Principles of KinesioTaping 2014

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Principles ofKinesioTaping

May 10, 2014

Barbara Schmenk, PT, DPT, CLT, CKTP

Katrina Stibel, MA, AT


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Course Description

The Principles of KinesioTaping will introduce theclinician to the KinesioTaping Method. Fundamentaltape properties and techniques will be discussed.The participants will learn muscle taping applicationsand specialty taping techniques to facilitate theappropriate physiological response. Appendix willprovide common patient diagnoses and tapingtechniques to enhance treatment outcomes.

Indications, contraindications and skin careconsiderations will be reviewed.


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Objectives

The learner will identify precautions and

contraindications associated with KinesioTaping.

The learner will identify indications forKinesioTaping.

The learner will identify specialty KinesioTaping

techniques.


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References

KinesioTaping Upper Extremity (Workbook 1). KinesioTaping Association2005. Kinesio USA, Albuquerque, NM.

KinesioTaping Lower Extremity (Workbook 2). KinesioTaping Association2005. Kinesio USA, Albuquerque, NM.

KinesioTaping Correctional Technique and Clinical Application (Workbook5). KinesioTaping Association 2004. Kinesio USA, Albuquerque, NM

Hans-Ulrich Hecker, MD and Kay Liebchen, MD. Acupressure Taping.Healing Arts Press, Rochester, Vermont 2005.

Kenzo Kase, DC and Kim Rock Stockheimer. KinesioTaping forLymphoedema and Chronic Swelling. Kinesio USA, Albuquerque, NM2006.

Travis Halseth, John W. McChesney, Mark DeBeliso, Ross Vaughn, Jeff

Lien. The effects of Kinesio Taping on proprioception at the ankle. Journalof Sports Science and Medicine 2004. Volume 3, pages 1-7.

Mark D. Thelen, James A. Dauber. Paul D. Stoneman. The clinicalefficacy of Kinesio Tape for shoulder pain: a randomized, double-blinded,clinical trial. Journal of orthopaedic and sports physical therapy 2008.Volume 38, number 7, pages 389-395.


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KinesioTaping

Kenzo Kase, DCFounder

In Japan 1973

Dr. Kase wanted his patients to utilize a

presciption that they could take home anduse between visits.


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KinesioTaping

Dr. Kase began experimenting with tapes

Non-desired results

Developed a new tape

Used in Japans clinical rehabilitation setting

International exposure in 1988 Seoul

Olympics Introduced in USA in 1995


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KinesioTape

Latex free

Safe for pediatrics to geriatrics

Longer wear time3 to 5 days Rehabilitative

Does not limit motion

Water resistant Economical

Easy to apply


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Tape Comparison

Athletic McConnell Kinesio

Latex free x

No pre-wrap x

Elastic/non rigid x

Non-compressive x

Skin friendly x

Allows full ROM x

Multiple day wear x

Water resistant x

Enhances circulation x


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What is KinesioTaping?

Taping over and around muscles in order to

assist and give muscle support or to prevent

over contraction on the muscle.

Can give support with full ROM that enables

the individual to participate in physical activity

without functional assistance.

Helps fight against overuse/contraction

Helps facilitate movement of lymphatic fluid

Assists with healing


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KinesioTape Qualities

Tape is applied to paper substrate with 10%

stretch

Elasticity is 40-60% of resting length

Stretches along longitudinal axis only

Thickness and weight are similar to skin

100% medical grade, acrylic heat activatedadhesive

No medicinal properties in tape


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KinesioTape and Cuts

Colorsbeige, pink, blue, red, black

Width1, 1 , 2, 3

Cuts I

X

Y

Fan Web

Donut

Basket


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KinesioTaping Principles

I to Oinsertion to originto relax overusedand acutely damaged muscles, for musclespasms, and edema secondary to injury

Applied with light tension O to Iorigin to insertionto support weak

muscles or chronic conditions, to givestimulation, and to support musclecontractions during use

