To comply with professional boards/associations standards: • I declare that I (or my family) do have a financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my presentation. Additionally, all planners involved do not have any financial relationship. •Requirements for successful completion are attendance for the full session along with a completed session evaluation. •Vyne Education and all current accreditation statuses does not imply endorsement of any commercial products displayed in conjunction with this activity. Session 406: Active Care ‐ Pain Control Techniques & Tools to Clinically Progress Patient Outcomes John Hisamoto, PT, ATC & Shawn Burger, PT, DPT Leading the Way in Continuing Education and Professional Development. www.Vyne.com
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To comply with professional boards/associations standards:• I declare that I (or my family) do have a financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my presentation. Additionally, all planners involved do not have any financial relationship.•Requirements for successful completion are attendance for the full session along with a completed session evaluation.•Vyne Education and all current accreditation statuses does not imply endorsement of any commercial products displayed in conjunction with this activity.
Session 406: Active Care ‐ Pain Control Techniques & Tools to Clinically Progress Patient Outcomes
John Hisamoto, PT, ATC & Shawn Burger, PT, DPT
Leading the Way in Continuing Education and Professional Development. www.Vyne.com
John Hisamoto PT, ATC
Owner, Pro‐Active Physical Therapy
Shawn Burger, PT, DPT
Owner, PearFIT Physical Therapy
Before we get started…
• Phones
• Names on workbooks
• Bathrooms
• Waiver
• Pre‐test
• Latex Allergies?
• Anything else…
Today’s Schedule
• Evidence‐based Pain Relief Tools & Techniques
• Kinesiology Tape
• Topical Analgesic‐ Biofreeze
• Cryotherapy
Pain Relief Tools
Buetel & Cardone 2014. IJSPT. 9(5):666‐73
• 31 websites on kinesiology taping reviewed
• 58% had anecdotal testimonials to promote
Websites are “poor quality and present misleading,
imbalanced information”
Moderate effect size for kinesiology tapeon pain reduction vs. minimal interventions
Effectiveness of Kinesiology Tape on musculoskeletal pain & disability > 4 weeks
More tension and longer applications associated with lower effect size
A Mega Review of Kinesiology Taping Research (Page et al. 2015)
+ Trivial benefit; as effective ‐ Harmful
++ Clinically beneficial ? Unclear/ inconclusive
0 No benefit
Kinesiology Tape Research Summary
• Various studies (and reviews) have various outcomes– As effective as other minimal interventions for musculoskeletal pain
– Reduces pain acutely (about 1 week)
– Potential for small improvements in muscle and joint
– Limited research on neurological & circulatory
• Kinesiology Tape should not be used as stand‐alone intervention– May speed recovery when combined with other
Kinesiology Tape Facts• Mechanism of action unclear
• Research supports short‐term pain relief (Lim & Tay
2015)
– Other outcomes remain unproven (Page 2015)
• Specific patterns, directions, and tensions are not
substantiated
• Tape tension is important; less is probably better (Lim & Tay, 2015)
• You don’t need certification or a training course to
tape!
• XactStretchTM
Integrated stretch guides for 25% and 50%
• Performance
Best in class adhesion and durability
• Research
Most comprehensive research library (over 200 studies) including over 140 techniques
• XactStretchTM
Integrated stretch guides for 25% and 50%
• PerformanceBest in class adhesion and durability
• ResearchMost comprehensive research library (over 200 studies) including over 140 techniques
XactStretch™ Integrated Stretch Guides
~0% paper off tension~100% Available tension
Easier to provide EXACT tension
*Different brands have different available tensions
XactStretchTM
25% of Available Tension
50% of Available Tension
0% Paper Off Tension
TheraBand Kinesiology TapeStress‐Strain
• Kinesiology Tape tension exponentially increases after 50% elongation
• Recoil?
Specified Kinesiology Tape Tensions with Positive, Significant Outcomes
(Page et al. 2015)
0
5
10
15
20
25
30
35
0% 0‐25% 25‐50% 50‐75% 100%
Number of Studies with Significant Outcome, by tension
In well‐controlled studies with significant outcomes, 86% of studies utilized tension <50%;The most common tension used was <25%.