3/20/2019 Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor Disclaimer: I am a certified instructor for the Kinesio Taping® Association International (KTAI) and act as an independent contractor teaching courses in the KTAI program. Although I receive compensation for KTAI teaching assignments, I offer this workshop as a pro bono educational outreach. What is Elastic Therapeutic Taping or “Kinesiology” Taping? Used during rehabilitative and chronic phases of injury – Acute – Sub acute – Rehabilitative Preventative Return body to Homeostasis Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor © All images and text are copyrighted and private property 1 3/20/2019 What is Elastic Therapeutic Taping or “Kinesiology” Taping? © All images and text are copyrighted and private property Taping Benefits Integrate Kinesiology Taping to enhance and prolong the benefits of treatment for: • Overworked Muscles & Joints • Headaches • Achilles Tendonitis • Hallux Valgus • Frozen Shoulder • Brachial Plexus Syndrome • Whiplash • Chronic Neck and back Discomfort • Discomfort from Arthritis • Edema… and Much More! © All images and text are copyrighted and private property Five Major physiological effects of Kinesiology Taping 1. Skin 2. Circulatory/Lymphatic Systems 3. Fascia 4. Muscle 5. Joint © All images and text are copyrighted and private property 2 3/20/2019 Fan Taping Applied 2 days after 1st application Taping done by Jim Wallis MS, ATC, CKTI © All images and text are copyrighted and private property Fan Taping Applied 4 days after 2nd application Taping done by Jim Wallis MS, ATC, CKTI © All images and text are copyrighted and private property Cerebral Palsy Case Study Before Taping Scapula is elevated Asymmetry with head, neck and trunk photo courtesy of Audrey Yasukawa MOT, CKTI © All images and text are copyrighted and private property 3 3/20/2019 Cerebral Palsy Case Study After Taping Lower Trapezius facilitation Trunk Extensors to activate External Rotation to align and shift weight Humerus photo courtesy of Audrey Yasukawa MOT, CKTI © All images and text are copyrighted and private property Kinesiology Taping Effects on Superficial Lymphatic Drainage • Lifts the skin, causing convolutions • Creates channels of low pressure in congested areas • Decreases pain © All images and text are copyrighted and private property Elastic Therapeutic Tape Enhances the circulatory system via superficial activation Restores epidermal tissue homeostasis Used worldwide for preventative and clinical conditions © All images and text are copyrighted and private property 4 3/20/2019 Taping Configurations Web Cut I Cut Jellyfish Cut X Cut Fan Cut Donut Cut Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor © All images and text are copyrighted and private property Taping Tension Percentages & Guidelines Ggkjg lh;lhk jmnb b,b 0% tension in anchors and ends *These correspondences are suggestions. Remember that tape applications are at the discretion of the trained and knowledgeable clinician applying it. © All images and text are copyrighted and private property Basic Application Concepts D to P (I to O) Distal Proximal To inhibit overused muscle- Acute conditions, muscle spasm 15% to 25% tension P to D (O to I) Proximal Distal To facilitate weak muscle-chronic conditions, rehabilitation 15% to 35% tension Therapeutic Direction is the recoil of the tape toward the anchor Therapeutic Zone is the targeted tissue © All images and text are copyrighted and private property 5 3/20/2019 Tape Removal from Backing Tear Method Tear paper substrate Gently pull back approximately 1.5” below substrate from tape end © All images and text are copyrighted and private property Tape Removal from Backing Roll Method Catch front edge Gently roll down of tape with finger © All images and text are copyrighted and private property Feel the Stretch Fold the tape in half Tear the backing Fold the tape in half Example of stretch © All images and text are copyrighted and private property 6 3/20/2019 Elastic Qualities of the Tape Cut one block of tape horizontally across the roll, then cut the block lengthwise in half along the dotted lines on substrate paper © All images and text are copyrighted and private property Elastic Qualities of the Tape Apply one cut strip to the dorsum of index finger in full flexion © All images and text are copyrighted and private property Elastic Qualities of the Tape Cut another half square from the roll horizontally © All images and text are copyrighted and private property 7 3/20/2019 Elastic Qualities of the Tape Apply it to the dorsum of your other index finger in full