CLINICAL THERAPEUTIC PPLICATIONS OF THE KINESIO PNET METHOD 2NP EDITION KENZO KASE JIM WALLIS TSUYOSHI KASECLINICAL THERAPEUTIC APPLICATIONS OF THE KINESIO TAPING’ METHOD KENZOKASE JIMWALLIS TSUYOSHI KASECopyright & Trademark Information Copyright®» 2003 by Kenzo Kase. Allrights reserved. ‘Kinesio' and “Kineso Taping” are registered trademarks @ of Ken Tai Co. lad, Tokyo, pan, “Thisbook is protected by copyright. No part ofthis hook maybe reproduced in any form or by any means, including photocopying, o be wulized by any Information and storage Feteeval system Without written permision from the copyright ower Disclaimer Te authors ofthis book donot dispense medicladce nor prescribe the use ofthe Kineso Taping® Method asa form of treatment for medical problems ‘with or without the advice ofa physician. The intent ofthe authors is only to oer nformation of general nature to help you cooperate with Your doctor ‘in your mutual quest foe heath. I the event you use any ofthe ifoematon in this hook for yourself you ae prescribing for yourself The authors and pblisher assume no responsibilty for your actions.About the Authors Kenzo Kase, D.C. | orn in 1942 Jim Wallis, ATC, CKTI Born in 1958: 1983: graduated fom Washington State Universityand became ‘certified athletic tetner by NATA. ch= 1984: earned MS fom University of Anzona 4997: became a Certified Kineso Taping Instructor Currently he isthe head atbletic trainer at Poetand State University Tsuyoshi Kase 199 add on Doky Univer ia a {ope became a Ceied Kiso Taping stricto 7s 199% became a ntucior or Conamung Eduction counes ea at the University of New Mexico. 2000 graduate from UNM, Athletic Training Department CGurrently serves the General Manager for Kineso Japan, up.Acknowledgments ‘pect thanks from Kenzo Kase and Tsuyoshi Kase to Me Tanabi a Ski Journal shina En Yr edi, Tomoaki Okan, Kane Inagaki and jun Ozawa for special cooperation esicaion fom Jim Walls: Simply to my moverTable of Contents General Introduction 2 Section 1 Introduction to Corrective Techniques. 19 Corrective Application Techniques 20 Mechanical Correction 22 Yechaique with Tension on Tals Techniue with Tension on Base echrique with Tension in the Tape Fascia Correction 7 Technique to Repositien Fascia Manual Fascla Winding or Myofascial Release Space Correction 29 Modification of Ligament Tendon Correction Fascia Cortections used for Space Correction ole and Web Technique 2 Ligament (Tendon Correction 3 Ligament Correction Technique Tendon Correction Technique Funetional Correction xs Functional Correction Applicaton Lymphatic Correction x” lymphatic Correction Application Section 2 Head & Neck 9 Muscle Contrieion Headache 4 ‘Temporomandibularfoine (TMD) 46 “Trigeminal Neuralgia o Cervical Spondylitis 48 Neck Sprain or Whiplash 50 Section 3 Shoulder 53 ‘Rotator Cuff Impingement oF Fendonttis 5 Scapylohumeral Dysfunction 56 shoulder Instabits, Anterior of Maltaxial 58 Bursitis ofthe Shoulder 61 Acromioclavicular Jone Spain 8 Frozen Shoulder Adhesive Capsultis 6 BicipitatFenosynovitis 68 Brachial Plexus Neurapraxia (Burner) 7Table of Contents Section 4 Trunk & Ba 2B Thoracic Outlet Syedrome nm Sterngclavicuar Joint Sprain 6 Scoliosis 77 Rib Fracture or Contusion » Tncercostl Neuralgia st Costochondral Separation o¢ Sprain 2 Erector Spinae Muscle Strain, Lumbar Region 8 Sueroliae Sprain or Inflammation a8 Spondylotysis and Spondylolisthesis 89) Myofascial Low fick Pain 92 Section 5 Arm 95 Valgus Laxity ofthe Bibow 36 Hursitis ofthe Elbow 98 Hibow Hyperextension 100 Lateral Epicondyitis ofthe Elbow 102 Medial Epicondyiis ofthe Elbow 105 Lute League Elbow 108 Carpal Tune Syndrome un Lumphedents af the Upper Extremity us Section 6 Wrist & Hand ‘West Sprain Thi rocartlage (TFC) de Quervain’s Finger Spetin, Radial or Ulnar Collateral Ligament Malet Finger Dislocation of the Phalanges ofthe Fingers Gamekeeper’s or Skiers Thumb Section 7 Hip & Lee 133 (Osteoarthritis of the Hip Bi Trochanter Bursitis 