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Transcript Document 7210144
Chapter 8:
Bandaging and Taping
Jennifer L. Doherty, MS, LAT, ATC
Academic Program Director, Entry-Level ATEP
Florida International University
Acute Care and Injury Prevention
Bandaging
Contributes to recovery of injuries
Must be firmly applied while still allowing
circulation
When applied incorrectly may cause
Discomfort
Wound contamination
Prolonged healing
Bandaging Materials
Gauze
Elastic bandages
Sterile pads for wounds
Extensible and very useful with
Roller bandages to hold
sports
Active bandages allowing for
movement
Provide support and compression
for wound healing
dressings in place
Padding to prevent
blisters
Cotton cloth
Ankle wraps
Cohesive elastic bandage
Triangular bandages
Two-layer, self adhering bandage
Exerts constant and even pressure
Elastic Bandages
Gauze, cotton cloth, or elastic wrapping
Length and width vary and are used
according to body part and size
Length: 6 or 10 yards
Widths: 2, 3, 4, or 6 inches
Should be stored rolled
Should be free from wrinkles, seams, and
imperfections that could cause irritation
Elastic Bandage Application
Hold bandage in preferred hand
Loose end should extend from bottom of roll
Back surface of loose end should lay directly
on skin surface
Pressure and tension should be standardized
Anchors are created by overlapping wrap
Start anchor at smallest circumference of limb
Elastic Bandage Application
Body part should be wrapped in position of
maximum contraction
Each turn should overlap by half to prevent
separation
More turns with moderate tension
Fewer turns with maximum tension
Circulation should be monitored
Elastic bandages may be used to provide
support for a variety scenarios:
Ankle and foot spica
Spiral bandage (spica)
Groin support
Shoulder spica
Elbow figure-eight
Gauze hand and wrist
figure-eight
Cloth ankle wrap
Triangle Bandages
First aid device
Application is easy and fast
Primarily used for slings
Cervical arm sling
Shoulder arm sling
Sling and swathe
Cervical Arm Sling
Provides support for forearm, wrist, and
hand injuries
Bandage placed around neck and under
bent arm to be supported
Shoulder Arm Sling
Utilized following injury
to the shoulder girdle
Provides support for the
forearm
May be used if the
cervical arm sling is
causing irritation
Sling and Swathe
Combination of
cervical and shoulder
arm slings
Provides support for
the upper extremity
Used in instances of
Shoulder
dislocations
Upper extremity
fractures
Taping
Historically an important part of athletic
training profession
Becoming less important due to questions
regarding its effectiveness
Utilized in areas of…
Injury care
Injury protection
Taping: Injury Care
Retention of wound dressing
Stabilization of compression bandages
utilized to control internal and external
bleeding
Support for recent injuries in an effort to
prevent additional trauma
Provide stabilization during rehabilitation
Taping: Injury Protection
Used to prevent acute injuries
Limits motion
Secures special device
Brace
Splint
Soft Cast
Padding
Non-Elastic White Tape
Great adaptability due to:
Adhesive mass
Adhering qualities
Lightness
Relative strength
Available in varied sizes: 1”, 1.5”, 2”
Utilized to…
Hold dressings in place
Provide support to a joint
Protect injured areas
When purchasing non-elastic white
tape, consider the following:
Tape Grade
Longitudinal and vertical fibers per inch
cost = fibers
Adhesive Mass
Should adhere evenly
Should maintain adhesion with perspiration
Should contain few skin irritants
Should be easily removed without leaving
residue and without removing superficial skin
When purchasing non-elastic white
tape, consider the following:
Winding Tension
Critically important for even application
If applied for protection, tension must be even
Elastic Tape
Used in combination with non-elastic tape
Good for small, angular body parts
Available in varied sizes: 1”, 2”, 3”, 4”
Preparation for Taping
Skin surface should be clean
No oil, perspiration, or dirt
Hair should be removed
Prevents skin irritation upon tape removal
Tape adherent is optional
Foam and skin lubricant should be used to
