Transcript Folie 1 - K

1. Overview four basic techniques
1. Muscle-technik
•
•
•
•
Messurment in a stretched position
Apply the base in a neutral postion
Stretch the muscle and the tissues
Apply the tape with no stretch
2. Ligament-technik
•
•
•
•
Open the release papier
Take the tape aat the two outside
bases and stretch the tape
Stretch the middle part as much as
you wish and apply at the skin
Apply both ends with no tension
3. Fascia-technik
•
•
•
Apply the base in a neutral position
of the fascia
Pull the base and bring the skin in
a wished position
The „free“ base follows the tales
4. Correctional-technik
•
Mechanical Correctional Typ 1
Apply the base and fix it with you
finger or your hand
•
Stretch the tales and apply it on the
skin
•
Apply the ends with no tension
•
Power of the stretch goes in
direction
of the base
Premium-Courses in Kinesiology Taping
1
1.1. Muscle-technique
„Sacrospinale system“
1
2
3
Picture 1: The lenght of the tape you measure in the stretched position of the are.
Picture 2: Apply the base in neutral postition in the area of the sacrum.
Picture 3: Stretch the skin and the soft tissues as much as possible (accept pain).
4
5
Picture 4: The tails and the ends apply with no stretch in the area of the muscle.
Pictures 5/6: Back in neutral position you have to see the Convolutions.
Effects:
• To strength a weak or a not correct reacticve muscle
• Plus the effects of the convulutions
• The power of the strips will go soft back to the base.
Notice
2
Premium-Courses in Kinesiology Taping
6
1.2. Ligament- or Space-technique
„Lower back“
1
2
3
Picture 1: The lenght of the tape will be around two crossfinger over the muscle
application. (Variation possible).
Picture 2: So far before there was a muscle application the patient has to stretcht the
area till the convolutions disapear.
The middle part stretch as the much as the target is and apply then the tape
Picture 3: The both ends apply with no tension.
4
5
Pictures 4/5: Finished application.
Effects:
• By stretching the tape, energy will storage in the tape. After the
application this energy will bring the tape and the tissues a little in
direction of the middle.
• Depending on the stretch you will get stabilation or space.
Notice
Premium-Courses in Kinesiology Taping
3
1.3. Ligament- or Paincross
1
Picture 1:
Ligament-technique
apply vertical
2
Picture 2:
The next two techniques do
cross in the area of the pain
3
Picture 3:
Ligament-Technique
apply horizontal
1.4. Triggerpoint
Apply 3-4 small Ligament-techniques
Crossed in the area of the trigger point.
Notice
4
Premium-Courses in Kinesiology Taping
1.5. Fascia-technique
1
2
Picture 1: Apply the base with no stretch.
Picture 2: Pull soft with soft vibrations on the tales to change slightly the base. Apply always
during the pulling small parts of the tails..
3
4
Pictures 3/4: Apply the ends with no stretch.
Effects:
By pulling the tales the base will following this direction and the skin and the fascia could
changed in a „wished“ postion. With this application you will get change of the positioning
and tension of the skin, fascia and other tissues.
The Y-shape you especially can use for pain points. You can put it in the middles of the Y.
Notice
Premium-Courses in Kinesiology Taping
5
1.6. Correctional-technique
2
1
3
Picture 1: Apply the base with no stretch.
Picture 2: Fix the base. Now you can stretch the tails from moderate till maximum.
Picture 3: Apply the ends with no stretch.
Picture 4: Finishes application.
4
Effects:
By fixing the base, the power of the tales will come back to the base.(rubber effect). With this
application you can change positioning and tension of skin, fascia, soft tissures, but also
bones like the patella.
With this application you can get more structural and sensitive input for as with the fasciatechnique.
