RockTape Z Health Webinar Steven Capobianco - Director of Medical Education !1 Our Education FootPrint Physiotherapists Chiropractors/Osteopaths Massage Therapists Occupational Therapists Trainers Coaches Physicians Assistants Nurses Acupunture Yoga/Pilates 150 Instructors World Wide More… 1500 Courses/Year 40,000 Students/Year !2 Our FMT Education Platform Basic Blades Pods Movement Specialist Blades Advanced Floss Advanced Simple Understanding Complex Understanding !3 FMT + • Online Education Platform • 1-6 Hour Curriculum Options • Considering Z-Health Courses !4 Core Concepts !5 Movement Matters !6 Movement Pyramid !7 Why? 1. Pain - impacts movement 2. Mobility - impacts movement 3. Motor Control - impacts movement 4. Stability - impacts movement !8 Interventional Tactics Motor Mobility Stability Pain Control !9 Talk to the Brain !10 Neuro-Cognitive Approach Fact: Sensory representation is disrupted and tactile acuity is reduced in people with back pain. Flor H, Braun C, Elbert T, Birbaumer N. Extensive reorganization of primary somatosensory cortex in chronic back pain patients. Neurosci Lett. 1997;224:5-8. Luomajoki H, Moseley GL. Tactile acuity and lumbopelvic motor control in patients with back pain and healthy controls. Br J Sports Med. 2011;45:437-440. Solution: Training sensory representations requires the delivery of stimuli to the body part of interest. Stimulation alone is seldom sufficient to modify sensory representations. Instead, the combination of the stimulus and its salience or functional context appears to be important Jenkins WM, Merzenich MM, Ochs MT, Allard T, GuicRobles E. Functional reorganization of primary somatosensory cortex in adult owl monkeys after behaviorally controlled tactile stimulation. J Neurophysiol. 1990;63:82-104. !11 Precision Training Improve Sensory Map Change Body Awareness Decrease Pain Improve Motor Control Change Movement Potential !12 The more you feel, the better you move. The better you move, the more you feel. Danny Porcelli, DC !13 SKINTELLIGENCE Our skin is a megaphone to get our brain’s attention. !14 Skin as a Handle !15 Fascial Anatomy Credit: anatomytrains.com !16 Fascial RoadMap !17 Simple“ Solutions to Complex Problems is NOT working NOI - Neuro Orthopedic Institute !18 “ We are fearfully and wonderfully complex Lorimer Moseley !19 The Whole Person Approach Biological Psychology Social !20 How Dangerous is this Really? !21 Patient/Client Signatures Person 1 Person 2 Person 3 !22 Evidence Informed David L Sackett, W Scott Richardson, William Rosenberg, Brian Haynes, Evidence Based Medicine--How to Practice and Teach EBM, 2000. !23 There is no WRONG or RIGHT. Just varying degrees of RIGHT. !24 “Understand the Rules Before you can Break Them” Mitch Hauschildt !25 Our FMT Fingerprint Movement Fun Pain Science Concepts not Techniques Fascial GPS System Psychosocial Approach !26 Curriculum Overview 1. Taping - Basic/Advanced 2. IASTM - Blades Basic/Advanced 3. Myo-fascial Cupping - RockPods 4. Compressional Floss Therapy - RockFloss !27 FMT Basic Kinesiology Taping Practitioner Certification !28 Elastic Therapeutic Tape Coton/Nylon Acrylic Adhesive !29 FMT Basic Outline Effects Applications •Pain •Pain Mitigation •Decompression •Fluid Dynamics •Neuro-sensory Effects •Posture/Position !30 Popularity started to grow… 2008 Summer Olympics !31 and grow 2012 Summer Olympics !32 !34 Benefit Categories Water Resistant Exercise Tolerant Complements Therapy !35 Does it really work? !36 Largest organ of your body !37 Biomechanical Lifting Effect !38 Sensory Input - Skin Receptors !39 Touch/Brain Connection !40 3 Effects Pain Mitigation Decompression Neurosensory Input !41 Pain is a request for change. Perry Nickelston, Stop Chasing Pain. !42 Our relationship with pain… !43 Pain Gate Theory of Pain in TextBooks Melzack, Ronald, and Patrick D. Wall. "Pain mechanisms: a new theory." !44 To reduce pain,“ we need to reduce credible evidence of danger and increase credible evidence of safety. Lorimer Moseley !45 Skin Brain Connection Body Map Pain Perception Regions Paus, Ralf., Schmelz, Martin., Biro, Tamas., Steinhoff, Martin. Frontiers in pruritus research: scratching the brain for more effective itch therapy. J Clin Invest. 2006; 116(5): 1174-1186. !46 Neuromatrix Model Melzack, R. (2005), Evolution of the Neuromatrix Theory of Pain !47 Evidence Informed Guided but not Shackled by Science !48 Meta-analysis Focused on Pain Conclusion: 1. KT is superior to minimal intervention for pain relief. 