Applied with light to medium tension


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KinesioTaping Principles

Results in convolutions when skin/joint areback to resting position

Lifts the skin and increases blood and lymphflow

The tape recoils to the starting anchor

No tension on anchors


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KinesioTaping Tensions

0-15% Very light tensionedema,

lymphedema

15-25% Light tension (off the paper)I to O

50% Moderate tensionO to I

75% Severe tensionsupport or correction

100% Full tensionsupport or correction* Less tension is better than more initially to

determine tolerance


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KinesioTaping Convolutions


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Skin Prep

Body hairlight amount or remove

Dry skin

Can do a test strip if sensitive skin


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Application

Apply to the stretched muscle or joint

When joints are injured and you can stretch,apply tape with medium to full stretch whilemaintaining a functional joint position

Rub tape to activate adhesive

Apply 30 minutes prior to activity


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Tape Removal

From top down

In direction of hair growth

EXTRA TIPS

Round off corners of tape

Can not reapplyone chance per strip of tape

Dawn dish soap

Milk of Magnesium


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Physiology of KinesioTaping

Four Main Effects/Functions of KinesioTaping

(1) Reduce pain (Endogenous Analgesic System)

(2) Normalize muscle function

(3) Improve circulatory and lymphatic function

(4) Correct joint alignment and improve proprioception

Appendix A


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Precautions

Skin integrity/tape sensitivity

DVT

Cancer

Post injection site

Risk of spreading infection

CHF New scars

Open wounds


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Points of Awareness

2009 - Banned by FINA (International Governing Body of Swimming, Diving,Synchronized Swimming, Water Polo, and Open Water Swimming)

Was thought to give swimmers a competitive advantage

Trickled down to USA Swimming and NCAA Swimmingbanned by

both organizations USA Swimming/NCAA Swimming - Effective July 2011

Kinesio Tape will now only be permitted if the swimmer is unable to compete without the

tape. Coaches and swimmers must provide documentation from a physician or certified

athletic trainer prior to the meet.

FINA - Effective May 2012 The usage of Kinesio Tape to assist and support musculoskeletal conditions is permitted if

deemed necessary by head official - only "nude" colour tape is sanctioned.


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Points of Awareness

Banned by NBANovember 2013

Considered a bit of an eye sore and not approved by the NBA as an

official piece of wardrobe to be used on the court Tim Frank, leaguespokesman

Quickly overturned within a matter of days "After a discussion today with Jerry Stackhouse, representing the union, we have

decided to allow kinesio tape on an experimental basis so that we can take a

fresh look at the possible benefits it might bring to our players. Tim Frank, leaguespokesman


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Points of Awareness

Very little quality evidence currently exists to

support the use of Kinesio tape over other

types of elastic taping in the management or

prevention of sports injuries

Placebo vs. scientifically proven benefits?


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Appendix A


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Physiological Function:

(1) Pain Reduction

Decreased activation of pain receptors

Tape lifts skin, creating convolutions

Increased subcutaneous space

Possibly activates spinal inhibitory system

Possibly activates descending inhibitory system

Also impacted by other three functions


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Physiological Function:

(2) Normalize Muscle Function

Restoration/normalization of damaged muscles

Effective for inhibiting muscles (stimulating

relaxation of over-contracted/overused muscles)

Effective for facilitating muscle contractionswith weakened muscles

Also increases ROM, assists tissue recovery,relives pain, & reduces fatigue.


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Physiological Function:(3) Improve Circulatory and Lymphatic

Function

Congestion = decreased space between skin andmuscle

KinesioTaping increases space between skin and

muscle via convolutions Promotes flow of lymphatic fluid and blood via channels of low

pressure

Reduces abnormal feeling and pain in skin and muscle

Fluid exchange between layers is enhanced Reduces excess heat and chemicalsubstances in tissue

pain receptor activation = congestion


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Four Major Physiological Functions


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Physiological Function:(4) Joint Alignment & Proprioception

Injury can lead to malalignment 2 strength & flexibility imbalances (i.e. spasm,

shortened muscle)

Malalignment leads to abnormal joint forces

KinesioTaping can assist with the balancing ofagonist and antagonist Stimulates supporting structures to realign joint

Stimulates supporting structures to limit joint motion

May provide correct proprioceptive input andenhance kinesthetic awareness

Principles of KinesioTaping 2014

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