kinesiotaping-12664466836492-phpapp02

7/27/2019 kinesiotaping-12664466836492-phpapp02

1/37

Kinesio Taping:

An Introduction on Technique and Results

Chris Keating SPT

Thomas Jefferson University


2/37

Overview

Introduction to Kinesio

Taping

Properties

Theoretical Benefits

Types of Application

Application Guidelines

Current Evidence

Shoulder Pain

Lower Trunk ROM Lateral Patella Dislocation

Acute Pediatrics Population

Clinical Implications

Application of Kinesio

Tape

RTC Impingement Taping

Quadriceps Facilitation

Taping


3/37

Kinesio Tape Properties


4/37

Properties of Kinesio Tape

Mimics skin qualities

Tape is replicating

hands on the patient

Sensiomotor stimulation Allows longitudinal

stretch of 30-40% of its

resting length

Effective for 3-5 days of

constant use

Latex free and heat

activated adhesive Acrylic adhesive

applied in wave fashion

to allow for moisture

escape


5/37



6/37


Analgesic Affect

Mechanoreceptors

Create space for areas of

pain and inflammation

Assist or limit motion

through sensory stimulus

Lymphatic Drainage

Increase lymph drainage

from the area via

increased subcutaneous

space


7/37


Correct Malalignment

Positional stimulus

Align fascia tissues

Scar Tissue Breaks adhesions

Reduce irritation


8/37



9/37


Y

I

X

Fan

Web

Donut


10/37

Types of Application: Y

Used to surround muscle

Either to facilitate or inhibit muscle stimuli

Should be 2 inches longer than target muscle

Teres Minor Y


11/37

Type of Application: I

Used for more acute

injuries in place of Y

Primary purpose for

edema and pain Greater surface area

Used for alignment

correction

Tricep I strips


12/37

Type of Application: X and Donut

X

Used when origin and insertion change depending

on movement (Rhomboids)

Donut Specifically used for edema

Use overlapping strips and the center is cut out

over area of focus


13/37

Types of Application: Fan/Web

Chief use for edema

Web different because ends remain intact


14/37

Type of Application

Stretch

Muscle should be elongated prior toapplication

KT requires none to partial stretch

Stretch results in skin convolutions whetherthey are visible or not they are present

Would rather have too little than too muchstretch

This is not athletic taping, do not take up fullstretch*


15/37


Stretch

Full- 100%

Severe- 75%

Moderate- 50%

Light- 15-25%

None- 0%

Percentage stretch refer to percentage of

availablestretch


16/37

Type of Application

Direction

Insertion to Origin

Used to inhibit overused or stretched muscles

Light stretch required to achieve this goal

Origin to Insertion

Used to facilitate weak or under performing

muscles

Light to moderate stretch required


17/37



18/37


Shave hair if interfering

with adhesive

No oils or lotions on

skin If wet, pat dry

Do not use hair dryer

on tape

Use alcohol to prepskin if needed


19/37


Measure appropriate length- allowing fordesired stretch

Remove tape carefully in order not to touch

or increase application difficulty Rub tape after application to activate

adhesive

Allow 20 mins for adhesive to take effect

If KT doesnt reduce pain than D/C treatmentafter 20 mins


20/37

Evidence Based Practice


21/37

Shoulder Pain

Thelen et al.

Purpose

To compare the short-term effect of a therapeutic KT

application on reducing pain and disability in subjects with

RTC tendonitis/impingement versus sham KT taping

Population

18-24yo College Students; (n = 27)

+ Hawkins-Kennedy, + Empty Can, + Pain Before 150

elevation in any plane

- Fracture, - GH Disloction/Subluxation, - Cervical

Involvement, - Shoulder Surgery < 12 months


22/37

Intervention

15-25% Stretch Y-Strip for Supraspinatus

15-25% Stretch Y-Strip for Deltoid 50-75% Stretch Y or I-Strip Coracoid Process ->

Posterior Deltoid

Outcome

Only significant difference between groups found

on day 1 with treatment group achieving greater

abduction (19)

Both groups over 6 days demonstrated

improvements in all outcome measures

Attrition was high 7/27, due to scheduling conflicts


23/37


24/37

Intervention

Cross-over Study

15-25% stretch with Y-Strip Place base above sacrum

Attach tails on each erector spinae group with

light tension

Outcomes

Taping significantly increased flexion (17cm) over

non-taping

No control group Needs more detailed measurements


25/37

Traumatic Patellar Dislocation

Osterhues

Purpose

To demonstrate the use of KT for control of pain, restriction

of quadriceps muscle contraction and altered sense of

weight bearing stability in patella dislocation rehabilitation

Population

49 yo female PT who sustained a traumatic left knee

patella lateral dislocation while cross country skiing


26/37

Intervention

10% Stretch Y-Strip from the insertion to origin

Base placed without tension

Tails across medial retinacular tissue and lateral

quadriceps border withpaper offtension

Treatment also included:

