Football Specific Kinesiology Taping · 2020. 5. 23. · Kinesiology Taping Go Stronger, ... rehabilitation for chronic low back pain. Cochrane Database of Systematic Reviews 2014,

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FootballSpecificKinesiologyTaping

Go Stronger, Longer

®

WeareaMovementCompany

thatdabblesintape

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HowWellareyouMoving?

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MovementCriteria

ControlMobility

Control

Mobility

Control

It’smorethanjusttapeontheskin

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Goals1. Howitworks?2. PhysiologicalEffects3. CurrentResearch4. KinesiologyTaping101

a) Indications/Contraindicationsb) PainMitigationTapingApplicationsc) Acute/ChronicEdemaTaping

Applicationsd) Static/DynamicPostureTaping

Applicationse) Acute/ChronicScarTaping

Applications5. Q/A

TapingHistory

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does it really work?

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ResearchUpdate

SystematicReview

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AdjuncttoExercise

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CompromisedState

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Kinesiologytapehasbeenshowninstudiesto:• Improvemusclestrength• ImproveROM•Reducepain•Altertimingofmuscleactivity•Decreaseswelling• Improveposture

However,moreresearchisrequired…….

LiteratureConclusions

PainDecompressionNeuro-Sensory

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ExtensionoftheBrain=SKIN

HairFollicles

RootHairPlexus

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SkinBrainConnection

=

Paus,Ralf.,Schmelz,Martin.,Biro,Tamas.,Steinhoff,Martin.Frontiersinpruritusresearch:scratchingthebrainformoreeffectiveitchtherapy.JClinInvest.2006;116(5):1174-1186.

what are we dealing with?

PainMitigation

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Melzack,Ronald,andPatrickD.Wall."Painmechanisms:anewtheory."SurveyofAnesthesiology11.2(1967):89-90.

GateControlTheoryofPain

Melzack,R.(2005),EvolutionoftheNeuromatrixTheoryofPain.ThePrithviRajLecture:PresentedattheThirdWorldCongressofWorldInstituteofPain,Barcelona2004.PainPractice,5:85

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BPSApproach

BIO

PSYCHO SOCIAL

KamperSJ,ApeldoornAT,etal.Multidisciplinarybiopsychosocialrehabilitationforchroniclowbackpain.CochraneDatabaseofSystematicReviews2014,Issue9.ArtNo:CD000963

Decompression

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Skin

Superficial FasciaNerves/Blood/Lymph

Vessels

Deep FasciaForce Transmission

RCS

RCP

RCS

RCP

www.fascialmanipulation.com/en/

MSKUltrasound

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ITBCaseStudy

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PreTape

PostTape

n=24,standardphysiotherapyvs.standardphysiotherapy+kinesiologytape

Edema TapingStudies

Neuro-Sensory

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Stimulationofmechanoreceptors

AutonomicNervousSystem-

Brain

Intra-fascialsmoothmuscles

Palpabletissueresponse

TissueManipulation- softtouch&sheer

tape

Interstitial receptors and Ruffini Endings

Hypothalamic tuningGlobal muscle tone

Schleip R. (2003)

Hilton’sLaw(1863)

“Thesametrunksofnerveswhosebranchessupplythegroupsofmusclesmovingajointfurnishalsoadistributionofnervestotheskinovertheinsertionsofthesamemuscles;and- whatatthismomentmoreespeciallymeritsourattention- theinteriorofthejointreceivesitsnervesfromthesamesource.”

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PatellarTapingEffectsEffects 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

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TactileAcuityandPain

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TakeHomeMessage……

==

CanTapeHelp?

1educateunderstand pain 3maintain

increase physical capacity

2moveimprove aberrantpatterns

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TheTape

0

0.5

1

1.5

2

0 1 2 3 4 5 6 7 8

Force (Newton)

Exte

nsio

n (m

ete

rs)

180%Stretch

0

1.75

3.5

5.25

7

0

Grab (shorter is better)

Tim

e (

s)

Stickier

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Rocktape

h20

24HR/Day

UpTo5Days

DoesDirectionMatter?

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DirectionofApplication?

StretchorNoStretch?

TapeCareTipsSkin:dryandfreeofcreamandoils

Hair:ClipLonghairRubbingtheTape:aidsinactivatingadhesiveRemovingTape: slowly,insectionsinthedirectionofhairgrowth,babyoilhelpsto

emulsifyadhesivePostShowering:pat/airdry

TrimEndsofTape:limitsprematurepeeling

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NeverHistory – pasttapeirritationTest Patch – notapeexperience • OverOpenWounds

• ActiveInfection

• ActiveCancerSite

• Kidney/HeartCongestion

• Overstretchtheendsofthetape

Always(Caution)

• Historyofskinreactions

Medication – bloodthinnersfemale – hormonecycleskintype – ginger

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TooMuchStretch

blister/tractionnon uniform

75

AllergicReaction

uniform

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FMTisNOTaProtocolBasedTechniquetomemorize

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PAINFLUIDDYNAMICSPOSTURE/MOVEMENTSCAR

PainMitigation

Goal:Todynamicallystabilize/stimulatetheacuteregionofthebodyinordertoimprovethespeedandqualityofhealing.