136 Hip Pointer- Ide Crest Concusion 138 Quadiceps Contusion/ Strain 39 Adlductor/ Groin Strain un Hamstring Strain 25 Liotbl Band Friction Syndrome 15, Sin Spinto Media Tibial Stress Syndrome 118Table of Contents Section 7 Hip & Leg- continued ‘Anterior Compartment Hematoma/Syndeome Sciatica Iymphedema of the Lower Leg Section 8 Knee & Lower tap. Patella Tendonitis: Superior and Inferior Poke Patella Tendonitis Strip Technique Patela Tendonitis. U Steip Technique Pula Tracking Syndrome Sublaxating Patella Chondromalacia Patetla Piica ofthe Knee ‘Osgood Schlatter and LarsenJohannson Syndrome Anterior Cruciate Ligament Kinesio Technigae Medial Collateral Ligament Correction Knee Hyperextension Meniscus of the Knee ‘Osweoartheits or Chronic Etfusion of the Knee Bursitis ofthe Knee es Anserinis Bursts or Tendonitis Runner's or Cyclists Knee Section 9 “Ankle & Foot Plantar Fasciitis Achilles Tendonitis or enosynovitis Retrocaleaneal Bursitis Sevee's Syndrome or Apophysitis ofthe Caleaneus Lateral Ankle Sprain Medial Ankle Spexin Peroneal Tendon Sublusation als Valgus HammerToc Dislocation ofthe Toe ‘Tur Toe - Hyperextension ofthe Great Toe ‘Metatarsal Arch Interdigital (Morton's) Neuroma Section 10 ‘Combination Tapings ‘Achilles Tendonitis Combination Technique ‘Acromioclavicular Joint Combination Adduictor Strain Combination Technique Elbow Hyperextension Combination TechniguTable of Contents Section 10 ‘Combination Tapings - continued Hamstting Sfnin Combination Tectnique ip Pointer or lac Crest Contuson Combination Knee Hyperextension Combination Technique [Lateral Ankle Sprain Combination 228 “Medlt anl Lateral Coateral Ligament Combination Taping 230 Medial and Lateral Fpicondytitis Combination Taping 232 Media Ankle Sprain Combination 233 Metatarsal Arch Combination Technique (Low Dye) 234 Metatarsal Arch Combination Traditional) 236 Patella Tendonitis Combination Taping and Bracing 237, Patella Tendonitis - Combination of Kinesio Corrective Techniques 238 Patella Fascitis Combination Rehiigue =) ‘Quadriceps Strain/Contusion Combioation Techeigue Shin Splint or Mectat Tibial Stress Syndrome Combination Technique 243 Tut Foe Combination Technique 244 Valyus Laxity of the Eibow Combination 246 ‘Wrist Sprain Combination Technique a8Properties of Kinesio Tex® Tape inst Tex® Tape hos been mosied ince Kiitraton, nine the quis of he Peer ere the Kea faping tou te back of Th can oooh ctu 0 caton/plcemen four ono the Pate ee eer ce kg a fcomeytayourfandon he peta combi foe wih the ape michig te ues fe Da ao oer a Taping Method ine Tex Tape has een desi alow fora pass occh C550 os en Tere dee of sec sprouts ce sani guns staesemnste Thc ape Sedgretesarech heron TheKinsoTexe ee Geert oe ie pce iA a pronnath 2a sate tenon Te ec Patt Kine fex ape can atch 395 om tein enh Te eas queso te Keio Ten pe a eoctve for 33 ye belo Gln pobmer diss “The thickness of the Kiaesio Tex Tape i ap- proximately the sane asthe epidermis ofthe skin Tis was inreaded to limit the body's perception ‘of weight and avoid sensory stimull when prop- ‘rly applied, After approximately 10 minutes, the patient will generally not peeceive there is tape ‘on their skin The KinesioTex® Tape s comprised oa poly mer elstic strand wrapped by 100% cotton fibers. The cotton fibers allow for evaporation of body moisture and allow fr quick dying, here i+ no atex in the tape. The adhesive is oor acrylic and is heat activated, The skin must be free of oils and moisture peioe to application. ‘The acrylic adhesive becomes more adherent the longer the Kinesio'Tex0 Tape is worn. The aryhic adhesive is applied ina wave ike pattern to mic the qualities ofthe fingerprint on the agestip, This ‘not only assists in the iting 2f the skin, Dut also allows for ones in which moisture ean escape Upon removal ofthe KinesioTen® Tape, there will be no glue tesidue eemaning. This normally afiows for multiple taping technique applications Without skin ifritation, Ifthe patient has