: Clip Long hair Rubbing the Tape: aids in activating adhesive Removing Tape: slowly, in sections in the direction of hair growth, baby oil helps to emulsify adhesive Post Showering: pat/air dry Trim Ends of Tape: limits premature peeling 24

25 Always (Caution) Never History past tape irritation Test Patch no tape experience Medication blood thinners female hormone cycle Over Open Wounds Active Infection skin type ginger Active Cancer Site Kidney/Heart Congestion Overstretch the ends of the tape History of skin reactions Too Much Stretch blister/traction non uniform 74 Allergic Reaction uniform 75 25

26 FMT is NOT a Protocol Based Technique to memorize 26

27 PAIN FLUID DYNAMICS POSTURE/MOVEMENT SCAR Pain Mitigation Goal: To dynamically stabilize/stimulate the acute region of the body in order to improve the speed and quality of healing. 3 Steps: 1. Stretch/Pre-Load System 2. Stabilization Tape no stretch 3. Decompression Tape middle stretch Spine 27

28 STEP 1: Stretch/Pre-Load A pre-stretch is applied to the cutaneous/skin to engage the receptors and pre-load the elastic quality of the organ Measure for 1 or 2 Stabilization Strips STEP 2: Stabilization Stimulate skin mechanoreceptors Decreased nociception/pain Support region in pain 28

29 STEP 3: Decompression The lifting/decompression effect increases blood flow, decreases congestion/edema, and adds extra stimulation to local mechanoreceptors FOCAL AREA OF PAIN 29

30 0% stretch 50% stretch Variations 30

31 Davis s Law Connective Tissue (Collagen) is laid down along lines of stress 31

32 32

33 Knee 33

34 Foot 34

35 Upper Extremity 35

36 36

37 PAIN FLUID DYNAMICS POSTURE/MOVEMENT SCAR 37

38 Benefit Decreased Swelling Blood Vessels Leak Lymph Lymph Vessels Drain Lymph Abnormal Lymph Vessels Fail to Drain Lymph 38

39 Lymphatic Ligaments Improved recovery rates with removal of exercise byproducts FluidDynamics 39

40 Pre-Cuts 40

41 41

42 Edema Variation

43 PAIN FLUID DYNAMICS POSTURE/MOVEMENT SCAR Can Tape Change our Movement? Root Hair Plexus Joint Centration Reminder of optimal congruent position of a joint 43

44 Why Tape for Posture? Improve Length Tension Relationships Improve Force Couple Relationships Improve Neuromuscular Efficiency Via Cutaneous Stimulation Research shows that kinesthetic guidance (ie. Tape) can be translated into behavior 30 times faster than visual guidance can and many thousands of times faster than audio guidance (Birdwhistell, 1971). 44

45 Joint Angle Error Improvement Taping a Pattern, Not a Muscle STABILITY MOBILITY 45

46 Joint by Joint Mobility Patterns Motor Control Patterns Mobilize RockTape

47 Sensory to Motor Output 139 Postural Taping Goal: To assist in establishing a targeted posture to facilitate normal movement patterns: Steps: 1. Place the body into the position opposite to the unwanted posture. 2. Apply the stabilization tape along the fascial line to facilitate the intended posture (via cutaneous stimulation). 3. Apply the tape with little to no stretch. Resistance to Fatigue Cutaneous mechanoreceptor input Degraded postural performance after muscle fatigue can be compensated by skin stimulation (2011) Thedon et al. Gait and Posture Tape over the Achilles tendon decreased postural sway when the calf muscles were exercised to fatigue. 47

48 Timing Wong, Cheung & Li (2012) Physical Therapy in Sport Crossover trial. n= 30 Tape applied to VMO- does it increase isokinetic peak torque compared with no tape? Findings: no difference in peak torque BUT shorter time taken to reach peak torque with VMO taping. Stance Spine Position First Step Drive Free Arm Position Head/Neck Position 48

49 49

50 Spine Position Spring Effect Generate Absorb Direct/Disperse Release 50

51 Thigh Position Drive Phase 51

52 Arm/Hand Position 52

53 53

54 Throw Shoulder/Elbow Control Head/Neck Control The Spring Torso Control Rib Cage/Pelvis Interface Open Scissors ref: Dynamic Neuromuscular stabilization 54

55 163 Performance Functional Chain Transverse Plane 55

56 Performance Front Functional Chain Performance Front Arm Chain 167 PAIN FLUID DYNAMICS POSTURE/MOVEMENT SCAR 56

57 Scar Mobility Taping Scar Taping Goal: Improving mobility and flexibility of post surgical incisions Created via the biomechanical lifting effect (similar to skin rolling) and skin shear effect (micro-massage mechanism). Late Stage: Tissue/Scar Extensibility HYPERTROPHIC SCAR KELOID SCAR CONTRACTURE SCAR ATROPHIC SCAR 57

58 Early Phase: Edema Control post surgical 58

59 Step # 2: Multi-Directional Tissue Post Surgical Strain Skin Glide

60 Topical Analgesics With Tape Menthol/Capsaicin Analgesic Effect + = Mechanical Stimuli chemical Stimuli Laing RJ, Dhaka A. ThermoTRPs and Pain. The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry. 2016;22(2): FMT Certification Series Basic Performance Movability Special Populations Blades Canine Equine 60

61 181 61

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