Transcript Kinesio Taping in Pediatrics: KT3.

Taping for the Young Athlete
‘Just Roll With It’
Andrea Melanson, OTD, OTR/L,
CKTP
February 17, 2012
Objectives
• Provide background and theory of
kinesiotex taping
• Provide principles of kinesiotex taping
• Provide application techniques for the
upper extremity in the young athlete
The ‘Hype’ Behind The Tape
• Kenzo Kase, DC
• Latex-free, polymer elastic wrapped in
100% cotton fibers
• Space, Movement, Cooling
– Lifting of skin to allow increased blood flow,
drainage of lymph system, increased area for
neural and sensory receptors to influence
healing: results in decreased pain/ease of
movement
KT in Pediatrics, 2010
Corrective Techniques
• Mechanical- utilizes the stretching qualities of the
tape with inward pressure to provide for positional stimuli
through the skin.
• Fascia
• Space- to create more space directly above the area
of pain, inflammation, swelling, or edema.
• Ligament/Tendon
• Functional
• Lymphatic
Basic Concepts for Application
• Balance muscles and bring back to
functional level for acute injuries and
rehabilitation: insertion to origin
• Increase muscle function and address
chronic conditions: origin to insertion
• Successful application dependent on two
factors: proper evaluation of patient’s
condition and proper application of the
Kinesio® Taping Technique
Who is Kinesiotex Tape For?
• Used currently by ½ of the NFL, 2/3 of
MLB, and 1/3 of MBA
• Other sports using KT include: tennis, golf,
marathon runners
• 150,000 medical practitioners are certified
in KT and use regularly in their practices
KTAI, 2012
Sports Injuries in the Young
Athlete
• Major differences in children vs. adults:
– Trauma to child’s joints may cause a fracture
of the epiphyseal growth plate
– Length changes of the musclotendinous
system do not always coincide with the child’s
skeletal growth and are primary causes of
strength and balance issues
P. Martin, 2010
The Young Athlete
• Darrow, et al., 2009:
– 39% per 1000 athletic exposures considered
severe
– Most common injuries: knee (29%), ankle
(12.3%), shoulder (10.9%)
• Adirim and Cheng, 2003:
– 1/3 of school-aged children will sustain a
severe injury that is sports-related
– Most common sites: knee, ankle, and elbow
Application of KT to UE Injuries
• AC joint strain: space correction technique
• Lateral epicondylitis (Little Leaguer’s
Elbow): mechanical and space correction
technique combined
• Labs
AC Joint Strain Application
• Instruct patient in upright posture for
alignment
• Use 2 “I” cut-tape in a correction technique
• Tear backing from center and fold back
• Apply tape with full tension over the center
of the acromion.
• Lay down edges with no tension
• May overlap with second piece
Lateral Epicondylitis Application
• Measure tape length from base of 2nd/3rd
metacarpals to the lateral epicondyle
• Position wrist in flexion and forearm
pronation: anchor base of “Y” tape to
2nd/3rd metacarpals
• Apply tails with paper-off tension around
the medial and lateral margins of the
extensor muscles
Lateral Epicondylitis App cont.
• Use a “I” piece of tape to lift the fascia and
soft tissue over the area of pain
• Tear the tape backing in the center and
fold back the edges.
• Apply over the area of pain with full
tension in the center of the tape.
• Remember no tension at end of tape.
Research
• Taping to improve scapular mobility: no
significant difference with/without tape
(Cools et al., 2002)
• Taping improved pain from shoulder
impingement syndrome (Host, 1995)
• Taping improved pain from lateral
epicondylitis (Lee et al., 2010, Schneider
et al., 2011, & Vicenzino et al., 2003).
References
• Adirim, T.A. and Cheng, T.L. (2003). Overview of injuries
in the young athlete. Sports Medicine, 33(1), 75-81.
• Cools, A.M., Witvrouw, E.E., Danneels, L.A., Cambier,
D.C. (2002). Does taping influence electromyographic
muscle activity in the scapular rotators in health
shoulders? Manual of Therapy, 7(3): 154-162.
• Darrow, C.J., Collins, C.L., Yard, E.E., and Comstock,
R.D. (2009). Epidemiology of severe injuries among
United States high school athletes: 2005-2007. American
Journal of Sports Medicine, 37(9), 1798-1805.
References
• Host, H.H. (1995). Scapular taping in the treatment of
anterior shoulder impingement. Physical Therapy, 75:
803-812
• Kinesio Taping Method. (2010). Retrieved January 9,
2012, from http://www.kinesiotaping.com
• Martin,P. & Yasukawa, A. (2010, August). Advanced
techniques and problem solving. Kinesio Taping in
Pediatrics: KT3.
References
• Schneider, M., Rhea, M., and Bay, C. (2010). The effect
of kinesio tex tape on muscular strength of the forearm
extensors on collegiate tennis athletes. Kinesiotaping.
Retrieved December 29, 2011, from
http://www.kinesiotaping.com
• Vicenzino, B., Brooksbank, J., Minto, J., Offord, S.,
Paungmali, A. (2003). Initial effects of elbow taping on
pain-free grip strength and pressure pain threshold.
Journal of Orthopedic Sports Physical Therapy, July
33(7): 400-407.