8 - Taping, Padding, Strapping Flashcards
Benefits
- To enhance circulation through movement
- Control swelling
- Prevent progression of initial injury
- Prevent atrophy
- Prevent compensatory injury to adjacent structures
- Allows continued conditioning to the body post injury
- Allows for the maintenance of the ability to react
Materials
White zinc oxide tape (or all-purpose tape)
o White zinc oxide is most common type of tape utilized
o 1 inch, 1.5 inch, 2 inch (2 inch can be more difficult around the ankle)
o Adhesive, non-elastic
o Slightly porous to permit lateral glide/stretch
o Poor grade will crease and stick together
Adhesive elastic tape (Elastoplast)
o Offers elasticity and adhesion
o Maintain compression over a contusion (injured area)
o Allows maximal pressure on a strain with strong recoil
o Tendency to unravel at the edges and does not adhere well
Adhesives
Tuff skin
o Fast drying aerosol
o Adheres well
QDA
o Quick drying adhesives (QDA)
NOTE: Both adhesives can irritate the skin and can be difficult to remove
Underwrap
“Pro-wrap”
- Thin foam material that is used to reduce the direct contact to the skin
- Use if they have a lot of hair on the legs
Indications for taping as a form of adjunct treatmetn
- Sprains - injury to a ligamentous structure
- Stage I - fiber damage with little or no soft tissue elongation
- Stage II - a partial tearing causing moderate to major stretch
Anything greater than stage II is not going to be treatable by taping and the individual should not be involved in athletics
Sample conditions for taping o Plantar fascial sprain o Ankle sprain o Individual sprains o Tendon injuries o Muscle strains
Management of ankle pathology
Management of ankle pathology is a compilation of your different strappings in order to maintain stability and prevent abnormal motion of the lower extremity
Anchors
Purpose: to form a stable base of support for
strapping application
Stirrups
Direct support to an injured ligament
Open basket weave
Provides support while allowing room for
expansion due to swelling (acute injuries)
Closed basket weave
o Designed to support the ankle with special
emphasis to the lateral ligaments. This is performed
without restriction of mobility.
o Prevents inversion and eversion of the
ankle, but allows for plantarflexion and dorsiflexion
Figure 8
o Provides added stability, yet is used for closure of open areas
Compression straps
o Provides strong compressive forces to the injured area
o Minimizes subsequent swelling (ace or other wrap – not tape)
o Prevents further injury to the affected area
w/o compromising circulation and permitting activity
J strap
o Sprains, strains
o Controls pronation and provides ankle support
Reverse J strap
o Sprains, strains
o Ankle immobilization
Closing up strips
o This is just the fact that you will continue taping all the exposed skin or pre-wrap
Reduces blister formation
Improves cosmetic appearance
Prevents unraveling during activity
Locks
Purpose = To reinforce joint stability, but it also allows protection and function of associated joint.
Two types
- Louisiana heel lock
- Calcaneal sling
Louisiana heel lock
o Indications: for excessive pronation, used for ankle sprains, ankle strains, shin splints
o Stabilizes by limiting eversion/inversion
Calcaneal sling
o Taping used to lock the calcaneus
o Limits supination/pronation
Low-dye strapping
Indications
o Pronation
o Plantar fascial strain
o Heel spurs
May be composed of different types of strapping
o Low dye (figure 1-3)
o Campbell’s rest strap (figure 6 and 7) - Used to maintain arch, can use Mayo pad for support
o Plantar figure-8 strap
o Dorsal retention strap - Use elastic tape for figure 10 or it will act like a tourniquet
Taping for achilles tendon injury
Indications
o Heel pain
o Achilles tendonitis/ tenosynovitis
o Calf pain
o Support the tendon , and assist with plantarflexion/ restrict dorsiflexion
o Permit eversion
o Limits full stretch on the myotendinous junction by limiting dorsiflexion
Taping for peroneus longus injruy
Indications
o Tendonitis
o Tenosynovitis
o Overuse syndrome
o Assist with plantarflexion and eversion.
o Prevents full stretch of the myotendinous junction by limiting dorsiflexion and inversion
Taping for tibialis posterior tendon injury
o Posterior tibialis tendon strain
o Posterior tibialis tendinitis
o Assist with plantarflexion and inversion
o Prevents full stretch at the musculo-tendinous unit by limiting dorsiflexion and eversion
Taping for deltoid ligament sprain and lateral ankle sprain
o Anchors o Lateral and medial support (stirrups) o Reinforcement (ankle locks) o Stabilization (figure 8) o Closing (compression)
Kinesio taping
General
o Kinesio taping (elastic taping)
o Elastic cotton tape with heat activated acrylic adhesive
o Has the ability to stretch to 140% its original length in comparison to traditional athletic tape
Benefits
o Helps with the alignment and function of muscles
o Facilitates circulation of blood flow and lymphatics to injured structures
o Decreases pressure to pain receptors
o Enhances the ability of mechanoreceptors
o Facilitates better joint motion