flexion © All images and text are copyrighted and private property Elastic Qualities of the Tape Flex both index fingers at the same time and compare the feeling © All images and text are copyrighted and private property Tape Removal “Skin From Tape” Method 1. Pull the skin back from the tape 4. Remove in direction of hair growth 2. Tape may be removed while bathing 5. Roll the tape off 3. Soap, hand lotion or oil (baby using the base of the hand or mineral) may be applied to to brush/ pat skin gently to the tape to break the adhesive reduce discomfort bonds comfortably Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor © All images and text are copyrighted and private property 8 3/20/2019 Tape Removal “PRESSURE” Method: Pull edge of tape away from skin Place index finger against tape with downward/inward pressure Pull tape up and away with moderate to high tension While maintaining index finger pressure as tape is removed © All images and text are copyrighted and private property Precautions for Corrective Techniques Increased unidirectional pull on the skin can cause blistering or micro trauma, increasing edema and hemorrhage Over stimulation of skin receptors may increase pain or produce itching Not suitable for all patients Use professional expertise Fragile Skin Infections Sunburn Irradiated skin Tape sensitivities EDUCATE YOUR PATIENT © All images and text are copyrighted and private property Basic Tape Terminology Anchor: The beginning for all Taping applications that is always applied with 0% tension End: The last part for all Taping Applications that is always 0% tension Therapeutic Zone: The portion of the Tape applied between the anchor and end at various tensions Tension: Amount of force applied to the Tape in any given application Therapeutic Direction: The recoil of the Tape towards the anchor © All images and text are copyrighted and private property 9 3/20/2019 Elastic Therapeutic Tape Effect on the Skin (Endogenous Analgesic System, Superficial Fascia) Stimuli to mechanoreceptors of skin Decrease inflammation and pressure on mechanical receptors © All images and text are copyrighted and private property Circulatory/ Lymphatic System Increase interstitial lymphatic fluid flow Enhance fluid exchange between tissue layers Reduce edema Equalize temperature © All images and text are copyrighted and private property Musculoskeletal - Muscle Relieves pain Increases Range of Motion May normalize length/tension ratios to create optimal force Assists tissue recovery Reduces fatigue Improves muscle contraction of a weakened muscle (Facilitation) Stimulate relaxation of over-contracted muscle (Inhibition) © All images and text are copyrighted and private property 10 3/20/2019 Musculoskeletal - Joint Improves joint biomechanics and alignment Balances agonist and antagonist Reduces protective muscle guarding and pain Facilitate ligament & tendon function Enhances kinesthetic awareness © All images and text are copyrighted and private property Application of the Tape Skin should be free of oils and dry After application, lightly rub the tape to activate the heat sensitive adhesive Tape application in moist areas or prior to swimming: apply 30-40 minutes prior to activity Tape both the pain, and cause of the pain The tape is generally applied to stretched tissue, with appropriate stretch added to the tape Less is more No tension on the anchor or end © All images and text are copyrighted and private property Let’s Start Taping! © All images and text are copyrighted and private property 11 3/20/2019 Upper Body Muscle Taping Deltoid Rhomboid Trapezius Sacrospinalis © All images and text are copyrighted and private property Deltoid Actions: Abduction, Horizontal Adduction, Horizontal Abduction The Deltoid muscle is the major abductor of the Humerus Anterior fibers abduct, flex and internally rotate the arm Lateral fibers abduct the arm Posterior fibers abduct, extend and externally rotate the arm Presenter: Deepesh Dani PT, DPT, MS, CKTI Physical Therapist & Advanced Credentialed Clinical Instructor © All images and text are copyrighted and private property Deltoid Inhibition Application Measure and cut Y Strip Anchor with no tension at Deltoid Tuberosity Position for Anterior Tail of Y Strip Shoulder position: 90°flexion and horizontal abduction Apply 15 - 25% tension along anterior muscle fibers End with no tension at lateral Clavicle Activate adhesive © All images and text are copyrighted and private property 12 3/20/2019 Deltoid Inhibition Application Position for Posterior Tail of Y Strip Shoulder position: 90°flexion and horizontal adduction Apply 15 - 25%