principles of kinesiotaping 2014
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Principles ofKinesioTaping
May 10, 2014
Barbara Schmenk, PT, DPT, CLT, CKTP
Katrina Stibel, MA, AT
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Course Description
The Principles of KinesioTaping will introduce theclinician to the KinesioTaping Method. Fundamentaltape properties and techniques will be discussed.The participants will learn muscle taping applicationsand specialty taping techniques to facilitate theappropriate physiological response. Appendix willprovide common patient diagnoses and tapingtechniques to enhance treatment outcomes.
Indications, contraindications and skin careconsiderations will be reviewed.
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Objectives
The learner will identify precautions and
contraindications associated with KinesioTaping.
The learner will identify indications forKinesioTaping.
The learner will identify specialty KinesioTaping
techniques.
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References
KinesioTaping Upper Extremity (Workbook 1). KinesioTaping Association2005. Kinesio USA, Albuquerque, NM.
KinesioTaping Lower Extremity (Workbook 2). KinesioTaping Association2005. Kinesio USA, Albuquerque, NM.
KinesioTaping Correctional Technique and Clinical Application (Workbook5). KinesioTaping Association 2004. Kinesio USA, Albuquerque, NM
Hans-Ulrich Hecker, MD and Kay Liebchen, MD. Acupressure Taping.Healing Arts Press, Rochester, Vermont 2005.
Kenzo Kase, DC and Kim Rock Stockheimer. KinesioTaping forLymphoedema and Chronic Swelling. Kinesio USA, Albuquerque, NM2006.
Travis Halseth, John W. McChesney, Mark DeBeliso, Ross Vaughn, Jeff
Lien. The effects of Kinesio Taping on proprioception at the ankle. Journalof Sports Science and Medicine 2004. Volume 3, pages 1-7.
Mark D. Thelen, James A. Dauber. Paul D. Stoneman. The clinicalefficacy of Kinesio Tape for shoulder pain: a randomized, double-blinded,clinical trial. Journal of orthopaedic and sports physical therapy 2008.Volume 38, number 7, pages 389-395.
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KinesioTaping
Kenzo Kase, DCFounder
In Japan 1973
Dr. Kase wanted his patients to utilize a
presciption that they could take home anduse between visits.
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KinesioTaping
Dr. Kase began experimenting with tapes
Non-desired results
Developed a new tape
Used in Japans clinical rehabilitation setting
International exposure in 1988 Seoul
Olympics Introduced in USA in 1995
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KinesioTape
Latex free
Safe for pediatrics to geriatrics
Longer wear time3 to 5 days Rehabilitative
Does not limit motion
Water resistant Economical
Easy to apply
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Tape Comparison
Athletic McConnell Kinesio
Latex free x
No pre-wrap x
Elastic/non rigid x
Non-compressive x
Skin friendly x
Allows full ROM x
Multiple day wear x
Water resistant x
Enhances circulation x
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What is KinesioTaping?
Taping over and around muscles in order to
assist and give muscle support or to prevent
over contraction on the muscle.
Can give support with full ROM that enables
the individual to participate in physical activity
without functional assistance.