sensitive skin its recommensled thatthe practitioner ap- plva small stip of tape and evaluate the patient's reaction prior t full use. “The combination ofthe stretch capabilities thick ess and adhesion allow the KinesioTex® Tape 2 proximate the qualities of the skin. The design “ofthe KinesioTex® Tape, in combination with the unique application technigue,ereate the Kinesio Taping Method. Basic Application Essentials Tr gic ft ines Taping Meio Is dependent upon to factors. One, proper evaluation of the patients condition 10 allow for pplication of Kinesio Tex Tape on che proper Lissue, Two, proper application of dhe Kinesio Taping Technique, When the ewe are combined, an effective treatment modality is available the practitiner. Early in the learning process, many peacutioners believe they can utlze the method ‘with Hl practice. Generaly.this struc, However, success i limited by the practitioner's ability to ‘evaluate the patient's condition and the possibility ‘of mistakes in ape application AS stated previous is recommended that for the KinesiTaping® Method a tape with elasticity from 35-40 % be used. Usinga tape which has a different adhesive, {s thicker, des not breath snd has diferent clastic qualities will noe produce the same resus, Primarily, che practitioner needs to unlearn” tape application methods which have been pre- Viously letrned. During conventional athletic taping, proper application requires sing sit of the avallable stretch. The concept is chat by tae tng all ofthe stretch out ofthe tape, it wil limit ‘or aSsst 4 motion and provide for protection from Aiyury/reinjuny: ‘With the Kinesio Taping® Method, the prac tironer needs ro begin to conceptualize thatthe Kinesio Tex Tape will assist the body's return to normal Function through the application of the tape onto the skin, The primary effect of tape ap- lation is generally superficial and by applying the Kinesio Tex® Tape with excess tension it's effectiveness willbe limitaSkin Preparation "Tin ins ef nt na rae leer ee ep ar Aawthing that Une the atytc ase abit acre ote sin wl imi both efecvenss ta arene Tora lied tuber of paca dy tal ay Pet secon ecepcestioa ieee ashesion en the prctioner may ned save te cp the eae bs rete. app og tape ran ed etree tn eae elect aes ay be prcentle Removal of Tape from Paper Backing (Tessin enor pers ite tape vertical, place your index finger on the top edge othe tae. Then by palling back or Nex ine your index fngestovaeie our bod the wpe sw poo from ks backing Any contnct with the acrylic adhesive wild rinish ts adhesive ables ryt touch the athe She att spose ‘When roving the KinesioTex Tape rom the apertacting ony remove the mount rele eg ds bse prtcaon’ Once bare wpe Glens ee pester os peal elie renal paper backingaway When dong tbe Cache ranove ne baing liceemecabacig tht 25% of walable tension sali to the wpe ding manntactoriog Eee aaa ee eee ee the tops fom the pate baci: One, teat paper tacking jut bolo te base of ¥ cat leaving the faperbackingonthe tals Ascach ais applied Kies Tex@ Tape cn be removed tom the paper tubstrate using the paber of tension 25%). Two peter een Tine thc KincoTexe tape come nt contact wih the skin, Do no ub the Kincaio Tex Tape this wl nine glue adhesion As the Kitero Tex Tape contacts the skin twill rab the skin and be held in pace of care rt le a reeeveg tbe perenne ing om the KiesioTex0 Tape may ol back and hereto self taking appcatan dic Selection of Kinesio Strip Type Ai sp 2 Be applied in te ape of *Y"1°X" "Fan! Web" and “Donut. The shape selected depends upon the sie ofthe affected muscle and desired treatment effect ‘The *Y" technique is the most common method of application, It is used for surrounding & musele 1 either facilitate or inhibit muscle stimu The basie principle of therapeutic taping for weakened muscles 's to wrap the tape around the affected muscle. This, is accomplished by using the “Y"strip. The °Y” strip, should be approximately ewo inches longer