R.Sudhan., M.P.T - 2 yr«
Taping is a form of strapping. It is a procedure that uses tape ape,, attached to the skin, to physically keep in place muscles or bones at a certain position. This reduces pain and aids recovery. Taping is usually used to help recover from overuse and other injuries.
Tape may be applied for the following reasons: Support and stability Immediate first aid To secure a pad or brace To prevent injury To restrict the angle of pull Psychological assistance
Prevention
Protection
Suppor t
applying tape follow the contours of the individual. Smoo th and mould the tape, as it is lad on the skin. Make sure that the structure to be taped is in a functional position, but also in a position that will not stress the injured or rehabilitated structure. When
applying tape, overlap the strips by at least one half the width of the tape to eliminate pinching or blisters. Be very careful not to cut off circulation with tape strips. Commun icate with the athlete or patient during the tape procedure and loosen strips as necessary.. Always retest your pt or athelet especially in the movement that will stress the injured or protected structure. Thentest the athlete in a functional position. When
Depends
upon the type of injury & area
involved
Zinc oxide tape Elastic tapes
Do
: Not Apply Tape If
Injuries that require more support that tape can provide. When taping excessively restricts the ROM of a joint predisposing the athlete to further injury. Inflammation. Taping over a laceration, abrasions, blisters. Allergic reactions to tape or adherents and bandaids.
Skin should be shaved, washed and dried. Minor cuts and blisters should be cleaned and covered. Areas that are sensitive should be covered with a gauze or heel and lace pad). Spray the area with Tufskin (adhesive spray). Make sure the athlete is not allergic to Tufskin. Be careful when constantly applying tape, such as at a training camp or two a days. You may have to use underwrap to prevent skin irritation but you will also lose some support
Purpose supports the medial collateral ligament (MCL) by tightening the medial aspect of the joint line prevents the last 15° of knee extension and external rotation of the tibia under the femur allows almost full flexion and functional extension of the knee Indications for use MCL sprains: 1st and 2nd degree post immobilization of 3rd-degree MCL sprains for medial meniscus injuries: emphasize spiral strips which cause internal rotation of the tibia
Starting posteriorly on the lateralside, apply a horizontal strip of 2.5 cm semi-elastic adhesive tape. Using moderate firm pressure, this strip should compress the patellar tendon just above the tibial tubercle.
Apply a diagonal strip of tape from the upper lateral aspect of the knee beside the patella, pulling distally across the patellar tendon and ending medially
RE-EVALUATE THE LEVEL OF PAIN. a. 40 ° of full weightbearing flexion should be possible. b. I f pain is not eliminated with this taping, try a patellar tendon strap (jumper·s knee strap).
Apply a diagonal strip of tape from the lower lateral aspect of the knee beside the patella, pulling proximally across the patellar tendon and ending medially.
The aim of this taping is to provide support to the knee following injury to ACL. Apply Anchors above and below the knee with 5cm or 7.5cm elastic adhesive bandage (EAB). These provide a secure base to attach the support straps. Apply a cross of EAB to the inside of the knee. Apply a cross of EAB to the outside of the knee. Reinforce the medial and lateral anchors with strips of 5cm non stretch zinc oxide tape.
Tape is applied to the lateral aspect of the patella. Patella is glided medially & the tape is anchored to the skin over the medial aspect of the knee.
Care should be taken when removing the tape to avoid injury aggravation or skin damage. Blunt nosed tape scissors should be used. The tape should be removed slowly, pulling the tape back on itself with pressure placed on the skin as close as possible to the line of attachment of the tape. Generally tape should be removed with 48 hours of tape application or sooner if there is any increase in pain or symptoms (including skin irritation or itchiness).
1.Place one anchor strap over the thigh just above the superior patellar pole.
2. Attach one strip of tape to the anchor on the medial side of the knee, and pull the tape obliquely downward to the lateral sidewith the top edge of the tape passing just under the inferior patellar pole. 3. Repeat this action from lateral to medial, to make a cross-over effect, with the V of the cross in the midline just under the inferior patellar pole (Fig. 7.4). 4. Repeat this process until you have done two to three overlapping layers. 5. Do one final lock-off anchor over the top of the original anchor.
Patient lying and relaxed Commence tape on the superior part of the patella to tip the inferior pole out of the fat pad (Fig. 7.8). Next tape starts at the tibial tuberosity and goes out wide to the medial knee joint. The soft tissue is lifted towards the patella (Fig. 7.9). The final tape starts at the tibial tuberosity, going wide to thelateral joint linetient lying, leg relaxed
RECENT ARTICLES
To test the hypothesis that medial taping of the patella reduces the symptoms of osteoarthritis of the knee when the patellofemoral joint is affected. Patella taping is a simple, safe, cheap way of providing short term pain relief in patients with osteoarthritis of the BMJ 1994; 308 : 753 (Publ ished 19 March 1994) patellofemoral joint.
Conclusions:
Patellar taping resulted in decreased pain and increased knee extensor moments, knee flexion angles, and cadence during stair ambulation(J Orthop Sports Phys Ther. 2002; 32(1) :3²10.)
