Bozeman, MT, USA. Session 205: Functional Taping Applications for Geriatrics and Stroke Patients 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 205: Functional Taping Applications for Geriatrics and Stroke Patients Milica McDowell, MS, DPT Leading the Way in Continuing Education and Professional Development. Who am I? Milica McDowell, MS, DPT Bozeman, MT, USA 3 1

2 We are a movement company that dabbles in tape. Someone 4 RockTape Movement Pyramid MOVE corrective exercise Used to normalize human movement before increasing training or exercise demands Stabilize Rock tape A special kinesiology tape that provides support while allowing full range of motion. Tape is used to decrease pain, unload tissue via decompression, and provide a novel stimulus that improves body awareness. iastm Instrument Assisted Soft Tissue Manipulation A manual therapy technique designed to provide direct, mechanical manipulation of irregular tissue. MOBilize A collection of tools used for manipulation of the myofascial system to normalize muscle tone. assessment The act of making a judgment about the quality of human movement screening The act of examining people to decide if they are suitable for a particular movement or exercise 5 Movement Matters Science of Touch Pain Models Tactile Acuity Evidence Informed Much more than tape. 6 2

3 FMT Geriatrics Outline Effects of Tape Taping Basics Applications Pain Stretch the body, Joint Stability Decompression not the tape Joint replacement Neurosensory Less is more Osteoarthritis Stroke Posture Fall prevention 7 Defining and Categorizing the Geriatric Patient 1 8 Defining the Geriatric Population General geriatrics Active geriatrics Performance geriatrics Neurologic geriatrics 9 3

4 General Geriatrics > age 65 years old Functionality decreases with age, which leads to increased vulnerability. Decreased physical performances and\or vulnerability of their psychosocial stability 10 Active Geriatrics The process of optimizing opportunities for health, participation and security to enhance quality of life as people age Realize their potential for physical, social, and mental well being throughout the life course and to participate in society 11 Performance Geriatrics Regular exercise prevents chronic disease, improves mood and lowers chances of injury. Actively have goals they are trying to reach May be Master s division athletes Competing in Races Attempting to improve personal bests Members of race teams or recreational clubs 12 4

5 Neurologic Geriatrics CVA UE: TBI, subluxing GH Joint LE: TBI, Drop Foot Balance Disorders Post TBI SCI Neurodegenerative Disorders MS Parkinsons 13 Types of Aging Chronological age Physiological age Psychological age Social age 14 Chronological Age Refers to the length of a time that the person has been alive Typically referred to as age Number of years since birth I was born in 1950, so I am 66 years old. 15 5

6 Biological/Physiological Age Age related change due to biological or physiological decline Not the same as chronological age Examples: A 40 year old who is debilitated by rheumatoid arthritis and uses a wheelchair for mobility A 65 year old who races Ironman triathlons Psychological Age Mental capabilities Not always the same as either Chronological Age OR Biological Age Some older adults behave at a much younger level than their chronological age Some older adults behave at a much older level than their chronological age. 18 6

7 Social Age Are individuals behaving in a manner consistent with their chronological age? What is. Age Appropriate Behavior? Acting YOUR Age? 19 Taping History

8 Keep it simple Don t overuse these bullets! We strongly recommend not to use these ones Your audience won t read these ones Forget about it! 22 Skin 3 23 Largest organ of your body 24 8

9 SKINTELLIGENCE Mary Bond Rolf Institute 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): Effects and Benefits of Kinesiology Tape

10 3 Main Effects Pain Mitigation Decompression Neurosensory Input 28 5 Pain Mitigation Decompression Neurosensory Input 29 Pain is the opinion of the brain Figure 3: Mature Organism Model. Adapted from Fig. 2 in Gifford (1998)

11 To reduce pain, we need to reduce credible evidence of danger and increase credible evidence of safety. Lorimer Mosely 31 Biopsychosocial (BPS) Model 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 Immediate improvement in pain-free shoulder ROM This is a footer, so use it when you need it

12 Decreased pain & Increased ROM This is a footer, so use it when you need it. 34 Decreased pain & increased joint position sense 35 6 Pain Mitigation Decompression Neurosensory Input 36 12

13 37 RCS SKIN Superficial Fascia Nerves/Blood/Lymph Vessels RCP Deep Fascia Force Transmission RCS RCP

14 40 7 Pain Mitigation Decompression Neurosensory Input

15 43 Content FREE zone. This is a footer, so use it when you need it

16 46 Effects of Patellar Taping on Brain Activity during Knee Joint Proprioception Tests Using functional Magnetic Resonance Imaging fmri Taped and Untaped Michael J.Callaghan, Shane McKie, Paul Richardson, Jacqueline A.Oldham 47 Tape your brain This is a footer, so use it when you need it

17 Kinesiology Taping Theory Questions 8 49 Does Direction of Tape Matter? 50 Statistically significant concentric elbow peak torque improvement between no tape group and kinesiology tape group No

18 52 No. 53 Can you turn on or turn off a muscle with tape? No

19 What does it do? Normalizes Muscle Tone 55 Does amount of tape stretch matter? If there s more to say about the number above, then this is the best place to put it. Be concise though! And remember to support it with a source! 56 No

20 Less is More. 58 Kinesiology Taping Basics 9 59 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

21 p p Medication - blood thinners Female hormone cycle Caution Skin Type - ginger Extreme heat - car seat heater, hot hot showers 61 Test Patch Importance 62 Allergic Reaction uniform 63 21

22 Advanced Skin Care Prep and Removal Skin Prep Tape Removal 64 Joint Replacement Immediately Post Op, Joint Replacement - Knee 66 22

23 Immediately Post Op, Joint Replacement - Knee 67 After Staples Out days 68 After Staples Out 69 23

24 Immediately Post Op, Joint Replacement - Hip 70 Immediately Post Op, Joint Replacement - Hip 71 1-Month Out Joint Replacement - Hip 72 24

25 1-Month Out Joint Replacement - Hip 73 1-Month Out Joint Replacement - Hip 74 Multivector Scar Taping 75 25

26 Total Knee Replacement Multidirectional Taping 76 Total Knee Replacement Multidirectional Taping 77 Total Hip Replacement Multidirectional Taping 78 26

27 Total Hip Replacement Multidirectional Taping 79 Stroke Goals of Post-CVA Tape Cues to reduce High Tone Cues for Mechanical Posture Corrections Performance/Spiral Lines of Upper and Lower Extremity Improve Neurological Awareness, Reduce Neglect 81 27

28 Stroke: Upper Extremity Helical Arm 82 Stroke: Upper Extremity Helical Arm 83 Stroke: Upper Extremity Humeral Head Depression 84 28

29 Stroke: Upper Extremity Humeral Head Depression 85 Stroke: Upper Extremity Hand Opening 86 Stroke: Upper Extremity Hand Opening 87 29

30 Stroke: Upper Extremity Hand Opening 88 Stroke - Lower Extremity Helical 89 Stroke - Drop Foot 90 30

31 Stroke - Drop Foot 91 Stroke - Sided Neglect/Lateral Fascial Line