Transcript Kinesiotaping 1 - دکتر امیر هوشنگ واحدی متخصص طب فیزیکی و

‫‪Kinesiotaping 1‬‬
‫دکترامیر هوشنگ واحدی‬
‫متخصص طب فیزیکی و توانبخشی‬
Taping techniques
• Athletic taping – very firm tape
applied before the
sport and
removed right after; used for
protection and prevention
• McConnell taping – a rigid tape (such as Leukotape) applied
for different conditions, typically patellofemoral pain
• Kinesiotaping
• Developed by Kenzo Kase, DC in the early 1970’s in
Japan
• Use spread to other Asian countries and Europe
• Officially introduced to the USA in 1995
History
Born in 1942
After he graduated from Meiji University, he attended and
graduated from National College of Chiropractic in
Chicago.
1975: opened Kase Chiropractic Clinic in Albuquerque,
NM.
1976: becanle an instructor at the University of New
Mexico.
1978: opened Kase Chiropractic Clinic in Tokyo.
He is the President of Kinesio Taping Association and
National Chiropractic College Japan.
He is a certified DC in the United States and one of the
best Chiropractors in Japan.
He invented and developed the Kinesio Taping® Method
30 years ago.
Kenzo Kase
• Invented by Dr. Kenzo Kase (Chiropractor) in 1973
• Muscles and other tissues could be influenced by external
forces, yet still allow full range of motion
• Originally used in rehab settings in Japan
• First used on volleyball players in 1980’s
• Now used more in non-athletic population
What is Kinesiotaping
Jim Wallis, ATC, CKT'I
Born in 1958
1983: graduated from WasWngton State
University and became a certified athletic
trainer by NATA.
1984: earned MS from University of Arizona.
1997: became a Certified Kinesio Taping
Instructor. Currently, he is the head athletic
trainer at Portland State University.
• Stimulates proprioceptors which respond to position,
pressure and stretch
• Stimulates mechanoreceptors
• Facilitates lymphatic drainage by lifting skin to create an
area of low pressure
Mechanism
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Decreases pain
Decreases swelling
Decreases muscle spasm
Facilitates weak or atrophied muscles/tendons (chronic)
Inhibits muscles/tendons to reduce spasm or stress (acute)
Benefits
• Acute or overuse injuries – distal to proximal –
10-15% tension (paper off)
• Chronic injuries or disuse atrophy – proximal to
distal – 25-50% tension
• Correction techniques – 50-100% tension
• Tape skin in an elongated position
• “I” and “Y” strips, fan is for lymphatic drainage
• When in doubt, less is best
Principles of Application
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Endogenous Analgesic System function:
Relieve pain or abnormal feeling on the skin & muscles
2. Muscle function: supports the muscle in movement
3. Lymphatic function: lifts the skin and promote lymphatic
flow
4. Joint function: hold the joint in better alignment
Physiological effects of KT
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AC JOINT
ACHILLES TENDONITIS
ACL
ADDUCTOR STRAIN
ANKLE LATERAL SPRAIN
ANKLE MEDIAL SPRAIN
BICEPS TENDONITIS
BRACHIAL PLEXUS
BURSITIS OF THE ELBOW
BURSITIS OF THE KNEE
BURSITIS OF THE SHOULDER
CARPAL TUNNEL
CERVICAL SPONDYLITIS
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CHONDROMALACIA
COSTOCHONDRAL
DEQUERVAINS
DISLOCATIONS
ELBOW HYPEREXT
ELBOW VALGUS LAXITY
EPICONDYLITIS
ERECTOR SPINAE
FASCIA CORRECTION
FINGER SPRAIN
FROZEN SHOULDER
FUNCTIONAL TAPING
GAMEKEEPERS THUMB
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Mimics elasticity of skin
May stretch up to 40% of original length
100% cotton – wave pattern
Latex free
Acrylic-based adhesive – heat activated
Water resistant
Red absorbs sunlight, blue reflects it
Kinesio Tex Tape Properties
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Elasticity of 30-40 % stretch
Stretches along longitudinal axis only
Activated by heat
No latex
Can be worn for several days
Can shower with it
Kinesio Tape
• there are several sizes of the Kinesio Tape
available.Primarily a practitioner will use the 2 inches (5
cm) by 5.4 yards (5 meters) size.
• This is available in natural, red, blue,and
black that are treated for water resistance.
Sizes and Types of KinesioTape
• If the water resistant product is selected, the roll will be
one meter less in length to account for the cost of the
water resistant treatment. The water resistant product
works wet in areas of high moisture or for patients
working in moist enviromnents.
• Also available is a 3-inch (7.5 cm) by 5.4yard(5 meters)
roll. This may be required on larger individuals or
athletes.
• The 1-inch (2.5 cm) by 5.4 yard (5 meters) roll may be
used for finger or neurological taping.
• 1 1/2 inch (3.75 cm) by 5.4 yard (5 meters) roll may be
used on ankles or smaller patients.
• If the practitioner determines an increase temperatures is
appropriate in the injury site, the red Kinesia Tex® Tape
could be selected. If the practitioner believes that a
reduction in tissue temperature is required, such as in
tendonitis, the blue Kinesio Tex® Tape could be selected.