minimize blisters and skin irritation
Heel and lace pads
Proper Taping Technique
Tape directly to skin
Prewrap may be used
Helps protect skin in cases where tape is used
daily
Only one layer of prewrap should be applied
Too much prewrap causes irritation and
loosens the tape job
Prewrap must be anchored proximally and
distally
Proper Taping Technique
Select tape width based on area to be taped
Acute angles require narrower tape
Tearing tape
Should always hold on to roll of tape
Do not bend, twist, or wrinkle tape
Tear a straight edge with no loose strands
Some tapes may require cutting agents
Proper Taping Technique
Tape joint in proper position
Position for stabilization
Overlap the tape by half
Avoid continuous taping
Keep tape roll in hand whenever possible
Allow tape to follow contours of the skin
Smooth and mold tape as it is laid down on
skin
Proper Taping Technique
Always start taping with anchors
Always finish taping with locking strips
Where maximum support is desired, tape
directly to the skin
Do not apply tape if skin is hot or cold from
treatments
Altered sensation
Altered circulation
Tape Removal
Tape may be removed by hand
Always pull tape in direct line with body
One hand pulls tape while other hand presses
skin in opposite direction
Tape scissors/cutters may be required
Be sure not to aggravate injured area with
cutting device
Tape may also be removed with chemical
solvents
Common Foot Taping
Procedures
Arch Technique 1
Function: to support
weak arches
Arch Technique 2
Function: to support
the longitudinal arch
Arch Technique 3
X teardrop method
Function: to support
longitudinal arch and
forefoot
Arch Technique 4
Fan method
Function: to support the longitudinal arch
LowDye Taping Technique
(
Function: to support
longitudinal arch and
forefoot
Used to support:
Fallen arches
Forefoot
pronation
Arch strains
Plantar facitis
Taping for Sprained Toes
Function: to support
metatarsophalangeal
joint
Bunion Taping
Turf Toe Taping
Function: to prevent
excessive
hyperextension of
metatarsophalangeal
joint
Taping Hammer or Clawed Toes
Function: to reduce
pressure of bent toes
against shoes
Taping for Fractured Toes
Function: to splint injured
toe to non-injured toe
Common Ankle Taping
Procedures
Routine Prophylactic Taping
Closed Basket Weave
Function: to minimize ankle motion
Dorsiflexion and Plantarflexion
Inversion and Eversion
Used to support newly sprained or
chronically weak ankles
U-shaped felt pad can be used to
provide focal compression
Aids in controlling swelling
Closed Basket Weave Technique
Open Basket Weave
Function: to minimize ankle motion
Allows more dorsiflexion and plantarflexion
Minimizes inversion and eversion
Used to support newly sprained ankles allowing
room for swelling
Used with elastic bandage and cold application
U-shaped felt pad can be used to provide focal
compression
Aids in controlling swelling
Open Basket Weave Technique
Continuous Stretch-Tape
Technique
Common Leg & Knee
Taping Procedures
Achilles Tendon Taping
Function: to prevent over-stretching of achilles
Collateral Ligament
Taping
Function: to provide joint
stability following injury
to the MCL or LCL
ligaments
Rotary Taping for Knee Joint
Instability
Function: to provide joint stability
following injury to the ACL and MCL
Knee Hyperextension Taping
Functions:
To prevent knee
hyperextension
To provide
support for
hamstrings and
cruciate
ligaments
following injury
Patellofemoral Taping
McConnell Technique
Function: to manage glide, tilt, rotation, and
anteroposterior orientation of patella
Accomplished by passively taping patella into
biomechanically correct position
Also provides prolonged stretch to soft-tissue
structures associated with dysfunction
Common Upper
Extremity Taping
Procedures
Elbow Taping
Function: to prevent
elbow hyperextension
Wrist Technique 1
Function: to provide
support to the wrist
following mild wrist
sprains and strains
Wrist Technique 2
Function: to protect and stabilize a
badly injured wrist
Bruised Hand Taping
Function: to
protect the
hand following
injury
Thumb Taping
Function: to provides
support for the thumb
joint following a sprain
injury
Finger and Thumb Checkreins