than the ‘muscle, measure from Origin to insertion The “I'strip can be used in place of the “Y" strip for an acutely injured muscle. The primary purpose ‘of ape application following acute injury i 0 limit edema and pain ‘The X" strip is used when 4 muscle’s Origin and Insertion may change depending upon the movement patter of the joint (eg ‘Rhomaboi), “The “Fan’strip used forsphatic drainage which {san advanced concept “The: Web’ isa modified fan cut. Hoth base ends are eft ntact wah the steps being cu in the mid section of the Kinesio step, The *‘Domut" Cutis primarily’ use for edema in A focal or sportspecific area. A series of two or three ‘overlapping stipsare applied withthe center removed from the Kinesio Tex® Tape, The center cut out, oF "donut hole” is placed directly over the area to be treated, ‘With any ofthe five tcp yess helpful to ound theends of the tape prior to application. The rounding ‘helps prevent the square edges from catching and may {increase the length of tape application. Base Application owing proper evaluation of the tse in Voived, the practitioner determines to which basic muscles the Kinesio Taping® Method should be applied, Begin by placing the base ofthe Kinesio strip Approximately 2nches below the origin or two inches above the insertion ofthe sce. (To determine origin bninsertion of desired muscle, the practioner May tse ‘manual muscle esting 19 determine application start and /or ending poins qz Place the base in as elose to an anatomical postion as possible, Make sure to rub the base prior eo any further movement, The base of the Kinesio strip is always started and ended with no tension in order 1 minimize discomfort fom tape application Tissue Stretch Pretest splenon etnies the ma clenissue to be treated should be put in a siretched position in combination with the stretch Capabilities of the Kinesio Tex® Tape, will create Convolitions asthe skin sifted. Skin convolusions may be present folowing the basic application ‘or may appear during normal joint motion. is Ioetieved that even if convolutions are not present they are occuring, ‘The coavolutions ain the normal low of blood and lymphatic Mud Tape Stretch/Tension (Posi se Rs Te ae Tre designed for 93608 seth, When ap piping the KincsoT4ploge Mets kis porant Toapply the Kineio tp with the correct degree Of tension. I too mich tension te applied, the elles are diminished, I ter to have rough seniors dian tow nach The proper tem sion applica one of the most cet factors iniheappeaio’ssieces. The terms stretcher escapee eats coc taping tated inchtng besieoree tive technigurs and chal condtons the elon daring tape application ictal Tape sci ens are teas percentage am scriptivey. Percentages ned athe per eee ee eel eeueeenica ‘tthe alae tension for example, 15335. The tearing ofthis e 15 25% of he valable rech svth 100 being the maxim stretch Iyoustat witha 1Diach arp of KinestoTox® taped you seth ee i's enim arable tersion (o's of everal legit would be 14 Tate! tng. Ductre spptceton lt iechakgoe reits 23% ofthe avalabe tenon, this would Actaly be 25% ofthe ota sealable or 1 iach for trot gh of laches Telos aes ined descrip by ers Fetch snl ioncy th basa ef eon de ee Descriptions used are full 00%) severe - 75%) moderate ~ 50%) light or paper of 15-25%) very Bight (015% none (na tension) Tape Direction "Por a penn esos Teaimea! af mile, For ace ented of sueiched maces the ape i applied from I SERTTON 1 ORIGIN ate musl fiction For Chronically weak misclesor where ier com tration deste, the tapes applied from ORIGIN CSINSERTION to elite muscle anctho, INSERTION to ORG appcaton pe seth terslonis very Ret onli, 525% abe te sion, Using the preferred Kineso Tex® Tape this Soul simply eure sppling he ape by pac tron te muscle as ces off ofthe par back ine ape offialon). Remember at tie Kiso TexTape i aplied to the paper backing wh ap proximate 25% of arene sretevtenson, With ag eee eet eer) Insertion to OriginDettoid vce dl & covecton