CP3- Week 4 Taping Part 2 Flashcards

1
Q

What are the aims of taping as an adjunct intervention performed by a PT? (3)

A
  • Stabilize or support an injury.
  • Relieve pain be de-loading vulnerable or painful structures.
  • Facilitate normal movement, muscle action, or postural patterns.
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2
Q

What are the 3 different types of tape that can be employed?

A
  • Rigid strapping
  • Elastic strapping
  • Kinesiology tape
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3
Q

What is kinesiology tape?

A

Improved version of elastic sports tape that acts to dynamically assist muscles function.

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4
Q

What is kinesiotaping, and what type of tape is used?

A

Kinesiotaping is a stretchy elastic tape that helps to provide support to muscles and reduce pain while still allowing functional ROM.

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5
Q
  • 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.
A
  • recoils
  • pain receptors
  • blood flow
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6
Q
  • Is kinesiotaping a stand-alone treatment?

- How long can you leave kinesiotape on?

A
  • No, should not be used as an only resort for treatment of an injury.
  • 3-5 days
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7
Q

Describe the 6 steps for kinesiotape application.

A
  1. ) Clean skin.
  2. ) Round ends of tape.
  3. ) Apply anchor with NO stretch.
  4. ) Position pt muscles being taped in a stretch.
  5. ) Apply stretch to middle portion of tape. NO stretch at end of tape.
  6. ) Once applied, rub tape to activate tape adhesiveness.
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8
Q

With kinesiotaping, what percentage of stretch should be applied at both ends of the tape?

A

0%

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9
Q

Is it better to have too much or too little stretch with kinesiotaping? Why?

A

Too little, putting too much can cause tape job to become ineffective or irritate the pt.

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10
Q
  • 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?
A
  • Taping method that does not stretch to allow unrestricted movement, uses rigid taping.
  • stabilize and immobilize
  • worn for exercise session then removed
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11
Q

What is Mulligan Taping and what type of tape is used?

A

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.

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12
Q

Is Mulligan Taping used more-so in peripheral or central joints?

A

peripheral

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13
Q

How does Mulligan Taping differ from McConnell taping of the knee? (4)

A
  • 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)
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14
Q

What are the precautions for Mulligan Taping?

A
  • 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
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15
Q

What are some populations or conditions that can use Mulligan Taping?

A
  • PFPS
  • improving balance/gait in subacute stroke
  • ankle taping for prevention of sprains
  • chronic ankle instability (no difference between placebo and Mulligan)
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16
Q

What is McConnell Taping and what type of tape is used?

A

Aim is to create a mechanical realignment of the patella in the intertrochlear groove and reduce pain, uses rigid taping.

17
Q
  • What is the purpose of the McConnell Taping method?

- Nearly all patients require a ________ ______ of their patellas.

A
  • Correct altered patellafemoral kinematics and permit participation in normal daily activity.
  • medial glide
18
Q

What are some specific patient populations or conditions that McConnell Taping is used for?

A
  • PFPS
  • Knee OA
  • Chondromalacia Patellae

(physical activities that aggravate symptoms include ascending/descending stairs, kneeling, running, and squatting)

19
Q

Describe the application of McConnell Taping?

A
  1. ) Pt supine with knee slightly bent (completely relaxed)
  2. ) Start tape in line with middle of the knee cap at the outer aspect of the knee.
  3. ) Use thumb on top of tape to push patella towards inner aspect.
  4. ) Finish as the inner aspect of the knee ensuring some skin wrinkling.
  5. ) Repeat 1-3x
20
Q

What are the 6 Kinesiotape corrective application techniques? Explain each.

A
  1. ) Recoiling - uses the stretch tape to give feedback on body positioning.
  2. ) Holding - Aims to align tissue in a desired position.
  3. ) Lifting - Aims to reduce compression of blood vessels, lymph vessels and pain receptors to increase blood flow.
  4. ) Pressure - Aims at increasing stimulation of tissues over a ligament or tendon.
  5. ) Spring - Used to assist or limit motion around a joint.
  6. ) Channeling - Used to decrease pressure over lymph ducts to create channels for lymph to flow.
21
Q

Describe the 6 steps for kinesiotape application.

A
  1. ) Clean skin.
  2. ) Round ends of tape.
  3. ) Apply anchor with NO stretch.
  4. ) Position pt muscles being taped in a stretch.
  5. ) Apply stretch to middle portion of tape. NO stretch at end of tape.
  6. ) Once applied, rub tape to activate tape adhesiveness.
22
Q

Describe the 3 steps for kinesiotape removal.

A
  1. ) Pull tape in direction which your hair grows.
  2. ) Slow tugs rather than ripping the tape off.
  3. ) Place finger on surface of skin as an anchor to hold the skin down.
23
Q

How will I know if I’m allergic to the tape?

A

-Skin becomes red, itchy, burns or blisters.

24
Q

What should I do if I’m allergic to the tape?

A
  • Remove immediately and wash and dry skin.
  • Do not reapply tape and inform PT.
  • If aggravating injury, remove it.
25
Q

How do I remove the tape?

A
  • Do not tear it off quickly.

- Soak in water to aid in removal.

26
Q

How do I know if the tape is too tight?

A
  • Skin below tape loses normal color.

- Pins and needles or numbness.

27
Q

What are the indications for patellar medial glide (McConnell) rigid strapping technique?

A

Anterior knee pain, PFPS, patellar instability

28
Q

What are the indications for scapula position correction rigid strapping technique?

A

To improve awareness of appropriate scapular motion

29
Q

What are the contraindications for rigid strapping techniques such as Mulligan or McConnell?

A
  • Fragile skin, open wounds, sensitivities to adhesive.

- Pts with latex allergies.