2. KT as an adjunct is beneficial in pain relief Choon Wyn Lim et al, BJSM, 2015 !49 Pain & ROM Conclusion: 1.Immediately reduce the threat of pain 2.The therapeutic KT group showed immediate improvement in pain-free shoulder abduction 3.These studies are small, but important to the consumer G50 Pain & ROM Conclusion: Patients with acute WAD receiving KT exhibited statistically significant improvements immediately following application and at 24-hour follow-up. G51 Pain ROM Conclusion: VAS and WOMAC scores showed statistical change in pain mitigation and ROM as compared to control Another option for daily pain control. !52 Pain and Position Sense Conclusion: The results showed there was significant difference between no tape and KT for PFP group during descending stairs. And there was significant difference between no tape and K taping conditions for PFP group !53 Compromised Population Conclusion: Application of KT is effective in improving isokinetic quadriceps torque and reducing pain in knee osteoarthritis !54 Pain Mitigation Decompression Neurosensory Input !55 Under the Skin !56 RCS RCP Retinaculum Retinaculum Cutaneous Cutaneous Superficialis Profundus www.fascialmanipulation.com/en/ G57 MSK Ultrasound Tutorial Skin Superficial Fascia Deep Fascia Muscle !58 G59 ITB Case Study Fascial Compression Fascial Decompression !60 Space, Pain, Edema Conclusion: After soft-tissue trauma, it was histologically shown that KT increases epidermal–dermal distance, and may reduce the sensation of pain, edema and inflammation Nihan Kafa et al. Effects of kinesiologic taping on epidermal–dermal distance, pain, edema and inflammation after experimentally induced soft tissue trauma !61 Subacromial Space Conclusion: KT increases AHD in healthy individuals immediately following application, compared with sham tape. A. Luque-Suarez et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: A randomised controlled trial !62 Content FREE zone. This is a footer, so use it when you need it. G63 Pre Tape Post Tape G64 Pain Mitigation Decompression Neurosensory Input !65 G66 Effects of Tape on the Brain Effects of Patellar Taping on Brain Activity during Knee Joint Proprioception Tests Using functional Magnetic Resonance Imaging Michael J.Callaghan, Shane McKie, Paul Richardson, Jacqueline A.Oldham !67 Tape your brain !68 Chronic Pain is a Cortical Dysfunction Conclusion: 2 Pt. Discrimination (perceptual abnormalities) deficits in chronic lower back pain patients. G69 Tactile Acuity and Pain Self%Awareness/Tac/le%Acuity%and%Pain% G70 Clear Cortical Maps This is a footer, so use it when you need it. !71 Improved Tactile Acuity Improved Body Representation Decreased Pain Improved Control G72 Taping for Proprioception !73 Taping for Proprioception Study source !74 3 Main Effects Pain Mitigation Decompression Neuro-Sensory If there’s a story behind the If there’s a story behind the image, icon or photo above, image, icon or photo above, If there’s a story behind the then this is the best place to then this is the best place to image, icon or photo above, put it. Be concise though! put it. Be concise though! then this is the best !75 Non Negotiable COMFORT SAFETY PRACTICAL !76 Do not Tape • Open Wounds • Skin Lesions • Rashes • Clients Unable to Communicate • Decreased sensation - Neuropathies • Adhesive Allergies • Over Active Cancer Site • Kidney/Heart Congestion • Front of the neck In some cases, mild/moderate skin reactions can occur. These include redness, itchiness, hives or swelling. Immediately remove the tape if you feel any skin reaction above and consult your physician if symptoms are severe or do not improve in 2 days. !77 Caution • History - past skin irritation • Test Patch - no tape experience • Medication - blood thinners • Female hormone cycle • Skin Type - fair skin • Extreme heat - car seat heater, hot hot showers !78 #Never Never stretch ends of tape !79 #Good Removal Basics Parallel to skin while holding skin adjacent to tape edge !80 # Bad Removal Basics So, you’ve chosen to divide your presentation in different sections. Well done. !81 1. Stretch the Skin Pre-stretch is applied to the skin to engage the receptors and preload the elastic quality of the organ !82 2. Stabilization Strips !83 3. Decompression Strip Increases biomechanical lifting effect on skin and superficial fascia (over focal point area) Adds to increased mechanical disruption of local receptors !84 Low Back Application Stabilization Strips Decompression Strip !85 Voila Now Move !86 Assist Fluid Dynamics Lifting effect of tape decompresses the affected area, assisting fluid dynamics But How? !87 External Pump Theory Decompression of Lymphatic Vessels Via External Pump Mechanism !88 Fan Method Cervico/Thoracic Edema Acute/Chronic Edema !89 Optimal Congruent Joint Position !90 Postural Taping Steps 1. Place area in a neutral posture 2. Apply the tape (with no stretch) to the appropriate tissues to provide the cue !91 Upper Cross - Cervicothoracic Junction !92 Peripheral Nerve Entrapments Compression