ofmase 7 4 oN Origin to Insertion —\ remember that"less is better”. Appiying (60 much tension decreases desired results instead of enhanc- ing therm If following tape application, the pract. tioner can see any depression inthe skin, the tape isapplied with too much tension/stretch, ‘ORIGIN to INSERTION application tension is light to moderate, 25-50% of available tension. When applying the Kinesio Tex Tape with proper appli- catlon technique for ORIGIN to INSERTION, the practitioner shouté be able to see light separation lf the elastic fibers in the Kinesio Tex Tape, “Y" Strip Application i he skin propery prepared, ase upped ‘with no tension, ad muscle/isue on 3 suctch, 8 now ume to apply the Kineso stip. Surround the muscle to be taped by tying down one ofthe two tals of te "¥"atrip. Tension i ap- piled evenly along te tl Aste tape ibe ad down, flaw behind wth a thumb or finger and cab the tape onto the skin olla glve adhesion, ‘Whe theta ofthe ape is approximately one 1 two inches fom the end stop tension and ay the end dowa with oo tension, Again, rub the applied tape strip tonite su adhesion prior to moving the muscle from is current stretched position ‘Where appropriate, pace the muscle in asec ond stretched poston to apply the second tal of the"Y" strip. Rolo the above description forthe second wl A 3stripY technique may’also be selected, The third til is applied direedy over the muscle belly Once the basie application is complete, it ts fmpostant to instruct the patient about a few ar ‘eas of concern. The tape needs approximately 20 ‘minutes to gaia full adhesive strength. Exercise or activities which may initiate perspiration should ot oceur during this period. The te can be- worn, {for 34 days, and bathing or swimming is allowed. Teds important to par the tape dry and ot use any type of heat device to dry the tape. The patient also ced to be comfortable with wearing the tape in A public setting “1"’Strip Application topllesion of the echnigu allows the turn basic principles tthe techie. stead of srrounting the muscle belly the Kineso lp tapped directly over the area of injury oF fall. Th technique has been fund to be most {cat towing cite oso oe anace ta testy kilowing atte nur the Leechaique shouldbe applied. Then, ater the acute injury phate, the prince may fnd increased resus Fy eeliching othe echcnws “X" Strip Application Xappieattn follows tive rlncpkes astheV ad [techniques The length ote X scp is measured with the rmscte ona stretch Ths Timportant since aX technique generalised foe demure wc croc 0 fle sn when earn ete pee length The strech i added tothe mide 1/3 of the X sutp laced over the muse bol and the fal pec hd dowa wih no teen “Fan Strip Application Fan Srp applied wit the mascle ina etched positon Fe Iymptatic correction. one 10 very Hight, 015%, of alae tensions ded tothe Kineso Fan Strip tals (68) The Fn Strip tall are laid over the area of edema ce sel ingvith the base located in the area of afphaic ‘ict Fora more complete description, se Lym phatle Corrective Technique.“Web" Strip Application Cu nie in Raeso apse 48 strips, The Kinesis Tex't Tape is cut allowing foreach end to remain uncut. Place patient much range of motion as the joint wil allow piyane base, remove the web strips, add ver 0.15% of available tension and apply the second base. For a more complete description, see Space Gorrective Technique. “Donut” Strip Application et by cing 1 bake in the center ofa Bi prosioatey inch Kinedot stip, Cn Proskesnly 2 ches of exch cal int 26° 3 Pace paticea i much eng of motion ws the join wit tlw Apply iit to moderate, 255% Sava tension to the Kincso nip and pace thc bole dee over the meso esa pace I Imre than one spi app, te Ht tension, Fora more coplate dcpson ee Spce Cor ReereSerne Tape Removal fer sevetat day, the rye auhesve will have become quite strong. During the frst {Gv days, fan age of the tape has begun Co i scan e timmed To emove the wpe fom the patent ICs generally