Transcript Wraps and taping techniques - Jefferson Township Public

Wrapping and
taping techniques
Steps
•
•
•
•
1. Ask Permission
2. Expose the area
3. “Roll” the bandage on
4. Start on top of hand/foot and pull
slightly tight. Overlap by half. As you
go down the extremity pull LESS on
the bandage. We want the swelling to
go out to the body.
• 5. Secure with clip on top of area.
Signs & Symptoms
if it is “too” tight
• Red, white or blue skin
• Patient feels numbness and
tingling in area
• Patient feels pain
• Extreme tightness.
SOLUTION: REMOVE
IMMEDIATELY
Wrist compression wrap-decrease
swelling and create support (2 inch
Ace bandage)
Ankle compression wrap-decrease
swelling (3 inch bandage)
Start by toes
With a lot of tension
Less tension
Ankle wrap for sprains/strains with
figure eight-compression & prevent
inversion or eversion (3 inch Ace
bandage)
Taping materials
Heel and lace pads-put on highest friction areas of a
tape job
Adhesive spray(tufskin)-makes tape stick to skin
Prewrap-covers hair on extremity
Conform tape-covers area & provides compression
White tape (Zonas)-provides support & stability
Elastikon-most expensive tape for BEST support and
Stability
SAFETY SCISSORS-only type of scissors used to cut of
tape job
Best tape job is tape to skin!!!!
Tape sizes
• ½ inch for fingers(2-5) and toes(2-5)
• 1 inch for thumb, great toe and arch
of forefoot
• 1 ½ inches wrist, ankles, forearm, and
knee
• 2 inches shoulder, hip and back
* 250 pound + person for ankles, wrists,
forearm and knees.
Tearing
tape
Arch Technique
• Function: to
support the arch
3 types of arch support
• 1. Medial arch-start opposite side and
pull up medial
• 2. Lateral arch-start opposite side and
pull up lateral
• 3. Neutral-pull up on both sides at the
same time.
Great Toe Taping
Taping for Sprained Toes
Function: to support 1st
metatarsophalangeal
joint
To prevent:
hyperextension and
support joint
Steps for ankle tape job
1. ask permission
and what side hurts
2. expose the area
3. simulate spray
adhesive to ankle
4. simulate applying
heel and lace pads
5. apply prewrap
6. apply 2 anchorsbase of calf and
under base of 5th
metatarsal
7. apply 3 stirrups
8. close down
9. apply 1 figure eight
10. apply heel locks- 2
total
11. apply
horseshoes(2)
12. Apply 2nd figure
eight
13. Close up
Sprain/Strain Taping
1 anchor
Close down
2 anchor
Heel lock(4)
Close up
Functions
Anchors(2)- to secure
tape components to it
Stirrups(3)-prevent
inversion or eversion
Close down-secure
area
Figure eight(1)-prevent
inversion or eversion
Heel locks(2pr.=4)locks in the heel
Horse shoes(3)-secure
posterior heel
Figure eight (1)-same
Close up-secure area
• 2 Anchors- place at base of calf and below
styloid process.
• 3 Stirrups-base of calf, under foot, base of calf
(Fan them out overlapping by half)
• 2 Figure eights-(Medial sprain) lateral
malleolus, under foot, top of foot, around lower
leg.
• 2 (pr. each side)Heel locks-malleolus, achilles
tendon, lock in heel ,under foot, top of foot,
malleolus, achilles tendon, lock in heel, top of
foot
• 3 Horseshoes-malleolus, achilles tendon,
malleolus
Thumb and Wrist Taping
• Function: to provides
support for the thumb
joint following a sprain
injury
Supplies-prewrap and 1 inch
white tape (thumb)
1 ½ inch white tape for wrist
• Spicas-prevents thumb flexion
Location-anchor, around 1st MCP jt, anchor
• C-strips- prevents thumb extension
Location- anchor to
anchor
• 3 wrist anchors
• 1 anchor through palm of hand
• 3 or 4 spicas so X is over 1st MCP jt.
(metacarpal phalangeal)
• C-strips palm anchor to dorsal hand
anchor (fill it in overlapping for half)
• Perform another anchor through hand
• Close down on wrist with 3 more
anchors
Knee Hyperextension Taping
• Functions:
– To prevent
knee
hyperextension
– To provide
support for
hamstrings and
cruciate
ligaments
following injury
Collateral Ligament
Taping
• Function: to provide
joint stability following
injury to the MCL or
LCL ligaments
Elbow Taping
• Function: to prevent
elbow hyperextension