Defining and Categorizing the Pediatric Patient. Session 303: Kinesiology Taping for the Pediatric Population Milica McDowell, MS, DPT

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1 To comply with professional boards/associations standards: I declare that I (or my family) do not have a financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my presentation. Additionally, all planners involved do not have any financial relationship. Requirements for successful completion are attendance for the full session along with a completed session evaluation. Vyne Education and all current accreditation statuses does not imply endorsement of any commercial products displayed in conjunction with this activity. Session 303: Kinesiology Taping for the Pediatric Population Milica McDowell, MS, DPT Leading the Way in Continuing Education and Professional Development. 1 Defining and Categorizing the Pediatric Patient 3 1

2 Pediatrics (also spelled paediatrics) is the branch of medicine that deals with the medical care of infants, children, and adolescents, and the age limit usually ranges from birth up to years of age (in some places until completion of secondary education). - Wikipedia 4 What Does Who Say? An adult is a person older than 19 years of age unless national law defines a person as being an adult at an earlier age. An adolescent is a person aged 10 to 19 years inclusive. A child is a person 19 years or younger unless national law defines a person to be an adult at an earlier age. However, in these guidelines when a person falls into the 10 to 19 age category they are referred to as an adolescent (see adolescent definition). An infant is a child younger than one year of age. 5 Types of Pediatric Patients/Clients Neurological Pediatrics Active Pediatrics Inactive Pediatrics Performance Pediatric Typically Developing Atypically Developing 6 2

3 Neurologic Pediatric With neurological impairments Can run the spectrum from psychological to physiological or both Can run the spectrum from mild to severe involvement Hi/Low tone Motor Coordination Dysfunctions Ambulation Imbalances or Limitations Posture 7 Active Pediatrics Recreationally active under 18 year old individuals. Infants 0 2 developmental play Toddlers 2 4 active play Pre School Age 4 5 participatory games School Age 5 10 organized fun sports/activities Middle School PE/after school activities High School PE/after school activities 8 Inactive Pediatric Do not get at least 30 minutes of physical activity per day Sedentary Not participating in organized activities 9 3

4 Competitive/Performance Pediatric Athletes Have competition goals Micro cycles of training Macro cycles of training Over specialization Multi specialty 10 Treat it like a title* 11 Atypically Developing With various impairments, delays Can run the spectrum from psychological to physiological or both Can run the spectrum from mild to severe involvement May catch up without skilled intervention May NOT catch up without skilled intervention Kids receiving skilled services PT, OT, ST 12 4

5 2 Taping History

6 Popularity started to grow 2008 Summer Olympics Skin 18 6

7 Largest organ of your body 19 SKINTELLIGENCE Mary Bond Rolf Institute Tape to Skin Skin to Brain Brain to Motor Control 21 7

8 500 Nerve Cells per 1 square Inch 22 Cortical Homunculus Marieb, E., Hoehn, K. Human Anatomy and Physiology. 7th Ed Pearson Benjamin Cummings: San Francisco 23 4 Effects and Benefits of Kinesiology Tape 24 8

9 3 Main Effects Pain Mitigation Decompression Neurosensory Input 25 4 Pain Mitigation Decompression Neurosensory Input

10 28 29 fmri Taped and Untaped 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 30 10

11 Tape your brain 31 5 Kinesiology Taping Theory Questions 32 Does Direction of Tape Matter? 33 11

12 No. Statistically significant concentric elbow peak torque improvement between no tape group and kinesiology tape group No

13 Can you turn on or turn off a muscle with tape? 37 What does it do? Normalizes Muscle Tone 38 Tape increased VMO activity This is a footer, so use it when you need it

14 Does amount of tape stretch matter? 40 No. 41 Less is More

15 Taping Priority Edema NeuroSensory/ Pain Mechanical Correction Performance 43 Taping Intensity Mechanical Correction NeuroSensory/ Pain Edema 44 6 Kinesiology Taping Basics For Pediatrics 45 15

16 Contraindications/ Do not Tape Open Wounds Skin Lesions Rashes Clients Unable to Communicate ** Decreased sensation - Neuropathies Adhesive Allergies Over Active Cancer Site Kidney/Heart Congestion In some cases, mild/moderate skin reactions can occur. These include redness, itchiness, hives or swelling. Immediately remove the tape if you feel any skin reaction above and consult your physician if symptoms are severe or do not improve in 2 days. 46 Caution History - past skin irritation Test Patch - no tape experience Medication - blood thinners Female hormone cycle Skin Type - ginger Extreme heat - car seat heater, hot hot showers 47 Test Patch Importance 48 16

17 Allergic Reaction uniform 49 Advanced Skin Care Prep and Removal Skin Prep Tape Removal 50 7 Pediatric Conditions 51 17

18 Pediatric Conditions Neurologic Post op & Trauma Posture Pain Sports 52 8 Neurologic Toe Walking, Low Tone in Spine, Erb s Palsy 53 Toe Walking Mechanism: neurologic/proprioceptive input dysfunction, or behavioral Presentation: plantar flexed walking mechanism, lack of dorsiflexion Complaint: abnormality in walking pattern, over time will cause shortening of heel cords, balance dysfunctions Rationale of Tape: Promote dorsiflexion, cue anterior tibialis mm, provide neurologic cues on anterior fascial chain 54 18

19 Toe Walking 55 Toe Walking: Toe Loop to Anterior Tibialis 56 Toe Walking: Toe Loop to Anterior Tibialis 57 19

20 Toe Walking: Ankle Stabilizer X 58 Postural Stress Mechanism: Poor postural control, fatigue, mm weakness or decreased endurance Presentation: Flexion Slump, posterior pelvic tilt Complaint: Pain, demonstrates poor postural control Rationale of Tape: Provide gentle postural cue, stimulate muscle torque 59 Postural Stress 60 20

21 Postural Stress 61 Knee Hyperextension Mechanism: Beyond neutral knee extension Presentation: Knee snaps into EROM extension Complaint: Pain, weak quadriceps muscles Rationale of Tape: Mechanical cue into knee flexion

22 64 Scoliosis Mechanism: idiopathic Presentation: rotation, side bending, rotation + side bending Complaint: Tightness, pain, limitation in ROM Rationale of Tape: Cue into opposite position from imbalance, tape is a gentler cue than bracing, regression from bracing, exercise related cues 65 Torticollis/Scoliosis Order of Correction Transverse Plane De Rotate Frontal Plane Correct Side Bend Sagittal Plane Extend if needed 66 22

23 Scoliosis C-Curve Example Identify the convex side Tape will be applied on the convex side Correct Rotation First Correct Side Bend 2 nd 67 Scoliosis C 1 (rotation) 2 (side bend) 68 Scoliosis C ID Convex 69 23

24 Scoliosis C 70 Scoliosis S ID Convex ID Convex 71 Scoliosis S 72 24

25 Osgood-Schlatter (Knee Pain) Mechanism: Growth of femur > length of quad/quad tendon complex Presentation: Swelling and pain at anterior knee, particularly at tibial tubercle Complaint: Anterior knee pain, painful with kneeling, edematous bulb at tibial tubercle Rationale of Tape: Pain management, proprioceptive feedback, edema control in some cases 73 Osgood-Schlatter 74 Osgood-Schlatter 75 25

26 Osgood-Schlatter 76 General Growth-Related Pain Mechanism: Lengthening of skeletal structures at a faster rate than that of connective tissue structures Presentation: Rapid vertical growth, encourage parents and coaches to chart this Complaint: night pain, night ache, restless legs Rationale of Tape: Pain management and support to painful joints *** Must rule out other differential dx concerns with night pain

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