Chapter 4 Protective Taping and Wrapping Flashcards
What is the purpose of tapings and wrappings?
Can provide additional support and prophylactic protection to prevent injury while allowing functional movement and is used extensively during rehabilitation to prevent risk of re injury
Support of injured part – early RTP
Customize taping based on patient
What are the principles of taping and wrapping?
Provide immediate first aid
Limit excessive joint movement (limits ROM providing additional support)
Support an injured body part
Provide compression
Provide proprioceptive feedback (enhances stability)
Secure protective pads and dressings
Allow early resumption of activity
Reduce the chance of reinjury
What are the different makeups of tape?
Threads per square inch – wrap, horizontal – woof
Less expensive – 45 vertical fibers, 65 horizontal fibers per inch
More expensive – 65 vertical fibers, 85+ horizontal fibers per inch
Tensile strength – measurement of how much tensile force a material can withstand before it fails
Higher the pounds per square inch = stronger the tensile force or strength
Composition – cotton, synthetic fibers or combination of both
Elastic – hold protective pads and dressings in place, provide compression, give proprioceptive feedback, provide support – allows muscles to contract without impeding BF or neuro function
Nonelastic – provides support to joints by restricting excessive motions
Porous – heat and sweat pass through, skin remains cool
Nonporous – occlusive, increasing the potential for damage to underlying skin from friction and heat, absorb sweat but can decrease tape performance
Bleached tape – aesthetically pleasing but more expensive
Adhesive mass or stickiness – zinc oxide adhesive in making tape and keeping it in place
Allergies *** always ask
What are the different types of tape?
Underwrap/Prewrap – pressed foam rubber, less than 1 lb of tensile strength, acts as a protective layer, adhesive spray is required to keep it in place
Stretch Tearabale Tape – cloth adhesive material that stretches, used to keep pads in place and stimulate proprioception
Cohesive Tearable Tape – adheres to itself, sweat-resistant, breathable, no need for adhesive spray or prewrap
Athletic Tearable Tape – adhesive spray and prewrap needed, wet = stretches
Nontearable Tape – cannot be torn with the fingers, strongest tensile strength
What are wraps?
Fibers that allow it to stretch
Used to secure pads and dressings, provide compression and support and give proprioceptive feedback
Secured with metal clips or tape
Cohesive elastic bandage – two layers of rayon separated by spandex and is designed to make the material adhere to itself
Stretch between 1/3 to 1/2 of its elastic capability
What are the steps to tape application?
Body part should be clean, dry and free of hair before application
Open wounds should be cleaned and covered
Areas sensitive to friction should be protected with a pad or lubricant – Achilles tendon or dorsum of foot
Body part taped in a functional position
Light layer of adherent spray, allergies = no spray but thin layer of prewrap
When and how should you remove tape?
Immediately after activity to avoid tissue breakdown or bacteria formation
Scissors or tape cutter should lift the tape off the skin and follow the natural contours of the body – proximal to distal
How should you apply wraps?
Body part in a position of maximal contraction – ensure circulation and movement aren’t impaired
Wrap distal to proximal – prevents edema formation
What does the turf toe tape do?
Limit motion of 1st MTP joint – prevent hyperextension = tape from distal to proximal on plantar surface of the toe
What does the x-arch tape do?
strips move across plantar surface from lateral to medial to lift the arch
What does the closed basket/gibney ankle tape for inversion do?
Provides external support to ankle ligaments
Stirrup – keeping foot out of inversion
Horseshoe – supports ligaments
Heel locks – lock heel in place
What does the achilles tendon tape do?
Limit excessive DF to reduce tension on tendon
What does the MTSS tape do? (shin splint tape)
Provide support to muscles on the anterior shin to decrease stress on the tibia
What does the knee hyperextension tape do?
Limit knee hyperextension
What does the patellofemoral tape do?
Correct gliding, tilt, rotation and anteroposterior orientation of patella
Correct alignment in conjunction with rehab exercises
What do the quad and hamstring wrap do?
Provide compression and/or support of the muscle groups
What does a quad contusion tape do?
Provide compression or protection of the injured site
What does the groin wrap do?
Support adductors, wrap encircles thigh in medial direction
What does the hip contusion wrap do?
Keep padding in place to prevent iliac crest contusion
What does a shoulder spica wrap do?
Provide support and stabilization for the GH joint
Patient holds arm in IR to limit ER
What does the elbow hyperextension tape do?
Restrict painful elbow extension
What does the elbow sprain taping do?
Provides support for the collateral ligaments of the elbow
What does the thumb taping do?
Provide thumb support and limit extension of first MCP joint
What does the finger tape do?
provide support for an unstable IP joint