much easier to do when they have bathed oe the tape is moist. Tes est te remove from the top down. This wil be in the direction of the body hair and should tim ddscomlort Lilt the tape from the skin, app tension between the skin and the tape, then push the kin away fom the tp rather than pling the tape away from the skin Tithe arp and np methods used.an ration, pain and erythema may rele The application of finral oor milk of magnes othe KinesoTex® Tape his aisted in tape removal Possible Limitations of the Kinesio Taping® Method Himited number of patients may have ex cesive body hair and may require shaving ‘oF clipping. A limited number of patients may ‘ot allow the application of the Kinesio Taping! Methex! due to theie esitance to shaving, Approximately 20-30 minutes required forthe luc to hecome fully activated before the patient fan become phiyscaly active. W activity occurs prior to this time, he tape may come off I KinesioTex® Tape is apple during physical activity an exira adhesive maybe needed to prepare the skin, Several commercially produced spray adherents are avaiable. Once a spray adherent Used, the removal ofthe KinesioTex® Tape will be Uifcult. Commonty available tape adherent glue ‘removers will not affect the adhesive glue since it is not rubber based as most athletic tapes. The patient may be unwilling or may mist derstand the three to four day applieation of the technique. The patient must be aware that the tape fs to remain on for several days and can be wom ‘while bathing or swimming. The tape does not have tore removed sic has Decome wet, only towel off excessive moisture and allow to ai dy. Initial Difficulties in Application practitioner will need to unlearn previous training for use of athletic tapes, Paling and ‘using ul sterch will diminish the effectiveness of this technique. One must begin to think diferentiy yu the possible therapeutic use of tape beyond simply assisting or limiting a movement, ’A proper muscle evaluation is required t0 en sue te correct muscle is selected for teatment. If following the intial Knesio Taping Technique ap- plication.the patients rests Were Bot as effective as hoped, the practioner may want to reevaluate the patient. the involved muscle was not propely taped, O° an inappropriate corrective techitique ‘wis applied, patient siccess may be limited TE patient has not worn Kinesio Text Tape before, they may not be wiling to wear the tape in public. The patient needs «9 be informed of the 35 days of application and that even after the Kinesio Tex® Tape has become wet it will remain effectiveizes and Types of Kinesio Tex® Tape Tirrease sever ses othe KinesioTea Tipe available, Primarily a practitioner will use the inches cm) by 5-4 yards (5 meters) size. Thisis available in nani untreated, and natural, red ble, and black that are treated for water resistance. If the water eesistant proct is selected the el will the one meter ew im length to aceount fr the cost ofthe water resistant treatment, The water resistant product works Wellin areas of high moisture or for patients working in moist environments. The inch natural weated and natural untreated size can also be purchased in 434.5 yard (im) clinic roll for easier usage. Also available is a Sinch (7.5 em) by S-yard (6 meters) roll. This may be required on larger ind viduals oratbietes:The Linch @-5.m) by 3.4 yard mieters) oll may be use fr finger or Neurological taping. 