TAPING

You have a pt who suffered a (L) Colle’s fx 3 mos ago due to a FOOSH accident during  a football
game. After the cast was removed and a significant number of PT sessions,  he still presents
with residual wrist pain during supination and pronation of the wrist.  Perform a taping
technique that could help reduce the sx of this pt.

Good morning po! My name is Jovi, and I will be your PT for today.
Pwede ko po ba malaman yung name niyo po?
Ma’am, confirm ko lang po, kayo po yung nagka colles fracture sa left side, tama po?

So bago po tayo mag start, mag ask lang po ako ng mga questions para malaman po natin if
pwede po tayo mag proceed with taping

 May pinahid po ba kayong oil, lotion sa area

 Allergic po kayo sa any kind of tape, or any material like wearing band aid or anything na
similar
 Meron po ba kayong sugat sa area (inspect lang)
 Any condition or past injuries bukod po dito?

Okay po. Based po sa chart niyo, nagka colles fracture po kayo 3 mos ago, and nakakaramdam
pa rin po kayo ng pain kapag iniikot niyo po yung kamay niyo ng ganito po? Tama po? Ok po. So
sa forearm po kasi natin may dalawang buto po. Radius and ulna, so dito po yung nangyari nung
nagka fracture tayo, yung dulo po nung radius, yung buto dito is nag bend po backward. So
kung naalala niyo po ginawa natin sa inyo yung mobilization with movement, ang sabi niyo po
nabawasan yung pain.

Since effective po yung mobilization with movement, gagawin po natin itong tinatawag po na
inferior radioulnar joint taping para tuluyan po nating ma correct or maialign ng maayos yung
position po ng bone natin dito, yung ulna sa bone dito which is radius to help para mabawasan
yung pain po na nafefeel niyo, kapag ginagawa niyo po yung ganitong movement.

So we will use this 1.5 inch inelastic tape po para matape natin yung bandang dito niyo po nang
dalawang beses with overlap.
Okay lang po?

So maam anne, and yung kapatid niyo po na si maam eva, pakipanood na lang po yung gagawin
ko and ituturo ko po sa inyo kung paano po ito gawin.

So simple lang naman po.

>>> chineck na kanina if may allergy, wala naman po. So we can use this tape
>>> provide a towel lang to make maam anne comfortable
>>> ensure na walang sugat, linisan niyo po muna, tanggalin kung may pinahid man, then I wipe
po. So nalinis naman na po natin
>>> dapat ganito position ni pt; relaxed and hindi po naka bend pataas or pababa yung wrist; so
neutral lang po dapat, tas nakadapa po yung forearm

 Palmar aspect of ulnar condyle – apply tension

 End sa point kung saan nag start to cover
 Apply another strip sa baba just to secure the tape – apply tension
 End sa point kung saan nag start to cover

Okay lang po? Comfortable po ba? May pain po?

>>> remember po to avoid wrinkes, creases para maiwasan yung skin irritation, so dapat po
smooth yung pagkaka tape
>>> wag naman pong sobrang sikip kasi baka mas lalo po mag cause ng pain di po mag circulate
yung blood, so magkaroon po ng problem sa blood flow; wag naman din pong sobrang luwag
since hindi naman po siya magiging effective
>>> remember lang po na magpuput kayo ng tension tuwing yung tape ay nasa taas tulad nung
pinakita ko po kanina.

Kumusta maam wala naman pong pain?

>>> so to check po if tama yung ginawa, dapat po walang pain na nafefeel si maam anne
>>> then I try niyo po igalaw yung wrist niya taas baba, ipagalaw yung wrist – may pain po?
>>> okay naman po? Hindi naman po masyadong mahigpit?
>>> can you try to move it (harap/dapa) – pronate supinate – may pain po?

So tapos na po tayo ma’am. Remind ko lang po kayo na wag niyo po siya iiwanang nakalagay for
more than 24 hours. Pwede niyo po siya tanggalin sa gabi, and itape po ulit s aumaga para
maiwasan yung skin irritation.

Kapag may changes po like lumala po yung sakit, or tingin niyo po naiirritate na yung skin,
tanggalin niyo na lang po kaagad. You can use yung flat scissors po para tanggalin and hindi
makatusok.

Ok maam, so do you have anymore questions pa po? Ok po. So tapos na po tayo and thank you
po for your cooperation today.

Steps

Taping if a dorsal glide of the ulna on the radius corrects painful movement.
1. Place tape over palmar surface of the ulna.
2. Apply and maintain an MWM to the ulna (Fig. 11.18).
3. In a dorsal direction, wrap tape obliquely across the wrist and around the radius (Fig. 11.19).
4. Tape will end on the palmar aspect of the wrist, near where the taping began.
5. Place a second piece of tape on the initial taping to secure.