S2_L3-4: Bandaging & Taping Flashcards
Most common injury that requires bandage
Sprain or Strain
Bandage technique that uses a series of spiral turns applied in an alternate direction. It can be applied to the foot and ankle, knee, shoulder, elbow, wrist and hand.
Figure of eight pattern
Bandage technique where series of lengthwise layers applied to the anterior-posterior or dorsal-volar surfaces of a body part.
Recurrent bandage
Bandage technique that uses a series of spiral turns, each of which is folded or reversed on itself midway through its turn. The reverse component allows a non-elastic bandage to conform or change in circumference.
Spiral reverse bandage
Pattern wherein the bandage is applied in a series of overlapping circular turns around a body part to anchor the bandage initially
or terminally. To avoid occlusion, careful application must be observed.
Circular bandage
Pattern wherein the bandage is applied in a series of overlapping diagonal turns around a body part. This covers a larger area and is less likely to cause an occlusion.
Spiral bandage
Bandage technique that uses a series of diagonal turns that do not overlap and have an open space in between each turn.
Open Spiral or Oblique Bandage
Bandage size for the foot and ankle
4 in bandage
Bandage size used for the hand and wrist
1-2 in bandage
Bandage size for the knee in adults and children
Adults: 4 in
Children: 3 in
Bandage size for elbow in adults and children
Adults: 3-4 in
Children: 2-3 in
Bandage size for the hip in adults and children
Adults: 6 in
Children: 4 in
This incorporates a figure of eight pattern and is used for transfemoral amputation or a strained groin
Spica
Most commonly used bandage material
Muslin (Unbleached cotton)
Enumerate the 4 general purposes of bandaging
- support or stabilize a segment
- restrict motion of a joint
- control edema, swelling, or joint effusion
- first aid for acute cases
This can be used as a sling, however, it will not support the UE and triangular sling
Cravat
This is made of an elastic or non-elastic material formed in a cylindric roll.
Roller bandage
Roller bandages are used to maintain and protect a (1)__, to provide (2)__, maintain a splint, support a joint, restrict motion or control (3)__.
- dressing
- pressure
- edema
This is a large piece of cloth that is cut or formed into a triangle. It is used as a temporary sling to support the weight of the UE
Triangular bandage
A bandage material made of loosely knit cotton and formed into a tube
Stockinet
Enumerate the 5 types of bandage materials
- muslin
- woven, elastic, porous cotton
- rolled gauze
- stockinet
- adhesive tape
Determine whether stretch or non-stretch tape is being described.
- Hold protective pads in place
- Limit joint movement
- Act prophylactically
- Compress and support soft tissue
- Enhance proprioception
A. Stretch / Elastic Adhesive Tape
B. Non-stretch Adhesive Tape
- A
- B
- B
- A
- B
Determine whether stretch or non-stretch tape is being described.
- Support inert structures (ligaments, joint capsule)
- Provide anchors around muscle
- Reinforce stretch tape
- Secure ends of stretch tape
- May be used in conjunction with rigid tape to give added support
A. Stretch / Elastic Adhesive Tape
B. Non-stretch Adhesive Tape
- B
- A
- B
- B
- A
TRUE OR FALSE: Stretch adhesive tape provides mechanical support to ligaments.
False
TRUE OR FALSE: Non-stretch tape should be torn by hand to maintain tension during application. It is important to be able to tear tape from various positions.
True
In preparing the area to be taped, wash, dry, and shave the skin in a (1)___ direction. Remove oils for better (2)___.
- Downward
- Adhesion
This is applied as a layer before the tape in cases of sensitive skin.
Underwrap
This padding is applied to friction and pressure areas.
Lubricated protective padding
This spray is for skin protection and better tape adhesion. It is also applied to make the skin tacky, thus helping underwrap, protective pads, or tape adhere more readily.
Adhesive spray
In taping application, the tape is applied to the skin at (1)___ temperature. It is also important to ensure that ligaments are in the (2)___ position.
- Room
- Shortened
To prevent slippage and gapping, sucessive strips are overlapped by ___.
Half
In taping application, the joint is placed in a (1)___ position with (2)___ stress on the injured structure.
- Functional
- Minimum
Matching Type
- Gaps and wrinkles
- Excessive layers of tape
- Excessive traction on skin
- Application over bony areas is too tight
A. May cause bony ache
B. May lead to skin breakdown
C. May cause blisters
D. May impair circulation & neural transmission
- C
- D
- B
- A
In taping removal, it is advised to cut along the side near a (1)___. The tape is peeled off gently, with the pull along the axis of the (2)___.
