Taping

different taping teqniques

1. TAPING TECHNIQUE PRESENTED BY : DR.DEEPAK RAGHAV PRINCIPAL/HOD SANTOSH COLLEGE OF PHYSIOTHERAPY SANTOSH MEDICAL & DENTAL COLLEGE HOSPITAL, GHAZIABAD

2. INTRODUCTION Taping is a form of strapping. It is the procedure that uses tape, attached to the skin , to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery. It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.

3. ROLE OF TAPING Prevention or recurrence of injury. Supporting the ligaments, tendons and muscles to protect the further injury. It limit the excessive or unwanted movement of unstable joints. It protect and support the injured structure in functional position. It enhances proprioception of limb and joints. It enhances kinesthesia.

4. TAPING PRINCIPLES How did the injury occur? What structures were damaged? What tissues need protection and support? What movements must be restricted? Is the injury acute and chronic? Is immobilizations necessary at this stage? Are you familiar with the anatomy and biomechanics of the parts involved? Are you familiar with technique?

5. PHYSIOLOGICAL EFFECTS OF TAPING

6. SKIN REDUCES PAIN BY ALLEVIATING PRESSURE ON THE NEURAL & SENSORY RECEPTORS REDUCES SWELLING BY INCREASING FLUID MOVEMENT. CIRCULATORY CAN SPEED LYMPHATIC DRAINAGE & FLOW BY INCREASING THE AMOUNT OF SPACE BENEATH THE SKIN. FASCIA BY TAPING THE SKIN IT CAN EFFECT THE DEEPEST LAYER OF FASCIA MUSCLE TAPE CAN RELIEVE MUSCLE PAIN, INCREASE ROM ,NORMALIZE LENGTH/TENSION RATIO TO CREATE OPTIMAL FORCE ,ASSIST WITH TISSUE RECOVERY & REDUCE FATIGUE. JOINT TAPE CAN IMPROVE JOINT, ALIGNMENT & BIOMECHANICS. FACILITATE LIGAMENT & TENDON FUNCTION. ENHANCE KINESTHETIC AWARENESS. CORRECT IMBALANCE.

7. Tape Underwrap Adhesive remover Taping scissors Powder/disinfecting solution Cohesive bandage Pads Adhesive spray MATERIALS USES IN TAPING

8. TAPE

9. PREWRAP/UNDERWRAP This is the foam material applied before the tape on sensitive area . ADHESIVE REMOVER It is solvent to help to remove tape from skin.

10. TAPE CUTTER/BANDAGE SCISSORS These scissors have flat tipped blade, slips safely under tape for easy removal. FLAT TIPPED BLADE SCISSOR HEAVY DUTY SCISSOR

11. POWDER It is used after removal of tape, if there is any allergy or itching PADS Use thin pads over bony prominences and high friction area . ADHESIVE SPRAY It is applied on fixing area to facilitate the adherence.

12. It is a elastic bandage. It sticks to itself, but not to the skin. Waterproof and reusable. Available in a wide variety of colours, and are very easy to tear with the fingers. Commonly used for wrapping joints, and covering tapings and for compression to injured joints or muscle areas to reduce irritation. COHESIVE BANDAGE

13. STANDARD ATHLETIC TAPING. MCCONNELL TAPING. MULLIGAN TAPING. KINESIOLOGY TAPING. FUNCTIONAL MOVEMENT TAPING. SPECIFIC PROPRIOCEPTIVE RESPONSE TAPING . LOW DYE TAPING DIFFERENT TAPING TECHNIQUES

14. STANDARD ATHLETIC TAPING EXTREMLY RIGID AND REQUIRES PRE WRAP. USED FOR ACUTE INJURIES. MAINLY USED FOR SHORT DURATION OF TIME. APPLIED PRIOR TO THR ACTIVITY AND THEN TAKEN OFF IMMEDIATELY THEREAFTER. CAN CAUSE SKIN IRRITATION DUE TO MOISTURE ENTRAPMENT, HIGH LATEX CONTENT, SKIN COMPRESSION, JOINT COMPRESSION AND MUSCLE COMPRESSION. NOT WATER RESISTANT.

15. McCONNELL'S TAPING DONE USING A SUPER RIGID COTTON MESH HIGHLY ADHESIVE TAPE. USED FOR PATELLOFEMORAL PAIN SYNDROME, SHOULDER SUBLUXATION, LUMBER SPINE, FOOT AND HIP JOINT. AIMED AT CORRECTING THE BIOMECANICS. PRIMARILY USED FOR NEUROMUSCULAR RE-EDUCATION OF TH AFFECTED CONDITIION. NOT WATER RESISTANT.

16. DEPENDING ON HOW YOU APPLY THE KINESIOTAPE IT CAN WORK IN DIFFERENT WAYS. IT MIMICS THE QUALITIES OF HUMAN SKIN. IT WORKS BY SUBCUTANEOUSLY LIFTING THE SKIN. ENHANCE MUSCULAR ,JOINT & CIRCULATORY FUNCTION BY FACILITATING A MUSCLE, INHIBITING A MUSCLE, WORKING WITH THE LYMPH SYSTEM TO HELP WITH EDEMA. CAN BE USED IN ALL PHASE OF AN INJURY ACUTE, SUB ACUTE & REHABILITATIVE. CAN BE APPLIED FROM PEDIATRIC TO GERIATRIC POPULATION. KINESIO TAPING

