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Kinesio Taping : An Introduction on Technique and Results Chris Keating SPT Thomas Jefferson University
Overview <ul><li>Introduction to Kinesio Taping </li></ul><ul><ul><li>Properties </li></ul></ul><ul><ul><li>Theoretical Be...
Kinesio Tape Properties
Properties of Kinesio Tape <ul><li>Mimics skin qualities </li></ul><ul><li>Tape is replicating hands on the patient </li><...
Theoretical Benefits
Theoretical Benefits <ul><li>Analgesic Affect </li></ul><ul><ul><li>Mechanoreceptors </li></ul></ul><ul><ul><li>Create spa...
Theoretical Benefits <ul><li>Correct Malalignment </li></ul><ul><ul><li>Positional stimulus  </li></ul></ul><ul><ul><li>Al...
Types of Application
Types of Application <ul><li>Y </li></ul><ul><li>I </li></ul><ul><li>X </li></ul><ul><li>Fan </li></ul><ul><li>Web </li></...
Types of Application: Y <ul><li>Used to surround muscle </li></ul><ul><li>Either to facilitate or inhibit muscle stimuli <...
Type of Application: I <ul><li>Used for more acute injuries in place of Y </li></ul><ul><li>Primary purpose for edema and ...
Type of Application: X and Donut <ul><li>X </li></ul><ul><ul><li>Used when origin and insertion change depending on moveme...
Types of Application: Fan/Web <ul><li>Chief use for edema </li></ul><ul><li>Web different because ends remain intact </li>...
Type of Application Stretch <ul><li>Muscle should be elongated prior to application </li></ul><ul><li>KT requires none to ...
Types of Application Stretch <ul><li>Full- 100% </li></ul><ul><li>Severe- 75% </li></ul><ul><li>Moderate- 50% </li></ul><u...
Type of Application Direction <ul><li>Insertion to Origin </li></ul><ul><ul><li>Used to inhibit overused or stretched musc...
Application Guidelines
Application Guidelines <ul><li>Shave hair if interfering with adhesive </li></ul><ul><li>No oils or lotions on skin </li><...
Application Guidelines <ul><li>Measure appropriate length- allowing for desired stretch </li></ul><ul><li>Remove tape care...
Evidence Based Practice
Shoulder Pain Thelen et al. <ul><li>Purpose </li></ul><ul><ul><li>To compare the short-term effect of a therapeutic KT app...
<ul><li>Intervention </li></ul><ul><ul><li>15-25% Stretch Y-Strip for Supraspinatus </li></ul></ul><ul><ul><li>15-25% Stre...
Lower Trunk ROM Yoshida et al. <ul><li>Purpose </li></ul><ul><ul><li>To determine the effects of KT on lower trunk flexion...
<ul><li>Intervention </li></ul><ul><ul><li>Cross-over Study </li></ul></ul><ul><ul><li>15-25% stretch with Y-Strip </li></...
Traumatic Patellar Dislocation Osterhues <ul><li>Purpose </li></ul><ul><ul><li>To demonstrate the use of KT for control of...
<ul><li>Intervention </li></ul><ul><ul><li>10% Stretch Y-Strip from the insertion to origin  </li></ul></ul><ul><ul><li>Ba...
KT effect on Peds Yasukawa et al <ul><li>Purpose </li></ul><ul><ul><li>To describe the functional arm and hand skills for ...
<ul><li>Intervention </li></ul><ul><ul><li>Wide variety of KT techniques, Individualized </li></ul></ul><ul><li>Outcome </...
Clinical Implications
Clinical Implications <ul><li>Level of evidence </li></ul><ul><ul><li>Weak- only one RCT found (via Medline, Cinahl, Cochr...
Clinical Implications <ul><li>Why use it </li></ul><ul><ul><li>Tool in the toolbox </li></ul></ul><ul><ul><li>Treats patie...