3Steps:1. Stretch/Pre-LoadSystem2. StabilizationTape– nostretch3. DecompressionTape– middle

stretch

Spine

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STEP1:Stretch/Pre-Load

A pre-stretch is applied to the cutaneous/skin to engage the receptors and pre-load the elastic quality of the organ

Measurefor1or2StabilizationStrips

STEP2:Stabilization

Stimulateskinmechanoreceptors

Decreasednociception/pain

Supportregioninpain

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STEP3:Decompression

Thelifting/decompressioneffectincreasesbloodflow,decreasescongestion/edema,andaddsextrastimulationtolocalmechanoreceptors

FOCALAREAOFPAIN

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50% stretch

0% stretch

100% stretch

Variations

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Davis’sLawConnectiveTissue(Collagen)islaiddown

alonglinesofstress

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Knee

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Foot

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UpperExtremity

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PAINFLUIDDYNAMICSPOSTURE/MOVEMENTSCAR

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Benefit– DecreasedSwelling

BloodVesselsLeakLymph

LymphVesselsDrainLymph

AbnormalLymphVesselsFailtoDrainLymph

www.fascialmanipulation.com/en/

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LymphaticLigaments

Improvedrecoveryrateswithremovalofexerciseby-products

FluidDynamics

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Pre-Cuts

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EdemaVariation

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PAINFLUIDDYNAMICSPOSTURE/MOVEMENTSCAR

Root Hair Plexus

CanTapeChangeourMovement?

JointCentration

Reminderofoptimalcongruentpositionofajoint

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ImproveLengthTensionRelationships

ImproveForceCoupleRelationships

ImproveNeuromuscularEfficiency

ViaCutaneousStimulation

WhyTapeforPosture?

Researchshowsthatkinestheticguidance(ie.Tape)canbetranslatedintobehavior30timesfaster thanvisualguidancecanandmanythousandsoftimesfasterthanaudioguidance(Birdwhistell,1971).

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JointAngleErrorImprovement

TapingaPattern,Not aMuscle

STABILITY MOBILITY

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JointbyJoint

137

MobilityPatterns MotorControlPatterns

RockTapeMobilize

138

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SensorytoMotorOutput

PosturalTaping

Goal: Toassistinestablishingatargetedposturetofacilitatenormalmovementpatterns:

Steps:1. Placethebodyintothepositionoppositetotheunwanted

posture.2. Applythestabilizationtapealongthefasciallinetofacilitate

theintendedposture(viacutaneousstimulation).3. Applythetapewithlittletonostretch.

Cutaneous mechanoreceptorinput• Degradedposturalperformanceaftermusclefatiguecanbecompensatedbyskinstimulation(2011)Thedon etal.GaitandPosture

• TapeovertheAchillestendondecreasedposturalswaywhenthecalfmuscleswereexercisedtofatigue.

ResistancetoFatigue

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•Wong,Cheung&Li(2012)– PhysicalTherapyinSport• Crossovertrial.n=30• TapeappliedtoVMO- doesitincreaseisokinetic peaktorquecomparedwithnotape?• Findings:nodifferenceinpeaktorqueBUT shortertimetakentoreachpeaktorquewithVMOtaping.

Timing

Stance SpinePosition

FirstStepDrive

FreeArmPosition

Head/NeckPosition

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SpinePositionSpringEffect

Generate

Absorb

Direct/Disperse

Release

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ThighPositionDrivePhase

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Arm/HandPosition

www.fascialmanipulation.com/en/

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Throw Shoulder/ElbowControl

Head/NeckControl

TheSpring

TorsoControl

RibCage/PelvisInterface

OpenScissors

ref:DynamicNeuromuscularstabilization

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PerformanceFunctionalChain

TransversePlane

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PerformanceFrontArmChain

PerformanceFrontFunctionalChain

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PAINFLUIDDYNAMICSPOSTURE/MOVEMENTSCAR

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ScarMobilityTaping

ScarTaping

Goal:Improvingmobilityandflexibilityofpostsurgicalincisions

Createdviathebiomechanicalliftingeffect(similartoskinrolling)andskinsheareffect(micro-massagemechanism).

LateStage:Tissue/ScarExtensibility

HYPERTROPHICSCAR KELOIDSCAR

CONTRACTURESCAR ATROPHICSCAR

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EarlyPhase:EdemaControl

postsurgical

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PostSurgicalStep#2:Multi-DirectionalTissueStrain

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SkinGlide

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TopicalAnalgesics

WithTape

+ =

Mechanical Stimuli

chemical Stimuli

Menthol/CapsaicinAnalgesicEffect

LaingRJ,DhakaA.ThermoTRPsandPain. TheNeuroscientist :areviewjournalbringingneurobiology,neurologyandpsychiatry.2016;22(2):171-187.

FMTCertificationSeriesBasic Performance Movability Special Populations

Blades Canine Equine

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