KinesioTaping Basics

KATHLEEN WHITE, PT, DPT, CKTP

Kat White PT, DPT, CKTP

Background

Background

Disclosure
 Not Certified KinesioTaping Instructor  No financial connection with KinesioTape

KinesioTape Background

http://www.kinesiotaping.com/kta/aboutvideo.html

What is KinesioTape?
 Time tested therapeutic taping technique  Uniquely designed tape  Latex free, elastic properties, heat activated adhesive  Used to enhance muscle, joint and circulatory

function
 Can be worn 24 hrs a day, 3-5 days

KinesioTape Uses
 All time points of Rehab: Acute, Subacute, Chronic  Preventative

 Modality- like ice, heat, US, TENS
 Not a magic treatment or the ONLY treatment

KinesioTape Uses
 Correct muscle function
- facilitation and inhibition

 Improved circulation
- promote fluid movement

 Pain relief
- Skin sensory receptors

Additional : Fascia- return to homeostasis

 Repositioning subluxed joint or Corrective
- biomechanics/alignment

KinesioTape
 Tape applied to the paper with 10% stretch  Stretches along longitudinal axis only

 Heat activated adhesive
 No medicinal properties to the tape  Latex free

Theory
“Grasp and Elevate” effect OR Recoil effect

KinesioTaping DON’Ts
 Tape should never limit ROM (unless used for

bracing)
 No tension on Anchors (ends)  Therapeutic zone- target area for treatment

 Never apply tape at 100% tension

Contraindications
 Malignancy

 Infection, Cellulitis
 Open wound  DVT  Precaution: Diabetes, congestive heart failure,

fracture

Purpose
 Correct muscle function
- facilitation and inhibition

 Improved circulation
- promote fluid movement

 Pain relief
- Skin sensory receptors

Additional : Fascia- return to homeostasis

 Repositioning subluxed joint or Corrective
- biomechanics/alignment

Muscle Taping
Line of pull of the tape is KEY… Facilitate: proximal to distal 15-50% tension Inhibit: distal to proximal 15-25% tension
Inhibit Facilitate

Lumbar Paraspinal Taping

Lumbar Paraspinal Taping
1) Place Anchor- no tension

2) Have the patient flex to end range
3) Apply tape with appropriate tension 4) End – no tension

Should see wrinkling of the tape

Purpose
 Correct muscle function
- facilitation and inhibition

 Improved circulation
- promote fluid movement

 Pain relief
- Skin sensory receptors

Additional : Fascia- return to homeostasis

 Repositioning subluxed joint or Corrective
- biomechanics/alignment

Circulation and Pain Relief
 Lymphedema **  Do not use unless you are experienced with this population  Easy to do more harm than good

 Bruising

Circulation and Pain relief
 Anchor is where the fluid is pulled to

 cut 4 slits
 Lines on paper side help  Anchor should be proximal

 End-no tension
 10-15% tension  Rub to activate Adhesive

Purpose
 Correct muscle function
- facilitation and inhibition

 Improved circulation
- promote fluid movement

 Pain relief
- Skin sensory receptors

Additional : Fascia- return to homeostasis

 Repositioning subluxed joint or Corrective
- biomechanics/alignment

Corrective Techniques
 Mechanical - patellar tracking
50-75% Tension

 Fascia - restriction
15-50% Tension

 Ligament/tendon - MCL strain, Achilles sprain
50-75% Tension

 Functional Correction - drop foot
50-75% Tension

Patellar Mechanical Correction
 Mechanical 50-75% tension

Positional Hold, Inhibit Pathological Tracking 1/3, 1/3, 1/3 Have to move the patient through ROM

Patellar Mechanical Correction

Fascia Correction
 Oscillating

 15-50% tension

Plantar Fascia taping: 50-75% Tension

Tendon Correction
 “Proprioceptive”  Perceive support, GTO

 Put at end ROM first
 Anchors-no tension  50-75% Tension through

“Therapeutic Zone”

Functional Correction
 “Spring Assist”

 50-75% Tension
 Only taping that is applied through the movement

Things to tell your patients…..
 If the tape makes it worse….. Take it off

(its just tape)
 If it starts to come off…. Rub it

(activate the adhesive)
 DO NOT dry it with a hairdryer

(will activate the adhesive, harder to take off)

Practice, Practice, Practice

KinesioTape Course
 Take a Course!

 Great teachers, Hands on

ACL-SPORTS Training (RCT)
Subjects: High Level Athletes - cutting, pivoting, jumping activities - Want to return to playing sports

10 Training Sessions - Agilities - Dynamic Preventative Exercises - Randomized into PERT vs Control Groups Inclusion Criteria: At least 12 weeks after surgery Minimal effusion > 80% Quad Index Strength

Contact: Kathleen White Katwhite@udel.edu