Patients may have a preference for a color, and this may
affect their perception of the effectiveness of the treatment
• smoothly remove the paper hacking, hold the tape
vertically, place your index finger on the top edge of the
tape. Then by pulling back or flexing your index finger
towards your body, the tape will peel frool its backing.
Removal of Tape from Paper Backing
• Any contact with the acrylic adhesive will diminish its
adhesive abilities. Try to touch the adhesive as little as
possible.
Removal of Tape from Paper Backing
• The skin should be free of oils and lotions and should be
cleaned prior to tape application.
• For a limited number of patients, body hair may limit
adhesion. If the degree of body hair limits adhesion then
the practitioner may need to shave or clip the area to be
treated.
Skin Preparation
• After several days: the acrylic adhesive will have become
quite strong. During the first few days, if an edge of the
tape has begun to lift, it can be trimmed.
• To remove the tape from the patient it is generally much
easier to do when they have bathed or the tape is moist.
Tape Removal
• It is best to remove from the top down. This will be in the
direction of the body hair and should limit discomfort.
• Lift the tape from the skin, applying tension between the
skin and the tape, then push the skin away from the tape
rather than pulling the tape away from the skin.
• The application of mineral oil or milk of magnesia to the
Kinesio Tape has assisted in tape remova1.
• Approximately 20-30 minutes is required for the glue to
become fully activated before the patient can become
physically active. If activity occurs prior to this time, the
tape may Come off.
limitations of the Kinesio Taping Method
• If Kinesio Tape is applied during physical activity, an
extra adhesive may be needed to prepare the skin. Several
commercially produced spray adherents are available.
Once a spray adherent is used, the removal of the Kinesio
Tex® Tape will be difficult.
While both types of tape are generally made from cotton, this is
where the resemblance ends. Kinesiology tape is very thin and
elastic, while traditional athletic tape is thicker and inflexible.
Many athletic tapes contain other ingredients, including latex
and zinc oxide, which can contribute to skin irritation and
allergic reactions. Kinesiology tape is make from 100% high
quality cotton, with a hypoallergenic acrylic adhesive.
Composition of Tape
• Conventional athletic tape is almost
always wrapped tightly around a joint or muscle
group, completely enclosing the area in tape. A
pre-wrap is generally required to help reduce
skin irritation. Because there is no elasticity in
the tape, this technique is used to immobilize or
greatly reduce the range of motion of the injured
area.
Method of Application
• Kinesiology tape, on the other hand, is
seldom wrapped completely around any
part of the body. Instead, it may be
applied across an injured area and/or
along the boundaries of the injured joint
or muscle group. This type of taping can
be used to limit unhealthy movement
patterns, but still allow full range of
motion within healthy limits.
• Because traditional athletic tape creates significant compression of
injured tissues, it can limit both blood circulation and lymphatic
drainage. Skin irritation can also occur due to poor breathability,
heavy adhesive and friction. Thus, it can only be worn for short
periods of time. Because kinesiology tape is both flexible and
breathable, one application can be worn for several days without skin
irritation or other complications.
Wear Time
• Conventional athletic taping has only two functions to
provide support and/or to limit range of motion in injured
or unstable joints and muscle groups. It does not have any
therapeutic or rehabilitative benefits beyond these
physical functions.
Therapeutic Function
• Kinesiology taping, however, actually provides a number
of therapeutic benefits.
• - pain relief
- reduction of inflammation, edema, swelling, bruising
- re-activation of inhibited muscle fibers
- accelerated recovery from intense exercise
- prevention/relief of cramps and spasms
• for rigid support of injured or unstable joints,
conventional athletic tape is indicated. For all other
therapeutic requirements, kinesiology taping provides
superior benefits.
• the elastic qualities of the Kinesio Tape are designed for
55-60<% stretch.
• When applying the KinesioTaping method,it is important
to apply the Kinesio strip with the correct degree of
tension.
Tape Stretch/Tension
• If you start with a 10-inch strip of KinesioTex® Tape, and
you stretch it to it's maximum available tension (40% of
overall length), it would be 14 inches long.
• During application, if the technique requires 25% of the
available tension, this would actually be 25% of the total
available or 1 inch for a total length of 11 inches.
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full - (100%)
severe - (75%)
moderate - (50%)
light or paper off - (15-25%)
very light - (0-15%)
none - (no tension)
Tape Stretch/Tension
• There arc two basic application directions for treatment of
muscles.
• For acutely over-used or stretched muscles, the tape is
applied from INSERTION to ORIGIN to inhibit muscle
function
• For chronically weak musc1es or where increased
contraction is desired, the tape is applied from ORIGIN to
INSERTION to facilitate n1usde function.
Tape Direction
• INSERTION to ORIGIN application tape stretch/ tension
is very light or light, 15-25% of available tension.
• Remember that the KinesioTape is applied to the paper
backing with approximately 25% of available
stretch/tension
• "less is better"
• ORIGIN to INSERTION application tension is light to
moderate, 25-50% of available tension.
• The practitioner should be able to see slight separation of
the elastic fibers in the Kinesio Tape.