Notice
6
Premium-Courses in Kinesiology Taping
Screening of the dorsal myofascial chain
Generell tests for the dorsal myofascial
system/ chain:
1. Upper Spine Test
2. Lower Spine Test
3. SLR or Laseque Test
Premium-Courses in Kinesiology Taping
7
Screening of the ventral myofascial chain
Generell tests for the dorsal myofascial
system/ chain:
1. Cervical Extension Test
2. Thorax Test
3. Abdominal Pressure Test
4. Globaltest: Hyperextension of the body
8
Premium-Courses in Kinesiology Taping
Screening of the diagonal myofascial chain
Generell tests for the dorsal myofaszcale
system/ chain:
1. Upper Extremity Test
2. Thorax Test
3. Abdominal Pressure Test
4. Patrick Test
Premium-Courses in Kinesiology Taping
9
2. Lower Spine Test
Possible muscles to be tested:
M. sacrospinalis
M. quadratus lumborum
M. iliocostalis lumborum
M. psoas major
M. illiacus
Patient lies supine and performs an assistive flexion of the entire spine.
The therapist should assess the following especially in the lower back:
1. Pain at the starting point, during and/or at the end of the movement
2. Can the patient perform the movement themselves - only partially or full
range of motion possible?
3. Are there sensitive zones on the skin (soft tissue zones, headache zones, etc)
4. Flexibility of the skin on the dorsal side
5. Folding/wrinkles of the tissue on the ventral side
6. Fascial mobility (in relaxed position)
7. Check the temperature of the tissue and the energetic radiation
This test is positive, if one or more factors are abnormal.
Test in the standing position
10
Premium-Courses in Kinesiology Taping
2.1. Sacrospinal muscle system
1
2
3
Picture 1: The lenght of the tape you measure in the stretched position of the are.
Picture 2: Apply the base in neutral postition in the area of the sacrum.
Picture 3: Stretch the skin and the soft tissues as much as possible (accept pain).
4
5
6
Picture 4: The tails and the ends apply with no stretch in the area of the muscle.
Pictures 5/6: Back in neutral position you have to see the convolutions.
Effects:
• To strength a weak or a not correct reacticve muscle
• Plus the effects of the convulutions
• The power/direction of the strips will go soft back to the base
Notice
Premium-Courses in Kinesiology Taping
11
Remodeling techniques
Expansions
Zones, scars, operation, burning wounds, ...
1
Pic. 1:
Pic. 2:
Pic. 3:
2
3
Expansion below the belly bottom
Stretch the Tape gentle ( 25 %) and then apply it with „pressure“ in the tissue.
Complete appication: now the tissue is a little more inside
Shrinkings
Zones, scars, operation, burning wounds, ...
4
Pic. 4:
Pic. 5:
Pic. 6:
.
5
Tissue is more inside
Stretch the tissue as much as possible e.g extension, lift the arms breath in …
and then the tape will be applied with no tension
Complete application: now the tissue is a little more outside
Effects:
Balancing of body shapes to get better body functions
12
6
Premium-Courses in Kinesiology Taping
3. Upper Spine Test
Possible muscles to be tested:
M. trapezius
M. latissimus dorsi
M. levator scapulae
M. erector trunci
Patient lies supine and through an assistive movement goes into spinal flexion up to
TH12.
The therapist assesses the following:
1. Pain at the starting point, during and/or at the end of the movement
2. Can the patient perform the movement themselves - only partially or
full range of motion possible?
3. Are there sensitive zones on the skin (soft tissue zones, Head
zones etc)
4. Flexibility of the skin on the dorsal side
5. Folding/ wrinkles of the tissue on the ventral side
6. Fascial mobility (in stretched and relaxed position)
7. Check the temperature of the tissue and the energetic radiation
This test is positive, if one or more factors are abnormal.
Test in the standing position
Premium-Courses in Kinesiology Taping
13
3.1. M. trapezius (pars descendens)
Picture 1:
Possible version:
Base is applied in neutral over the inferior tip of the
acromium.