17. 100 % COTTON. LATEX FREE. THE THICKNESS OF THE KINESIO TEX TAPE IS APPROXIMATELY THE SAME AS THE EPIDERMIS OF THE SKIN. THIS WAS INTENDED TO LIMIT THE BODY'S PERCEPTION OF WEIGHT AND AVOID SENSORY STIMULI WHEN PROPERLY APPLIED. WATER RESISTANT CAN BE APPLIED FOR 3-5 DAYS. KINESIO TAPING

18. LOW-DYE TAPING IS ALSO KNOWN AS CALCANEAL TAPING. COMMONLY USED BY PHYSICAL THERAPISTS IN THE TREATMENT OF LOWER LEG SYMPTOMS RELATED TO EXCESSIVE PRONATION. PROVIDES SHORT-TERM (7-10 DAYS) OF PAIN RELIEF BY SUPPORTING THE MEDIAL LONGITUDINAL ARCH OF THE FOOT, THUS CONTROLLING THE AMOUNT OF REAR FOOT PRONATION. IT ALSO HELPS TO REDUCE THE PRESSURE IN THE MEDIAL MIDFOOT. LOW DYE TAPING

19. FFT allows the continuation of functional range & activity without pain. It applies a sustained load on to the fascia in a direction that allow the muscle under fascia to glide better. FFT effects on connective tissue. Direction of tape applied is guided by the direction of load that reduce pain. FUNCTIONAL FASCIAL TAPING

20. MULLIGAN’S TAPING DONE TO CORRECT POSITIONAL FAULTS. DONE IN FUNCTIONAL POSITION OR WEIGHT BEARING POSITION. THE JOINT IS TAPED WITH THE GLIDE WHICH RELIEVES THE PAIN.

21. TYPES OF TAPE NON ELASTIC TAPE ELASTIC TAPE KINESIO TAPE

22. Made up of cotton with Zinc Oxide adhesive mass. Hypoallergnic tape. Manufactured in variety of size and colors. Most common is white. It is available in market in ½,1,2,inch width and 10-15 yard in length. Does not posses elastic properties. so comformability to body contour can be difficult. Easy to tear. NON ELASTIC TAPE

23. Commonly referred as stretch tape Give good conformability to body contour. It is made up of twisted cotton and adhesive backing. It is available in 2,3 inch in widths by 5 yard length with tan in colors . It is too strong. Should use scissor to cut the tape. ELASTIC TAPE (ELASTIC ADHESIVE BANDAGE)

24. TYPES OF TAPE

25. WASH & DRY SKIN. TAPING GUIDELINES

26. SHAVE THE SKIN. TAPING GUIDELINES

27. REMOVE OILS AND LOTION. CHECK THE ATHLETE SKIN. APPLY UNDERWRAP FOR SENSITIVE SKIN. COVER BROKEN LESION. APPLY PROTECTIVE PADDING TO FRICTION AND PRESSURE AREAS. ATHLETE AND THERAPIST SHOULD BE IN A COMFORTABLE POSITION TAPING GUIDELINES

28. WHEN APPLYING NON ELASTIC (ZINC OXIDE TAPE),THE POSITION OF JOINT IN RANGE OF MOTION IN WHICH THE JOINT WILL BE STABILIZED.(IN FUNCTIONAL POSITION,MINIMUM STRESS ON INJURED STRUCTURE) WHEN APPLY ELASTIC TAPE,THE POSITION OF JOINT WILL VARY BECAUSE OF THE STRETCH QUALITY OF TAPE. POSITION OF PART, OF AN INDIVIDUAL WHERE TAPE IS TO BE APPLIED

29. A SWOLLEN, IRRITABLE OR PAINFUL JOINT. ACUTE INJURY(WHERE THERE IS A RISK OF SWELLING) ABNORMAL SKIN SENSATION, ALLERGIES OR HYPER SENSATION OF SKIN. ON FRACTURE. ON MUSCULAR INJURY (OPEN WOUND) IF YOU HAVE CIRCULATORY PROBLEM . CONTRAINDICATIONS OF TAPING

30. AVOID EXCESSIVE TRACTION ON SKIN. AVOID GAPS AND WRINKLES. AVOID CONTINUOUS CIRCUMFERENTIAL TAPING- PRODUCE A MORE UNIFORM PRESSURE. AVOID EXCESSIVE LAYERS OF TAPE. AVOID TOO TIGHT APPLICATION OVER BONY AREAS. AFTER APPLICTION , CHECK THE TAPE TO MAKE SURE THAT ATHLETE IS COMFORTABLE OR NOT UNROLL THE TAPE BEFORE APPLYING IT. PRECAUTIONS OF TAPING

31. VARIOUS TERMS ASSOCIATED WITH TAPING TECHNIQUE

32. ANCHORS IT IS THE FIRST STRIPS OF TAPE APPLIED ABOVE AND BELOW THE INJURY SITE WHERE SUBSEQUENT TAPE ARE ATTACHED. SUPPORT STRIPS RESTRICT UNWANTED SIDEWAYS MOVEMENT. HORIZONTAL STRIPS ADD STABILITY TO THE JOINT. VERTICAL STRIPS ALSO PROVIDE STABILITY. REINFORCING STRIPS ADD TENSILE STRENGTH. CHECK REIN RESTRICT RANGE OF MOTION. LOCK STRIPS TO SECURE THE CUT END OF TAPE OTHER TERMS HEEL LOCK, Y STRIP, J STRIP , I STRIP

33. COMPLICATIONS REDUCED CIRCULATION FROM TAPING. SKIN IRRITATION DUE TO MECHANICAL OR ALLERGIC PHENOMENA. DECREASED EFFECTIVENESS OF TAPE WITH TIME IT MAY CAUSE BILTERS AND LACERATIONS.

34. THANK YOU