Clinical Implications <ul><li>Athletic Taping v Kinesio Taping </li></ul><ul><ul><li>Bragg article demonstrates AT decreas...
RTC Impingement Taping
Y-Strip Supraspinatus, 1st Y or I Strip, Anterior displacement, 3rd Y-Strip Deltoid, 2nd
Quadriceps Taping
Y-Strip 1st Y-Strip 2nd
References <ul><li>Clinical Theraputic Applications of the Kinesio Taping Method ; K. Kaze, J. Wallis, T. Kase; Tokyo, Jap...
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Kinesio Taping

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  • DOWNLOAD FULL BOOKS, INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... 1.DOWNLOAD FULL. PDF eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... 1.DOWNLOAD FULL. doc eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... 1.DOWNLOAD FULL. PDF eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... 1.DOWNLOAD FULL. doc eBook here { https://tinyurl.com/y3nhqquc } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, eBooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
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Kinesio Taping

  1. 1. Kinesio Taping : An Introduction on Technique and Results Chris Keating SPT Thomas Jefferson University
  2. 2. Overview <ul><li>Introduction to Kinesio Taping </li></ul><ul><ul><li>Properties </li></ul></ul><ul><ul><li>Theoretical Benefits </li></ul></ul><ul><ul><li>Types of Application </li></ul></ul><ul><ul><li>Application Guidelines </li></ul></ul><ul><li>Current Evidence </li></ul><ul><ul><li>Shoulder Pain </li></ul></ul><ul><ul><li>Lower Trunk ROM </li></ul></ul><ul><ul><li>Lateral Patella Dislocation </li></ul></ul><ul><ul><li>Acute Pediatrics Population </li></ul></ul><ul><li>Clinical Implications </li></ul><ul><li>Application of Kinesio Tape </li></ul><ul><ul><li>RTC Impingement Taping </li></ul></ul><ul><ul><li>Quadriceps Facilitation Taping </li></ul></ul>
  3. 3. Kinesio Tape Properties
  4. 4. Properties of Kinesio Tape <ul><li>Mimics skin qualities </li></ul><ul><li>Tape is replicating hands on the patient </li></ul><ul><ul><li>Sensiomotor stimulation </li></ul></ul><ul><li>Allows longitudinal stretch of 30-40% of its resting length </li></ul><ul><li>Effective for 3-5 days of constant use </li></ul><ul><li>Latex free and heat activated adhesive </li></ul><ul><li>Acrylic adhesive applied in wave fashion to allow for moisture escape </li></ul>
  5. 5. Theoretical Benefits
  6. 6. Theoretical Benefits <ul><li>Analgesic Affect </li></ul><ul><ul><li>Mechanoreceptors </li></ul></ul><ul><ul><li>Create space for areas of pain and inflammation </li></ul></ul><ul><ul><li>Assist or limit motion through sensory stimulus </li></ul></ul><ul><li>Lymphatic Drainage </li></ul><ul><ul><li>Increase lymph drainage from the area via increased subcutaneous space </li></ul></ul>
  7. 7. Theoretical Benefits <ul><li>Correct Malalignment </li></ul><ul><ul><li>Positional stimulus </li></ul></ul><ul><ul><li>Align fascia tissues </li></ul></ul><ul><li>Scar Tissue </li></ul><ul><ul><li>Breaks adhesions </li></ul></ul><ul><ul><li>Reduce irritation </li></ul></ul>
  8. 8. Types of Application
  9. 9. Types of Application <ul><li>Y </li></ul><ul><li>I </li></ul><ul><li>X </li></ul><ul><li>Fan </li></ul><ul><li>Web </li></ul><ul><li>Donut </li></ul>
  10. 10. Types of Application: Y <ul><li>Used to surround muscle </li></ul><ul><li>Either to facilitate or inhibit muscle stimuli </li></ul><ul><li>Should be 2 inches longer than target muscle </li></ul>Teres Minor Y