1
Picture 2:
Bring the muscle into maximum stretch:
2
Originally application: lateral flexion and rotation to the
opposite side, cervical flexion.
Anatomically: Lateral flexion to the opposite side and
rotation to the same sid with cervical flexion.
Picture 3:
Apply the tape along the body of the muscle ending
at the base of the hair line.
3
Notice
14
Premium-Courses in Kinesiology Taping
4. Thorax Test
Possible Muscle to be tested:
• M. rhomboideus major
• M. rhomboideus minor
• M. sternocleidomastoideus
• M. pectoralis minor
• M. diaphragma
• Mm. intercostales
The patient lies supine, the therapist assesses the thorax.
Observation: asymmetries, scars, zones, problems with the fascia.
Palpation: flexibility of fascia and complications (zones) in this region
Pressure test of the ribs and underlying tissue and organs.
The test is positive if you find pain, changes to the
fascia or skin or other abnormalities.
Notice
Premium-Courses in Kinesiology Taping
15
4.1. M. rhomboideus major
2
1
Picture 1: Centre of tape is applied medial of the medial border of the scapula
(X-shape).
Picture 2: Roll both shoulders forward / down and then flex the neck to fully stretch the
tissues.
Apply the superior strip towards TH2 and the inferior strip to TH5.
3
4
Pictures 4 /5: Apply the lateral strips of tape in the same manner and
angle as above.
Picture 5: Final application.
5
Notice
16
Premium-Courses in Kinesiology Taping
5. Upper Extremity Test
Possible muscles to be tested:
• Chest – M. pectoralis major
• Shoulder and arm muscles
• Muscles of the hand due to large
representation area in our cortex!
The patient is seated on a chair. The therapists grips into the palm of the patients hand
and passively/assistiv brings the arm into outward rotation (behind vertical line),
horizontal abduction.
The norm is 0° horizontal abduction and ability to bring shoulder/arm by rotation
behind the vertical.
The test is positive, if range of movement is not 100%, there is pain or other restrictive
factors are noted.
Additionally therapist should assess the following:
presence and flexibility of scars and fascia anteriorly and posteriorly.
Folding of the skin over posterior thoracic area as well as into the
posterior arm.
Notice
Premium-Courses in Kinesiology Taping
17
5.1. M. deltoideus
1
2
Picture 1: Base: apply in neutral position below the deltoid tuberosity.
Picture 2: Bring ventral section of deltoid muscle into full stretch and apply tape
on anterior border of muscle.
3
4
Picture 3: Bring dorsal section of the muscle into full stretch and
apply the tape on posterior border of muscle.
Picture 4: Final Application.
Notice
18
Premium-Courses in Kinesiology Taping
5.2. M. supraspinatus
Picture 1: Base is applied in neutral postion in the area of the
insertion.
Will be there a painpoint, then the tape will applied
in a little distant of the point.
1
Stretch the muscle and the fascia. Apply tape along
fossa supraspinatus surrounding of the body of
the muscle.
5.3. Impingement-Syndrom
Picture 3: Fascia-technique.
*
2
Base:
anterior of shoulder
With jiggling of tape, pull fascia postriorly
and apply (one possibility).
The pain point is in the middle of the Y
Picture 3: Finished Appilcation:
• M. deltoideus
Muscle technique
• M. supraspinatus
Muscle tchnique
• Fascia technique
3
Premium-Courses in Kinesiology Taping
19
6. Cervical Extension Test
Possible muscle to be tested:
• Mm. scalenii
• M. splenius capitis
• M. splenius cervicis
• M. sternocleidomastoideus
The patient is seated and actively extends the cervical spine.
The therapist assesses the following:
1. Pain at the starting point, during and/or at the end
of the movement
2. Can the patient perform movement themselves – only partially or full range of motion
possible?
