10/17/14 1 Kinesiology Taping for the Lower Extremity Athlete Maria Cole OTR, CKTP International Rehabilitation Center for Post-Polio Laura Kelly PT, DPT, CLT Certified Lymphedema Therapist Darren C. Rosenberg, DO Assistant Professor Harvard Medical School Department of PMR Medical Director Spaulding Outpatient Center Framingham Objectives • Understand the basic properties of kinesiology tape • Understand the basic applications of kinesiology tape • Demonstrate 3 application kinesiology tape applications • Identify various diagnoses and conditions that may benefit from the use of kinesiology tape. Types of Kinesiology Tape
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10/17/14
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Kinesiology Taping for the Lower Extremity Athlete
Maria Cole OTR, CKTP International Rehabilitation Center for Post-Polio
Laura Kelly PT, DPT, CLT Certified Lymphedema Therapist
Darren C. Rosenberg, DO Assistant Professor Harvard Medical School Department of PMR Medical Director Spaulding Outpatient Center Framingham
Objectives
• Understand the basic properties of kinesiology tape
• Understand the basic applications of kinesiology tape
• Note: The laws, rules and regulations regarding reimbursement for strapping and taping by health care professionals vary greatly from state to state. Always check your state’s laws to verify which codes apply and work best for your practice.
• Example: Kinesio Taping® to common wrist extensors, Y-cut, distal to proximal at 15% tension to decrease pain and inhibit muscle spasm References 4,5, 6
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Exam and Treatment Plan
• Recommended level of care plus frequency and duration of taping.
• Treatment(s) that you will use including the taping.
• Objective measures to evaluate the effectiveness of the taping.
1) Gonzalez IJ et al. 2009. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther Jul;39 (7):515-21.
2) Saavedra-Hernández M,et al Short-term effects of kinesi- taping versus cervical thrust manipulation in patients with mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2012; 42(8):724-30.
3) Murray H et al. 2001. Effect of Kinesio taping on proprioception in the ankle. Journal of Orthopedic Sports Physical Therapy, 31(1): A‐37
Research 4) Yoshida A et al. 2007. The Effect of Kinesio Taping on Lower
Trunk Range of Motions, Research in Sports Medicine, 15:2, 103-112
5) Hsu Y-H et al. The effects of taping on scapular kinematics and muscle performance. J Electromyogr Kinesiol, doi:10.1016/j.jelekin.2008.11.003, 2009.
6) Thelen MD, et al. The clinical efficacy of Kinesio tape for shoulder pain: A randomized double-blinded, clinical trial. Journal of Orthopaedic and Sports Physical Therapy, 38:389-395, 2008.
7) Fu T-C et al. Effect of Kinesio taping on muscle strengthing in athletes – A pilot study. Journal of Science and Medicine in Sport, 11:198-201, 2008
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CPT Code Changes
• A few changes were made to the CPT Codes for 2010. Some Highlights are that 29220 – Strapping of Low Back was removed from the coding System. To report Low back strapping, use 29799, Unlisted procedure, casting or strapping
• Note: The laws, rules and regulations regarding reimbursement for strapping and taping by health care professionals vary greatly from state to state. Always check your state’s laws to verify which codes apply and work best for your practice.
• 97110 – Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
• 97112 – Neuro-Muscular Re-Education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and or/standing activities
• 97533 – Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 minutes