CP3- Week 4 Taping Part 2 Flashcards
What are the aims of taping as an adjunct intervention performed by a PT? (3)
- Stabilize or support an injury.
- Relieve pain be de-loading vulnerable or painful structures.
- Facilitate normal movement, muscle action, or postural patterns.
What are the 3 different types of tape that can be employed?
- Rigid strapping
- Elastic strapping
- Kinesiology tape
What is kinesiology tape?
Improved version of elastic sports tape that acts to dynamically assist muscles function.
What is kinesiotaping, and what type of tape is used?
Kinesiotaping is a stretchy elastic tape that helps to provide support to muscles and reduce pain while still allowing functional ROM.
- For kinesiotaping, once the tape is stretched and placed over the skin, it ________ slightly creating small folds in the skin which are thought to lift skin from deeper tissue.
- This lifting effect is thought to eliminate compression on _____ ________, blood and lymph vessels allowing them to open.
- This is thought to enhance _____ _____ and movement of lymph fluid and also decrease pressure on pain receptors in the deeper tissues to reduce sensations of pain while positioning joints and tissues in a desired position.
- recoils
- pain receptors
- blood flow
- Is kinesiotaping a stand-alone treatment?
- How long can you leave kinesiotape on?
- No, should not be used as an only resort for treatment of an injury.
- 3-5 days
Describe the 6 steps for kinesiotape application.
- ) Clean skin.
- ) Round ends of tape.
- ) Apply anchor with NO stretch.
- ) Position pt muscles being taped in a stretch.
- ) Apply stretch to middle portion of tape. NO stretch at end of tape.
- ) Once applied, rub tape to activate tape adhesiveness.
With kinesiotaping, what percentage of stretch should be applied at both ends of the tape?
0%
Is it better to have too much or too little stretch with kinesiotaping? Why?
Too little, putting too much can cause tape job to become ineffective or irritate the pt.
- What is athletic taping, and what type of tape is used?
- It is used to ________ and __________ joints following injuries.
- How long can you leave athletic tape on?
- Taping method that does not stretch to allow unrestricted movement, uses rigid taping.
- stabilize and immobilize
- worn for exercise session then removed
What is Mulligan Taping and what type of tape is used?
Tape applied in direction of pain-free joint glide for patient as an adjunct to manual therapy, rigid tape is used to sustain joint glides better but KT (100% stretch) can be used in active users.
Is Mulligan Taping used more-so in peripheral or central joints?
peripheral
How does Mulligan Taping differ from McConnell taping of the knee? (4)
- improves alignment of tibia and femur
- decrease q angle
- decrease patella displacement
- used in non-specific knee pain (only if pain relieved by tibiofemoral IR MWM)
What are the precautions for Mulligan Taping?
- skin allergies (tell pt to remove if alleriges arise, KT tape can be substituted)
- ensure tape doesn’t restrict blood and nerve supply to extremities
- check circulation to fingernail beds after taping
What are some populations or conditions that can use Mulligan Taping?
- PFPS
- improving balance/gait in subacute stroke
- ankle taping for prevention of sprains
- chronic ankle instability (no difference between placebo and Mulligan)
What is McConnell Taping and what type of tape is used?
Aim is to create a mechanical realignment of the patella in the intertrochlear groove and reduce pain, uses rigid taping.
- What is the purpose of the McConnell Taping method?
- Nearly all patients require a ________ ______ of their patellas.
- Correct altered patellafemoral kinematics and permit participation in normal daily activity.
- medial glide
What are some specific patient populations or conditions that McConnell Taping is used for?
- PFPS
- Knee OA
- Chondromalacia Patellae
(physical activities that aggravate symptoms include ascending/descending stairs, kneeling, running, and squatting)
Describe the application of McConnell Taping?
- ) Pt supine with knee slightly bent (completely relaxed)
- ) Start tape in line with middle of the knee cap at the outer aspect of the knee.
- ) Use thumb on top of tape to push patella towards inner aspect.
- ) Finish as the inner aspect of the knee ensuring some skin wrinkling.
- ) Repeat 1-3x
What are the 6 Kinesiotape corrective application techniques? Explain each.
- ) Recoiling - uses the stretch tape to give feedback on body positioning.
- ) Holding - Aims to align tissue in a desired position.
- ) Lifting - Aims to reduce compression of blood vessels, lymph vessels and pain receptors to increase blood flow.
- ) Pressure - Aims at increasing stimulation of tissues over a ligament or tendon.
- ) Spring - Used to assist or limit motion around a joint.
- ) Channeling - Used to decrease pressure over lymph ducts to create channels for lymph to flow.
Describe the 6 steps for kinesiotape application.
- ) Clean skin.
- ) Round ends of tape.
- ) Apply anchor with NO stretch.
- ) Position pt muscles being taped in a stretch.
- ) Apply stretch to middle portion of tape. NO stretch at end of tape.
- ) Once applied, rub tape to activate tape adhesiveness.
Describe the 3 steps for kinesiotape removal.
- ) Pull tape in direction which your hair grows.
- ) Slow tugs rather than ripping the tape off.
- ) Place finger on surface of skin as an anchor to hold the skin down.
How will I know if I’m allergic to the tape?
-Skin becomes red, itchy, burns or blisters.
What should I do if I’m allergic to the tape?
- Remove immediately and wash and dry skin.
- Do not reapply tape and inform PT.
- If aggravating injury, remove it.
How do I remove the tape?
- Do not tear it off quickly.
- Soak in water to aid in removal.
How do I know if the tape is too tight?
- Skin below tape loses normal color.
- Pins and needles or numbness.
What are the indications for patellar medial glide (McConnell) rigid strapping technique?
Anterior knee pain, PFPS, patellar instability
What are the indications for scapula position correction rigid strapping technique?
To improve awareness of appropriate scapular motion
What are the contraindications for rigid strapping techniques such as Mulligan or McConnell?
- Fragile skin, open wounds, sensitivities to adhesive.
- Pts with latex allergies.
