You can use this for sports injuries

1. Taping techniques
Moazzam Hussain Khan
M.P.T. Sports Medicine
New Delhi

2. Taping Objectives
 Support and protect an injured structure
 Limit harmful movements
 Allow pain free functional movements
 Permit early resumption of activities by
protecting area from further injury

3. Benefits
 Enables circulation
 Compress recent injuries thus reduce bleeding
 Control swelling
 Prevent worsening of injuries
 Allows continued body conditioning and
strength training
 Maintains ability to react
 Prevent re injury

4. Effects of taping
 Mechanical stability
 Functional stability
 Reduce oedema
 Reduce pain

5. Taping supplies
1. Essential supplies
2. Optional supplies

6. Essential supplies
 Razor and soap
 Adhesive elastic tape
 White zinc oxide tape
 Underwrap- polyurethane foam
 Skin toughner spray
 Adhesive spray
 Lubricating ointment

7. Cont…
 Sterile / non sterile gauze pads
 Elastic bandages
 Band aids
 Tape cutters/ scissors

8. Optional Supplies
 Adhesive remover
 Tongue depressor
 Blister protector
 Triangular bandage
 Waterproof tapes
 Nail cutter
 Anti fungal
spray/powder
 Antibiotic ointment
 Surgical gloves

9. Types of tape
 Stretch adhesive tape – muscles
a)One way stretch: length/width
b)Both end stretch: length and width both
Non stretch adhesive tape: ligaments, tendon
a)To limit joint movements
b)To act prophylactically
c)To secure ends of stretch tape
d)To reinforce stretch tape
Hypoallergic tape alternative to zinc oxide tape
Water proof tape

10. Taping consideration
 Pre taping considerations
 Post taping considerations

11. Pre taping considerations
S welling
U ndue stress
P rotection
P ain
O ptimal healing and repair
R ehabilitation
T herapeutic care

12. Post taping considerations
P remature participation
R ange of motion
E xpert opinion
C irculation
A llergies and skin irritation
U ndue dependency on tapes
T endons muscles and bone
I ce
O nly top quality supplies
N erve conduction

13. Taping principles
 Has the injury been thoroughly assessed?
 How did the injury occurred?
 What structure were damaged?
 What tissues need protection and support?
 What movements must be restricted?
 Is the injury acute or chronic?
 Is immobilization necessary at this stage?

14. Cont…
 Are you familiar with anatomy &
biomechanics of part involved?
 Can you visualize the purpose for which
tape is to be applied?
 Are you familiar with taping technique?
 Do you have suitable materials at hand..?

15. Taping guide line
 Wash, dry and shave the skin in downward
direction
 Remove the oil for better adhesion..
 Cover broken lesion b/f taping
 Check the athlete is allergic to tape or spray
 Apply lubricated protective padding to friction
and pressure area
 Apply adhesive spray for skin protection and
better adhesion
 Apply underwrap for sensitive skin

16. Avoid….
 Excessive traction on the skin
 Gaps and wrinkles
 Continuous circumferential taping
 Excessive layer to tape
 Too tight an application over bony area

17. Pre application check list
 Is taping going to work for this injury?
 Is taping the correct procedure?
 What materials are needed?
 What is injured or at risk?
 What is the athletes normal joint range and
flexibility?
 Meets movement dements on the athletes?

18. Application check list
 Skin consideration
 Selection or correct tape
 Taping application
 Taping technique
 Quality control

19. Post application check list
 Monitoring the results
 Functional testing
 Tape removal
 Sign of skin damage

20. Using adhesive tape in sports
 Preparation of taping
 Clean, shaved dry skin
 underwrap
 Proper taping technique
 tape selection
 correct tape width
 Tearing tape
 Rules of tape application
 Removing adhesive tape

21. Rules for tape application
 Place part in the position in which its to be
stabilized
 Overlap the tape at least half the width of the
tape below
 Avoid continuous taping
 Keep the tape role in hand whenever possible
 Whenever maximum support is required tape
directly over the skin

22. Key taping technique
 Anchors
 Stirrups
 Vertical
 Butterfly or check rins
 Heel lock
 Figure- 8
 Compression
 Reinforcing strips
 Closing up

23. Anchors:
Two types. 1. Full circle - Normal
2. U shape - swelling
 First tape strips used
for each tape job
 May be elastic or inelastic
 Forms a stable base
 Placed circumferentially

24.  Both above and below the injury
 Applied directly to the skin
 Must follow anatomical
contours for good adherence

25. Stirrups
 U shaped loop of inelastic tape
 Directly support the
injured ligament
 Provide medial/
lateral stability
 Pulled tighter on injured
side

26. Vertical strips
 Non elastic tape strips
applied under tension
from one anchor to other
 Limits lateral mobility

27. Butterfly or check reins
 Combination of three
or more vertical strips at
angles of 10 to 45 degree
to each other
 Placed at the axis of rotation
 Elastic or inelastic tape used

28.  Restrict movements
in more than a simple
uniplanar direction
 Can restrict inherent
torsion stresses
 Vertical strips, X shaped
with two strips, re anchoring

29. Locks
 Inelastic tape firmly attached
to the underlying
anchors to reinforce
support
 Yet allow protected
functional movements

30.  Strong tension applied
at key points

31. Figure of - 8
 Non elastic tape forming
a figure - 8
 Added stability, covers
any remaining open areas
and/ or tape ends
 Closes the tape application
neatly

32.  Encircles one segment
of the limb in one
direction, crosses over
to encircle the adjacent
segment in opposite
direction
 Forming a figure- 8

33. Compression strips
 Elastic adhesive tape,
localized compression
over a muscle
 Provide strong
compressive forces
 Minimizes subsequent
swelling

34.  Minimal tension to
form a base
 Pressure strips

35. Closing up/ Re anchoring
 Tightly placed strips, either elastic or non
elastic tape, cover remaining open areas/ tape
end
 Reduces the risk of skin blisters
 Protect the tape job
 Neat appearance
 Applied circumferentially on the limb one third
to one half width overlap
 Starting proximal and moving down distally

36. Advantage of taping
 Specific to the part
 Specific to the structure
 Specific to the stage of healing
 Specific to demand of sports
 Custom made
 Early return to training

37. Disadvantages
 Cost
 Skill
 Compliance
 Time consuming

38. THANK YOU
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