  11. 11. Type of Application: I <ul><li>Used for more acute injuries in place of Y </li></ul><ul><li>Primary purpose for edema and pain </li></ul><ul><ul><li>Greater surface area </li></ul></ul><ul><li>Used for alignment correction </li></ul>Tricep I strips
  12. 12. Type of Application: X and Donut <ul><li>X </li></ul><ul><ul><li>Used when origin and insertion change depending on movement (Rhomboids) </li></ul></ul><ul><li>Donut </li></ul><ul><ul><li>Specifically used for edema </li></ul></ul><ul><ul><li>Use overlapping strips and the center is cut out over area of focus </li></ul></ul>
  13. 13. Types of Application: Fan/Web <ul><li>Chief use for edema </li></ul><ul><li>Web different because ends remain intact </li></ul>
  14. 14. Type of Application Stretch <ul><li>Muscle should be elongated prior to application </li></ul><ul><li>KT requires none to partial stretch </li></ul><ul><li>Stretch results in skin convolutions whether they are visible or not they are present </li></ul><ul><li>Would rather have too little than too much stretch </li></ul><ul><li>This is not athletic taping, do not take up full stretch* </li></ul>
  15. 15. Types of Application Stretch <ul><li>Full- 100% </li></ul><ul><li>Severe- 75% </li></ul><ul><li>Moderate- 50% </li></ul><ul><li>Light- 15-25% </li></ul><ul><li>None- 0% </li></ul><ul><li>Percentage stretch refer to percentage of available stretch </li></ul>
  16. 16. Type of Application Direction <ul><li>Insertion to Origin </li></ul><ul><ul><li>Used to inhibit overused or stretched muscles </li></ul></ul><ul><ul><li>Light stretch required to achieve this goal </li></ul></ul><ul><li>Origin to Insertion </li></ul><ul><ul><li>Used to facilitate weak or under performing muscles </li></ul></ul><ul><ul><li>Light to moderate stretch required </li></ul></ul>
  17. 17. Application Guidelines
  18. 18. Application Guidelines <ul><li>Shave hair if interfering with adhesive </li></ul><ul><li>No oils or lotions on skin </li></ul><ul><li>If wet, pat dry </li></ul><ul><li>Do not use hair dryer on tape </li></ul><ul><li>Use alcohol to prep skin if needed </li></ul>
  19. 19. Application Guidelines <ul><li>Measure appropriate length- allowing for desired stretch </li></ul><ul><li>Remove tape carefully in order not to touch or increase application difficulty </li></ul><ul><li>Rub tape after application to activate adhesive </li></ul><ul><li>Allow 20 mins for adhesive to take effect </li></ul><ul><li>If KT doesn’t reduce pain than D/C treatment after 20 mins </li></ul>
  20. 20. Evidence Based Practice
  21. 21. Shoulder Pain Thelen et al. <ul><li>Purpose </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Population </li></ul><ul><ul><li>18-24yo College Students; (n = 27) </li></ul></ul><ul><ul><li>+ Hawkins-Kennedy, + Empty Can, + Pain Before 150 ° elevation in any plane </li></ul></ul><ul><ul><li>- Fracture, - GH Disloction/Subluxation, - Cervical Involvement, - Shoulder Surgery < 12 months </li></ul></ul>
  22. 22. <ul><li>Intervention </li></ul><ul><ul><li>15-25% Stretch Y-Strip for Supraspinatus </li></ul></ul><ul><ul><li>15-25% Stretch Y-Strip for Deltoid </li></ul></ul><ul><ul><li>50-75% Stretch Y or I-Strip Coracoid Process -> Posterior Deltoid </li></ul></ul><ul><li>Outcome </li></ul><ul><ul><li>Only significant difference between groups found on day 1 with treatment group achieving greater abduction (19 °) </li></ul></ul><ul><ul><li>Both groups over 6 days demonstrated improvements in all outcome measures </li></ul></ul><ul><ul><li>Attrition was high 7/27, due to scheduling conflicts </li></ul></ul>
