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Functional Taping. Most Common Sports Tapes. Athletic tape leukotape prewrap Rocktape KT Spider Kinesio. Major Kinesiology Tape Companies. Kinesio Tex (original) KT Tape Rocktape Spidertech. Characteristics of Light Elastic Tape (LET). LET Theory.
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Most Common Sports Tapes • Athletic tape • leukotape • prewrap • Rocktape • KT • Spider • Kinesio
Major Kinesiology Tape Companies • Kinesio Tex (original) • KT Tape • Rocktape • Spidertech
LET Theory • Will introduce original theory of taping from Kinesio • Continues to be taught by Kinesio and KT Tape • Rocktape and Spidertech have abandoned facilitation/inhibition theory
Adhesive Pattern Wavy pattern on back of tape gives a lifting of the skin quality Try to minimize touching the adhesive for maximum stick!
Main difference between LET and Traditional Taping • LET has a heat sensitive adhesive • Elasticity – longitudinal stretch • Elastic, light in weight and thin – similar to skin • Functional, not restrictive • Less irritation on skin (hypoallergenic) • Can shower with it • Lasts up to 7 days, sometimes beyond • No medicinal properties in tape
Main difference between LET and Traditional Taping • Used for edema or ecchymosis reduction • Used to Facilitate and/or inhibit muscle function • Decreases pain • May be used to increase range of motion • Tape is applied with the joint in full ROM instead of neutral • Tension of tape dictates physiological response.
Different Ways to Cut Tape I Y X Fingers or Squid
SKIN PREPARATION SKIN PROTECTANTS ADHESIVE SPRAY TAPE REMOVAL OILS
Removing Tape • How long the tape stays on the skin depends on many factors • On average 3 days, some lasting as long as 7-10 days • Remove Tape if: • Area becomes irritated • Pain increases or tape is irritating or uncomfortable • New complaints of paresthesia
Removing Tape • It’s important that you teach your patients: • When to remove the tape • How to remove the tape • Demonstrate removal of tape for new patients
Removing the Tape • For pediatric and geriatric populations, you must use oil to remove the tape from the skin. • The practitioner should remove the tape the 1sttime • Apply skin protectants prior to taping (eg. Milk of Magnesia)
What can Kinesiology Tape do? Basics: • Facilitation (Proximal to Distal) • Inhibition (Distal to Proximal) • Edema ( Squid Technique) • Pain (Band-Aid technique) • Corrective Techniques (Mechanical/Structural, Space)
Contraindications • Malignancy • Fragile or healing skin • Infection • Open wounds • Adhesive allergies • DVT • Previous skin reaction to taping
Be cautious with: • The very young and very old • Patients with circulatory problems such as diabetes, lymphedema, kidney disease, CHF
Evaluation • Diagnosis/Assessment • Tape • Re-assess (outcome measure) • Re-apply tape if necessary WHAT are you taping and WHY are you taping?
Edema Taping • Apply to reduce swelling of an area, limb or joint, over a contusion • Cut two pieces of 12” long piece of tape • Cut each into 5 individual fingers leaving about 3” uncut (aka base)
Edema Taping • Key elements to successful lymphatic taping: • Place skin in a stretched state • 0% tension on the tape at all times • Apply base proximal to area • Peel one finger all the way until the end forming a tab • Lay down the tape, tapping with a finger to adhere to the skin • Rub the tape; repeat
Edema Taping • Remember: • Take it off if achy, tingling or numb • Remove if redness appears or just doesn’t feel good anymore
Edema Taping • Review: • Place joint or area into pain free range of motion, stretching the skin prior to taping • Base of tape is proximal to problem area • Fingers are placed over area of concern, lateral, medial and beyond • NO STRETCH in tape • Peel of backing to lay base • Peel backing for each finger all the way down to form a tab • Lay down tape onto the skin, tapping with finger • Rub tape to activate the adhesive • Intersecting fingers creates more areas of differential pressure
MUSCLE TAPING Facilitation and Inhibition
Muscle Taping Applying “Facilitation” to muscle Tape from Proximal to Distal or Origin to Insertion Applying “Inhibition” to muscle Tape from Distal to Proximal or Insertion to Origin
Muscle Taping Apply both with 10% stretch, or paper-off tension Put skin in stretch position PRIOR to taping
Band Aid Technique • Used directly over location of pain • Make sure skin is stretched • Lay down ends with NOstretch • Creates an area of decompression by lifting the skin over the affected area
Star Pattern Technique • Can use multiple I-bands to form a star pattern • Most commonly used for acute low back pain such as disc involvement
SPRT Taping • Specific Proprioceptive Response Taping • Use Leuko Tape • Two pieces of tape • One piece of tape with a tab • One piece of tape without a tab
SPRT • Can be used for stabilizing or area of pain
Combination Taping • Kenesioand SPRT Techniques