Helps fight against overuse/contraction
Helps facilitate movement of lymphatic fluid
Assists with healing
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KinesioTape Qualities
Tape is applied to paper substrate with 10%
stretch
Elasticity is 40-60% of resting length
Stretches along longitudinal axis only
Thickness and weight are similar to skin
100% medical grade, acrylic heat activatedadhesive
No medicinal properties in tape
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KinesioTape and Cuts
Colorsbeige, pink, blue, red, black
Width1, 1 , 2, 3
Cuts I
X
Y
Fan Web
Donut
Basket
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KinesioTaping Principles
I to Oinsertion to originto relax overusedand acutely damaged muscles, for musclespasms, and edema secondary to injury
Applied with light tension O to Iorigin to insertionto support weak
muscles or chronic conditions, to givestimulation, and to support musclecontractions during use
Applied with light to medium tension
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KinesioTaping Principles
Results in convolutions when skin/joint areback to resting position
Lifts the skin and increases blood and lymphflow
The tape recoils to the starting anchor
No tension on anchors
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KinesioTaping Tensions
0-15% Very light tensionedema,
lymphedema
15-25% Light tension (off the paper)I to O
50% Moderate tensionO to I
75% Severe tensionsupport or correction
100% Full tensionsupport or correction* Less tension is better than more initially to
determine tolerance
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KinesioTaping Convolutions
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Skin Prep
Body hairlight amount or remove
Dry skin
Can do a test strip if sensitive skin
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Application
Apply to the stretched muscle or joint
When joints are injured and you can stretch,apply tape with medium to full stretch whilemaintaining a functional joint position
Rub tape to activate adhesive
Apply 30 minutes prior to activity
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Tape Removal
From top down
In direction of hair growth
EXTRA TIPS
Round off corners of tape
Can not reapplyone chance per strip of tape
Dawn dish soap
Milk of Magnesium
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Physiology of KinesioTaping
Four Main Effects/Functions of KinesioTaping
(1) Reduce pain (Endogenous Analgesic System)
(2) Normalize muscle function
(3) Improve circulatory and lymphatic function
(4) Correct joint alignment and improve proprioception
Appendix A
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Precautions
Skin integrity/tape sensitivity
DVT
Cancer
Post injection site
Risk of spreading infection
CHF New scars
Open wounds
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Points of Awareness
2009 - Banned by FINA (International Governing Body of Swimming, Diving,Synchronized Swimming, Water Polo, and Open Water Swimming)
Was thought to give swimmers a competitive advantage
Trickled down to USA Swimming and NCAA Swimmingbanned by
both organizations USA Swimming/NCAA Swimming - Effective July 2011
Kinesio Tape will now only be permitted if the swimmer is unable to compete without the
tape. Coaches and swimmers must provide documentation from a physician or certified
athletic trainer prior to the meet.
FINA - Effective May 2012 The usage of Kinesio Tape to assist and support musculoskeletal conditions is permitted if
deemed necessary by head official - only "nude" colour tape is sanctioned.
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Points of Awareness
Banned by NBANovember 2013
Considered a bit of an eye sore and not approved by the NBA as an
official piece of wardrobe to be used on the court Tim Frank, leaguespokesman
Quickly overturned within a matter of days "After a discussion today with Jerry Stackhouse, representing the union, we have
decided to allow kinesio tape on an experimental basis so that we can take a
fresh look at the possible benefits it might bring to our players. Tim Frank, leaguespokesman
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Points of Awareness
Very little quality evidence currently exists to
support the use of Kinesio tape over other
types of elastic taping in the management or
prevention of sports injuries
Placebo vs. scientifically proven benefits?
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Appendix A
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Physiological Function:
(1) Pain Reduction
Decreased activation of pain receptors
Tape lifts skin, creating convolutions
Increased subcutaneous space
Possibly activates spinal inhibitory system
Possibly activates descending inhibitory system
Also impacted by other three functions
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Physiological Function:
(2) Normalize Muscle Function
Restoration/normalization of damaged muscles
Effective for inhibiting muscles (stimulating
relaxation of over-contracted/overused muscles)
Effective for facilitating muscle contractionswith weakened muscles
Also increases ROM, assists tissue recovery,relives pain, & reduces fatigue.
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Physiological Function:(3) Improve Circulatory and Lymphatic
Function
Congestion = decreased space between skin andmuscle
KinesioTaping increases space between skin and
muscle via convolutions Promotes flow of lymphatic fluid and blood via channels of low
pressure
Reduces abnormal feeling and pain in skin and muscle
Fluid exchange between layers is enhanced Reduces excess heat and chemicalsubstances in tissue
pain receptor activation = congestion
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Four Major Physiological Functions
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Physiological Function:(4) Joint Alignment & Proprioception
Injury can lead to malalignment 2 strength & flexibility imbalances (i.e. spasm,
shortened muscle)
Malalignment leads to abnormal joint forces
KinesioTaping can assist with the balancing ofagonist and antagonist Stimulates supporting structures to realign joint
Stimulates supporting structures to limit joint motion
May provide correct proprioceptive input andenhance kinesthetic awareness