IFC, ice with compression, static and dynamic balance

training, stationary bike, ROM exercises, massage

Outcome

Reduced pain with activity 4 weeks after injury with KT use

function comparable to Atkin et al. (2000) study which put

timetable at 6 months Tests with NeuroCom Balance Master higher for taped

condition than no taped, however both numbers outside

(below) normal ranges


27/37

KT effect on Peds

Yasukawa et al

Purpose

To describe the functional arm and hand skills for children

admitted into a rehab program subsequent use of KT

Population

15 Children (10f, 5m) Ages 4-16

4 SCI, 2 TBI, 3 Brain Tumor, 2 CVA, Seizure, CP, 2 Birth

Defects

+ muscle weakness or abnormal muscle tone

Grades of 3 or more on Mod. Ashworth were excluded

Trace on MMT or sensory issues were also excluded

No cognitive or motivation issues


28/37

Intervention

Wide variety of KT techniques, Individualized

Outcome Melbourne Assessment

16 pt questionnaire measuring upper limb function

Designed for CP population

Scores significantly improve pre-test to post-testas well as 3 days after taping

Its hard to draw specific treatment from study

Overall function improved in group average

immediately after taping limiting learning curve Increase of 5 on MA immediately after application

Increase of 10 on MA 3 days after application


29/37



30/37


Level of evidence

Weak- only one RCT found (via Medline, Cinahl,

Cochrane, DARE, ACP)

Mainly case studies, presented were a sample ofthe most PT relevant

What does the evidence support

Increase in ROM

Increase in function


31/37


Why use it

Tool in the toolbox

Treats patient for 72consecutive hours

Feeling of treatment ->encourage movement

Placebo or Treatment?

Versatile

Pros

Some evidence provestheories

PTs provide treatment

Applicable to multiple ptpopulations

Constant treatment

Cons

Some evidence provestheories

Expensive

Requires practice

Skin reaction


32/37


Athletic Taping v Kinesio Taping Bragg article demonstrates AT decrease in support within

an hour of use

Since KT does not focus on support its means of sensory

stimulus to enforce movement may just be a better form ofAT

Clinical Opinion Kinesio Taping could be a useful tool for therapist who see

patients only a handful of times during rehab

Little evidence supports its multiple theories, more researchneeded

May be a way to facilitate and encourage movement


33/37

RTC Impingement Taping


34/37

Y-Strip

Supraspinatus,

1st

Y or I Strip,

Anterior

displacement,3rd

Y-Strip Deltoid,2nd


35/37

Quadriceps Taping


36/37

Y-Strip 1st

Y-Strip

2nd


37/37

References Clinical Theraputic Applications of the Kinesio Taping Method; K.

Kaze, J. Wallis, T. Kase; Tokyo, Japan, 2003

The Clinical Efficacy of Kinesio Tape for Shoulder Pain: ARandomized, Double-Blinded, Clinical Trial; M. Thelen, J. Dauber, P.Stoneman; Journal of Orthopaedic and Sports Physical Therapy, 38:7 2008

Pilot Study: Investigating the Effects of Kinesio Taping in an AcutePediatic Rehabilitation Setting; A. Yasukawa, P. Patel, C Sisung;American Journal of Occupational Therapy, 60:1 2006

The Use of Kinesio Taping in the Management of Traumatic Patella

Dislocation. A Case Study; D. Osterhues; Physiotherapy Theory andPractice; 20:4 2004

The Effect of Kinesio-Taping on Lower Trunk Range of Motions; A.Yoshida, L Kahanov; Research in Sports Medicine, 15 2007

Characteristics of Patients with Primary Acute Lateral PatellarDislocation and Their Recovery Within the First Six Months of Injury;DM. Atkins, Dc Fithian, KS Marangi; The American Journal of Sports

Medicine; 28:4 2000 Failure and Fatigue Characteristics of Adhesive Athletic Tape; Bragg,

R.W, Macmahon, J.M, Medicine and Science in Sports and Exercise 34:32002

kinesiotaping-12664466836492-phpapp02

Documents

Transcript of kinesiotaping-12664466836492-phpapp02