  23. 23. Lower Trunk ROM Yoshida et al. <ul><li>Purpose </li></ul><ul><ul><li>To determine the effects of KT on lower trunk flexion, extension and lateral flexion </li></ul></ul><ul><li>Population </li></ul><ul><ul><li>30 healthy subjects (15f, 15m) </li></ul></ul><ul><ul><li>Average age (26,20) </li></ul></ul><ul><ul><li>Volunteered </li></ul></ul><ul><ul><li>Were excluded if had LBP within 6 months of trial </li></ul></ul>
  24. 24. <ul><li>Intervention </li></ul><ul><ul><li>Cross-over Study </li></ul></ul><ul><ul><li>15-25% stretch with Y-Strip </li></ul></ul><ul><ul><li>Place base above sacrum </li></ul></ul><ul><ul><li>Attach tails on each erector spinae group with light tension </li></ul></ul><ul><li>Outcomes </li></ul><ul><ul><li>Taping significantly increased flexion (17cm) over non-taping </li></ul></ul><ul><ul><li>No control group </li></ul></ul><ul><ul><li>Needs more detailed measurements </li></ul></ul>
  25. 25. Traumatic Patellar Dislocation Osterhues <ul><li>Purpose </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Population </li></ul><ul><ul><li>49 yo female PT who sustained a traumatic left knee patella lateral dislocation while cross country skiing </li></ul></ul>
  26. 26. <ul><li>Intervention </li></ul><ul><ul><li>10% Stretch Y-Strip from the insertion to origin </li></ul></ul><ul><ul><li>Base placed without tension </li></ul></ul><ul><ul><li>Tails across medial retinacular tissue and lateral quadriceps border with paper off tension </li></ul></ul><ul><ul><li>Treatment also included: </li></ul></ul><ul><ul><ul><li>IFC, ice with compression, static and dynamic balance training, stationary bike, ROM exercises, massage </li></ul></ul></ul><ul><li>Outcome </li></ul><ul><ul><li>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 </li></ul></ul><ul><ul><li>Tests with NeuroCom Balance Master higher for taped condition than no taped, however both numbers outside (below) normal ranges </li></ul></ul>
  27. 27. KT effect on Peds Yasukawa et al <ul><li>Purpose </li></ul><ul><ul><li>To describe the functional arm and hand skills for children admitted into a rehab program subsequent use of KT </li></ul></ul><ul><li>Population </li></ul><ul><ul><li>15 Children (10f, 5m) Ages 4-16 </li></ul></ul><ul><ul><ul><li>4 SCI, 2 TBI, 3 Brain Tumor, 2 CVA, Seizure, CP, 2 Birth Defects </li></ul></ul></ul><ul><ul><li>+ muscle weakness or abnormal muscle tone </li></ul></ul><ul><ul><ul><li>Grades of 3 or more on Mod. Ashworth were excluded </li></ul></ul></ul><ul><ul><ul><li>Trace on MMT or sensory issues were also excluded </li></ul></ul></ul><ul><ul><li>No cognitive or motivation issues </li></ul></ul>
  28. 28. <ul><li>Intervention </li></ul><ul><ul><li>Wide variety of KT techniques, Individualized </li></ul></ul><ul><li>Outcome </li></ul><ul><ul><li>Melbourne Assessment </li></ul></ul><ul><ul><ul><li>16 pt questionnaire measuring upper limb function </li></ul></ul></ul><ul><ul><ul><li>Designed for CP population </li></ul></ul></ul><ul><ul><li>Scores significantly improve pre-test to post-test as well as 3 days after taping </li></ul></ul><ul><ul><li>Its hard to draw specific treatment from study </li></ul></ul><ul><ul><li>Overall function improved in group average immediately after taping limiting learning curve </li></ul></ul><ul><ul><ul><li>Increase of 5 on MA immediately after application </li></ul></ul></ul><ul><ul><ul><li>Increase of 10 on MA 3 days after application </li></ul></ul></ul>