- Bony prominence
- Limb
It is advised not to leave tape on for more than ___.
24 hours
Tape with (1)___ adhesive mass is susceptible to temperature change and should be stored in a (2)___ place.
- zinc oxide
- cool
At temperatures over (1)___ the adhesive mass becomes sticky, making the tension (2)___ and thus more difficult to unwind.
- 20ºC
- stronger
TRUE OR FALSE: Non-stretch tape is more difficult to tear when warm. Conversely, hypoallergenic tapes are not susceptible to temperature change.
True
TRUE OR FALSE: Partially used rolls should be kept in an airtight container, such as a cooler box or plastic box, and not left on shelves.
True
First strips of tape applied above and below the injury site
Anchors
Vertical strips of tape that support the body part and restricts unwanted sideways movement
Support Strips and Stirrup
Tape that adds stability to the joint
Gibney / Horizontal Strips
Tape that restricts movement and adds tensile strength to strategic areas when applied over stretch tape.
Reinforcing strips
E.g. If a pt suffers from an inversion ankle sprain, a reinforcing strip is applied to promote eversion that pulls the foot outward
Strips of tape that
form a cross and restrict range of motion
Butterfly / Check reins
Tape that secures the cut end of stretch tape, which tends to roll back on itself. It also secures check reins in place and neatly finishes the technique when applied over anchors.
Lock strips
Tape that gives additional support to the subtalar and ankle joints
Heel locks
Felt, foam rubber or other materials for protecting sensitive areas (e.g. bony areas)
Padding
Foam squares or heel-and-lace pads used to protect areas which are susceptible to stress and friction (e.g.
top of the ankle, popliteal
fossa, or cubital fossa)
Gauze squares
Thin polyurethane foam material used to protect sensitive skin from zinc oxide adhesive mass. It is used as protection
for those pts who don’t
want to be shaved during tape application.
Underwrap or Prowrap
Spray that breaks down the adhesive mass and allows the tape to be removed easily.
Dehesive spray
It is available as a spray, solution, or wipes to clean adhesive residue from the skin
Tape remover
It is applied to lubricate areas of stress and reduce friction and irritation to the soft tissues
Petroleum jelly
It prevents stretch tape from rolling at the edges. It is also used to remove adhesive residue where necessary
in place of a tape
remover when it is unavailable.
Talcum powder
Bandage that can be used for light compression or for application over tape to prevent it from unravelling in water. It adheres to itself but not to the skin.
Cohesive bandage
Flat-ended scissors for safe removal of tape.
Bandage scissors
It allows quick and safe removal of tape
Tape cutter
This may be applied over a completed tape job to help set the tape and hold it in place
Tubular bandage
This bandage is used for compression and for traditional spicas
Elastic bandage / tensor
It is used for ankle wraps, triangular bandages, collar, and cuff support.
Cloth wrap
TRUE OR FALSE: An electric shaver avoids cutting the skin. Broken/open lesions should be covered with gauze or sanitized cloth before taping.
True
The application of tape to injured soft tissues and joints provides support and (1)___ for these structures. It minimizes pain and swelling in the (2)___ stage.
- protection
- acute
TRUE OR FALSE: Taping allows optimal healing without stressing injured structures. It also compresses recent injury, thus reducing bleeding and swelling.
True
TRUE OR FALSE: Taping is prescribed to be applied for 23 hours each day.
True
TRUE OR FALSE: Ice should not be applied to an injured part that is to be immediately subjected to taping.
True.
Source:Hewetson’s An Illustrated Guide to Taping Techniques
Bandage technique used in acute cases or emergencies to provide temporary splint on injured body part
Open spiral or oblique bandage
Bandage technique that is beneficial to reduce edema and swelling on injured
part
Spiral bandage
Bandage technique for patients with painful swelling
Spiral reverse bandage
Most common bandage pattern, usually applied on distal joints
Figure of eight
TRUE OR FALSE: Good quality tape should adhere readily and
maintain adhesion despite perspiration and activity.
True
Strips of tape that minimize traction on the skin
(skin drag) and are applied w/o tension
Anchors
TRUE OR FALSE: It is important to check skin condition for before and after taping.
True
Check for blanching, discoloration, allergic
reactions.