3. Are there sensitive zones on the skin (soft tissue zones, Head zones, etc)
4. Folding of the skin on the dorsal side
5. Flexibility of the tissue on the ventral side
6. Fascial movement (in relaxed position)
7. Check the temperature of the tissue and the
energetic radiation
This test is positive, if one or more factors are abnormal.
Otizen
Notice
20
Premium-Courses in Kinesiology Taping
6.1. Whipplash
1
Picture 1:
Base over scapula.
Application of tape with 10-15%
stretch. Base is fixed and cervical
spine in flexion or the positon of
pain free.
Picture 2:
Finished application of first fan
2
Pictrue 3:
Finished application
3
Notice
Premium-Courses in Kinesiology Taping
21
6.2. Cervial spine and headache
1
Picture 1:
• Muscle-technique
base depending on the testing
e.g. base under the hairline.
2
Picture 2:
• Ligament technique over C7
depending on the testing.
Notice
22
Premium-Courses in Kinesiology Taping
6.3. Epicondylitis rad./uln. hum.
Picture 1 - 2: Fascia technique
(asses direction!)
1
2
Picture 2 - 3: Muscle technique
(asses direction!)
3
4
Picture 5: Possible combination
Cave:
Normally the pain point
will not cover by tape.
*
5
Notice
Premium-Courses in Kinesiology Taping
23
7. SLR / Laségue Test
Possibel muscles to be tested:
• all muscles of the leg and the feed
• additional the muscles of the lumbar rigion
• at the end point of the movement, also the
other parts of the myofascial backline
The patient lays supine with legs in neutral. The therapist performs a SLR gripping from
the heel.
Observation: pain? when? at what point does the tension in the muscles change, how
is the tension in the fascia, especially dorsally (including the lower back)? Are the
ventral fascia able to relax / fold during hip flexion?
The test is positive, if there is pain, abnormal movement or no normal folding ventrally.
Notice
24
Premium-Courses in Kinesiology Taping
7.1. Lymphatic fan - Knee
Lymphatic applications always apply
accordant to the problems of the patient
Picture 1: Lateral Lymphatic fan
•
Base proximal to the area of the problem
•
Apply the tape with different angels of the
knee flex with around 10 % stretch of the tape
Picture 2: Medial Lymphatic fan
•
Base proximal to the area of the problem
•
Apply the tape with different angels of
the knee flex with around 10 % stretch of the
tape
Additional there could be apply a tape for the scars
and the muscle
Notice
Premium-Courses in Kinesiology Taping
25
7.2. M. quadriceps (general application)
Picture 1:
The leg lies extended on the table.
Base: below the SIAI in neutral hip /
knee position (Full version).
Place hip into extention of the side of
the bed with knee in flexion.
Apply the tape over the first 1/3 of the
muscle.
Picture 2:
Bring leg into hip and knee flexion
standing leg on the bed.
Apply the tape on the ramaining
muscle body allowing the strips of
tape to tail off around the patella.
Picture 3:
Final application.
1
2
3
Notice
26
Premium-Courses in Kinesiology Taping
7.3. Indication application: Knee
1
Picture 1:
Picture 2:
Flx.
2
Muscle technique M. quadriceps.
Mech. Correction type 1. Base over Tub. Tibiae, fix base, Knee in max.
Apply tape with 100% stretch towards apex patella. Lay on ends
without stretch in direction of the Mm. vastus medialis and lateralis.
Picture 3: Final application.
3
4
5
Picture 4 /5: Muscle technique hamstrings out of the standing or lying position.
Notice
Premium-Courses in Kinesiology Taping
27
7.4. Application AchilloTendon
1
2
Picture 1:
Tendon-Technique
Foot in Dorsal extension: Base over the calcaneus
Distal tape is applied with sub-maximum stretch over the base of the foot
towards the toes. Lay the end on with no stretch.
Proximal tape is applied with max. stretch over the length of the achilles
tendon (first 1/3rd), 50 % stretch over muscle-tendon section (scond 1/3rd) and
no stretch over soleus muscle (last 1/3rd).
