Improving Acute Injury Outcomes · ITB Case Study Fascial Compression Fascial Decompression . 28 The Tape Properties . 29 Tape Effects Effects 1. Pain 2. Decompression 3. Neurosensory

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Improving Acute Injury Outcomes: Kinesiology taping and Instrument-Assisted Soft Tissue Mobilization (IASTM)

Abby Perone, DC, CES, CF-L1, RockTape Instructor-US Love Health – Love Movement Sports Therapy Clinics CrossFit Love @wearelovehealth @abbyperone @ rocktape #rocktapeFMT

@wearelovehealth @abbyperone

[email protected]

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- Someone important

We are a movement company that dabbles in tape.

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Movement Pyramid

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“The nervous system is the most important target for influencing posture and movement.” – Feldenkrais

“Fascia is the most important tissue

for posture and movement.” - Rolf

BOTH!

What Are We Treating?

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Four Levels of Restriction

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joint

restriction:

• banded distractions • Joint Mobilizations

2 soft tissue shortening:

• foam rolling • ball release • instrument assisted

Protective

Barrier

Tissue

Glide

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The nervous system is the gate keeper to change.

Stacey Thomas, LMT

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Sensory Stimulation

1 golgi

receptors (type Ib)

internal force 2

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pacinian corpuscles (type II)

rapid pressure

ruffini endings (type II)

sustained pressure

Shear

interoceptors light touch

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Mechanoreception Connective tissue and fascia are highly innervated

Often reported only to occur in muscles and joints

The fascial network possesses approximately 10 times the sensory receptors as compared to its muscular counterpart ( van der wall 2009)

Includes many types of receptors:

– Golgi, Ruffini, Pacinian, Free nerve endings (Interoceptors)

Fascia considered more of a perceptual organ than a mechanical organ.

Autonomic Nervous System -

Brain

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Fascial plasticity – a new neurobiological explanation: Part Schleip, Robert; Journal of Bodywork and Movement Therapies , Volume 7 , Issue 1 , 11 - 19

hypothalamic tuning

global muscle tone

intra-fascial smooth muscles

palpable tissue response

tissue manipulation

Sensory Stimulation

Beneath the Skin - Mechanical

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Densification vs. Fibrosis

Fibrosis • Similar to the process of scarring, with the deposition of excessive

amounts of fibrous connective tissue, reflective of a reparative or reactive process. It can obliterate architecture and function of the involved tissue.... If there is alteration of collagen fibrous bundles, the term fascial fibrosis is the term of choice

A. Birbrair

Densification • Indicates an increase in the density of fascia. This is able to modify the

mechanical proprieties of fascia, without altering its general structure.... If there is only an alteration of the loose connective tissue, the term fascial densification is preferred

A. Stecco

Normal Tissue

Mechanical

Densification

Neurological

Barriers

Lack of glide

Driver’s

Education

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Skin

SubQ

Sup Fascia

Deep Fascia

Muscle

Trauma

Grades

Depth Gauge

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High Tone Tissues

Pectoral Fascia

Trapezius Fascia

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Calf

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Interlayer Gliding

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Dr. Geoffrey Bove • “It’s all about the interfaces”

• Interfaces are essentially the fascial planes between muscles, nerves, fascia, etc..

• Lack of gliding is the enemy

• Positive treatment effects are at the loose connective tissue and not in the fascia

• Early intervention is the key

Bove GM, Chapelle SL. Visceral mobilization can lyse and prevent post-surgical adhesions. Journal of Bodywork and Movement Therapies, 16, 76-82, 2012 doi: 10.1016/j.jbmt.2011.02.004

24 This is a footer, so use it when you need it.

Content FREE zone.

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T/L Jxt Shear - Langevin et al.

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Fascial Gliding - Control vs. LBP

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ITB Case Study

Fascial Decompression Fascial Compression

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The Tape Properties

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Tape Effects

Effects

1. Pain

2. Decompression

3. Neurosensory

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3 Main Effects

If there’s a story behind the image, icon or photo above, then this is the

best place to put it. Be concise though!

Pain Mitigation If there’s a story behind the image, icon or photo above, then this is the

best place to put it. Be concise though!

Decompression

If there’s a story behind the image, icon or photo

above, then this is the best

Neuro-Sensory

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Pain Mitigation

Decompression

Neurosensory Input

Effects

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Pain Gate Theory of Pain in TextBooks

Melzack, Ronald, and Patrick D. Wall. "Pain mechanisms: a new theory."

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Pain Gate Theory in Real Life

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Meta-analysis Focused on Pain

Choo Wyn Lim et al, BJSM, 2015

Conclusion: 1. KT is superior to minimal intervention for pain relief. 2. KT as an adjunct is beneficial in pain relief

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Superior Pain Relief

Choo Wyn Lim et al, BJSM, 2015

Conclusion: 1. Research is telling us that

when used without other interventions, outcomes are good!

2. KT should be used as an

adjunct for treatment

37 Choo Wyn Lim et al, BJSM, 2015

Treat it, tape it, train it

Conclusion: significant improvement when combining tape with

corrective exercise interventions.

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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

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Pain & ROM

Conclusion:

Patients with acute WAD

receiving KT

exhibited statistically

significant improvements

immediately following

application and at 24-hour

follow-up.

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Pain and Position Sense

Conclusion: The results showed there was significant difference between no tape and KT for PFP group during descending stairs. K taping can reduce pain and improve the ratio of VMO/VL for the mechanism of patellar stability

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Pain Mitigation

Decompression

Neurosensory Input

Effects

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Under the Skin

RCP

www.fascialmanipulation.com/en/

RCS

Retinaculum Cutaneous Superficialis

Retinaculum Cutaneous Profundus

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Skin Ligaments

46 A. Luque-Suarez et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: A randomised controlled trial

Subacromial Space

Conclusion:

KT increases AHD in

healthy individuals

immediately following

application, compared

with sham tape.

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Content FREE zone.

Pre Tape Post Tape

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Pain Mitigation

Decompression

Neurosensory Input

Effects

51 Hilton’s Law (1863)

Hilton’s Law 1863

“The same trunks of nerves whose branches supply the groups of muscles moving a joint furnish also a distribution of nerves to the skin over the insertions of the same muscles; and - what at this moment more especially merits our attention - the interior of the joint receives its nerves from the same source.”

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Tape the Brain (via the skin)

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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

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Tape your brain

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Voila Let’s practice! Scrape & Tape Workshops at 1:30-3p & 3:30-5p

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Thank you Rocktape.com – Physician Discount Code

at Booth Keep in touch!

[email protected]

817.239.1137 @abbyperone @wearelovehealth