  29. 29. Clinical Implications
  30. 30. Clinical Implications <ul><li>Level of evidence </li></ul><ul><ul><li>Weak- only one RCT found (via Medline, Cinahl, Cochrane, DARE, ACP) </li></ul></ul><ul><ul><li>Mainly case studies, presented were a sample of the most PT relevant </li></ul></ul><ul><li>What does the evidence support </li></ul><ul><ul><li>Increase in ROM </li></ul></ul><ul><ul><li>Increase in function </li></ul></ul>
  31. 31. Clinical Implications <ul><li>Why use it </li></ul><ul><ul><li>Tool in the toolbox </li></ul></ul><ul><ul><li>Treats patient for 72 consecutive hours </li></ul></ul><ul><ul><li>Feeling of treatment -> encourage movement </li></ul></ul><ul><ul><ul><li>Placebo or Treatment? </li></ul></ul></ul><ul><ul><li>Versatile </li></ul></ul><ul><li>Pros </li></ul><ul><ul><li>Some evidence proves theories </li></ul></ul><ul><ul><li>PTs provide treatment </li></ul></ul><ul><ul><li>Applicable to multiple pt populations </li></ul></ul><ul><ul><li>Constant treatment </li></ul></ul><ul><li>Cons </li></ul><ul><ul><li>Some evidence proves theories </li></ul></ul><ul><ul><li>Expensive </li></ul></ul><ul><ul><li>Requires practice </li></ul></ul><ul><ul><li>Skin reaction </li></ul></ul>
  32. 32. Clinical Implications <ul><li>Athletic Taping v Kinesio Taping </li></ul><ul><ul><li>Bragg article demonstrates AT decrease in support within an hour of use </li></ul></ul><ul><ul><li>Since KT does not focus on support its means of sensory stimulus to enforce movement may just be a better form of AT </li></ul></ul><ul><li>Clinical Opinion </li></ul><ul><ul><li>Kinesio Taping could be a useful tool for therapist who see patients only a handful of times during rehab </li></ul></ul><ul><ul><li>Little evidence supports its multiple theories, more research needed </li></ul></ul><ul><ul><li>May be a way to facilitate and encourage movement </li></ul></ul>
  33. 33. RTC Impingement Taping
  34. 34. Y-Strip Supraspinatus, 1st Y or I Strip, Anterior displacement, 3rd Y-Strip Deltoid, 2nd
  35. 35. Quadriceps Taping
  36. 36. Y-Strip 1st Y-Strip 2nd
  37. 37. References <ul><li>Clinical Theraputic Applications of the Kinesio Taping Method ; K. Kaze, J. Wallis, T. Kase; Tokyo, Japan, 2003 </li></ul><ul><li>The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized, Double-Blinded, Clinical Trial ; M. Thelen, J. Dauber, P. Stoneman; Journal of Orthopaedic and Sports Physical Therapy, 38:7 2008 </li></ul><ul><li>Pilot Study: Investigating the Effects of Kinesio Taping in an Acute Pediatic Rehabilitation Setting ; A. Yasukawa, P. Patel, C Sisung; American Journal of Occupational Therapy, 60:1 2006 </li></ul><ul><li>The Use of Kinesio Taping in the Management of Traumatic Patella Dislocation. A Case Study ; D. Osterhues; Physiotherapy Theory and Practice; 20:4 2004 </li></ul><ul><li>The Effect of Kinesio-Taping on Lower Trunk Range of Motions ; A. Yoshida, L Kahanov; Research in Sports Medicine, 15 2007 </li></ul><ul><li>Characteristics of Patients with Primary Acute Lateral Patellar Dislocation 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 </li></ul><ul><li>Failure and Fatigue Characteristics of Adhesive Athletic Tape; Bragg, R.W, Macmahon, J.M, Medicine and Science in Sports and Exercise 34:3 2002 </li></ul>

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