Picture 2:
Muscle-technique
Base over calcaneus or in the area of the lower calft; Foot in dorsal extension; 2
straps
surround the calf muscles.
4
3
Picture 3:
„Stirrup“
Ankle at 90°;Base over calcaneus with no stretch; 2 straps pulled proximal over
the ankle
joint to support plantar flexion – apply tape behind the joint line.
Picture 4: Complete Achilles Tendon tape
1. Base on Calcaneus 2 “Tendon-technique“ for achilles tendon and plantar fascia
2. Muscle-technique for calf muscles
3. Stirrup over plantar ankle joint
28
Premium-Courses in Kinesiology Taping
8. Patrick Test
Possible muscles to be tested:
• M. glutaeus maximus/ medius / minimus
• Mm. adductores
• M. iliopsoas
• M. tensor fascia latae
• M. sartorius
• M. piriformis
This test is used when the patient has problems around the pelvis and / or hip.
The patient lies supine, the knee on the side to be tested is flexion, the hip in
external rotation and is placed on the opposite knee.
The therapists performs a passive movement into the end range of motion (OR).
The test is positive, if the range is limited by pain, contraction of fascia, scars or
muscles.
(Always compare both sides!)
Notice
Premium-Courses in Kinesiology Taping
29
8.1. M. glutaeus maximus
Picture 1:
Base: over greater trochanter
For the proximal tape: hip in full extension.
Tape is applied along the crista iliaca towards
the SIPS.
1
Picture 2:
For the distal tape: Hip in full
flex. Tape applied around
muscle belly towards the apex
of the sacrum.
2
Picture 3:
Final application.
3
Notice
30
Premium-Courses in Kinesiology Taping
9. Abdominal Pressure Test
Possible muscles to be tested:
• M. rectus abdominis
• M. obliquus externus abdominis
• M. obliquus internus abdominis
• M. transversus abdominis
• M. diaphragma
The patient lies supine, the therapist examines
the abdominal region.
Observation: asymmetries, scars, zones,
problems with the fascia.
Palpation: fascial mobility and complications
(zones) in this region.
Perform pressure test of the tissue and the
organs – first superficially then with deeper
pressure.
The abdomen can be divided into 9 zones.
This test is positive, if you find pain or changes in
the fascia or skin.
Notice
Premium-Courses in Kinesiology Taping
31
9.1. M.obliquus externus
1
Picture 1:
Knee in Flexion, hip in 45° Flexion,
adduction and internal rotation. The
lower back is straight, arms elevated.
2
Picture 2:
During application patent breaths in.
Tape is applied towards the 10th rib.
Base: Superior of os pubis, just above
hairline.
9.2. M. obliquus internus
4
3
Picture 3:
Both knees in Flexion. Rotate both
knees to the side of application. Arms
elevated. Keep lower back in lordosis.
Picture 4:
Final application.
Tape is applied towards
the Proc. Xiphoid.
Base: Medial of SIAS.
Notice
32
Premium-Courses in Kinesiology Taping
9.3. Sacro-iliac joint(SI-Joint)
1
Picture 1: 2 tapes are applied, which cross over
on effected SI-joint.
Application of base depends on what SI-Joint
position needs correction - anterior or posterior tilt
different applications are possible.
9.4. Scars and fibrosis
1
2
Picture 1: Using two base.
base.
Picture 2: without a
Applying crossed pattern over the scars and fibrosis – normally with soft stretch.
9.5. Rib fracture
1
Picture 1:
Ligament technique over the
fractured rib. Ligament
technique anterior and
posterior of fractured area.
2
Picture 2:
Variation: Webcut over the fractured rib.
Ligament techniques anterior and posterior
of the fractured area.
Alternative:
Cross two lympathic fans, base under the fracture position
Premium-Courses in Kinesiology Taping
33