Kinesiotaping 1

یدحاو گنشوه ریمارتکد یشخبناوت و یکیزیف بط صصختم

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

Kenzo Kase

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.

• • • • • 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 W allis, 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

• • • • • 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

1.

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

• • • • • • • • • • • • • 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 • • • • • • • • • • • • • CHONDROMALACIA COSTOCHONDRAL DEQUERVAINS DISLOCATIONS ELBOW HYPEREXT ELBOW VALGUS LAXITY EPICONDYLITIS ERECTOR SPINAE FASCIA CORRECTION FINGER SPRAIN FROZEN SHOULDER FUNCTIONAL TAPING GAMEKEEPERS THUMB

• • • • • • • 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

• • • • • • 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 appropriate in the injury site, the red is 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 .

• • • • • • 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.