11/2 inch G.75 em) by'.4 yard (S meters) roll may be used on ankles or smaller pent “The Kinesio Tex®® Tape is also available in red, blue, and black in addition to the beige oF natural color. The fed isa darker color on the light spec: ‘rum and will absorb more light. slighty increasing the semperature under the KinesioTex® Tape strip, ‘The ble isa lighter color on the light spectrum and will reflect more igh, sighly decreasing the temperature under the Kinesis Tex® Tape Strip ‘There are no differences in the manulscte of the tape except the change in the dye color required fora colo difference If the practitioner determines an increase temperature is appropriate in the injury site, the red Kinesio Tex® Tape could be selected. Ifthe practitioner beiewes thats reduction in ussue tem perature is require, sch asi tendonitis, the bine Kinesio Tex Tape could be velected. Patents may have a preference for a colo, and this may affect their perception ofthe effectiveness of the teat Advanced Application Essentials TY er sivin he cometive esha there ue few eWchtas to v sucecfal trcatent for the parca, The pactloncr mst always follow the basic essentials of tape applica tion when using basic Kinesio ping Technique ‘muscle application. Without properly applying te Dasic muscle application technique, the success of the corrective technique application may be limited. Proper skin preparation, removal of tape from paper backing, selection of tape width, esse stretch, ape tension direction of tape application, flue activation, and tape removal ae all important in the overall successf seatment of the patient ‘When applying more than one layer of the Ke nesioTex® Tap, the practitioner should fr apply the Kinesio strip which will provide the primary therapeutic effect desired. As successive layers of Kinesio 1ex® Tape are applied, their effect on the sensory receptors may create interference instead of cea specific simul. If the primary therapeutic goal is pain reduc tion, the practitioner may use a basic muscle technique from insertion to onigin alongwith 3 space correction of lymphatic correction, The practitioner may determine that the application ‘ofthe lymphatic correction should be applied for the fest 2472 hours. them apply aspace correction techinique. After 72 hours, application ofthe baste muscle technique with a mechanical correction ‘may be appropriate ‘The best outcomes generally Come from. “less Is better approach. Fewer layers of tape, less te sion, and moderate inward pressure are examples fof subtle changes transmitted from the Kinesia ‘Tex® Tape to the superficial layers of the issue. During initial applications of the Kinesio Tap- ng’ Method, the patient shoul tell the practi fecifhe orshe ifeeling the effects Inthisinstince the tape spplication can be modified for possible improvement in results. If the patient returns and believes the tape application exacerbated the ‘symptoms, the ability ofthe practitioner to succes fully treat the patients limi. “The descriptions provided for the clini ditions are not intended to be the ony method ff tape application for any condition. They are ‘tended 10 be guides. The techniques described hhave been found n clinical practice to show resus after repeated applications with many’ patients livery patient presents hisovin specific symptoms, and the practitioner cough knowledge and expe rience, will determine the most appropriate course Of treatmentIntroduction to Corrective Techniques = ra Oo _ 7 ae Vv)INTRODUCTION TO CORRECTIVE TECHNIQUES pe Corrective Application Techniques an’ a continuation nthe deylopment of he Kinesio Tiping® Method. Since 1973, when the orginal concept df the Kinesi Tping® Technique was begun, the technique has continued to evolve This continuing developrnent has aed not only to the theoreticat pplication, but also to the practical application, ofthe techni. Kinesio Taping Practitioners have developed their sills Bosh by earning during seminars and via practical application. The Corrective Techniques have ‘heen formalized to help the Kinesio Taping Pacioner gain application and Theoretical rtd in 2 more systematic fashion. ‘uring Kinesis Taping seminars prictitioners esring to lar the Kinesio Taping Technique have traditionally followed sia pattern: rs, hase concepts ofthe technique econd basic application techniques re taught ‘hid, practice an practeal application on patients ourtadkitioea Seminar ‘on vanced emceptsand ith sometines jena fsaation with application of the advanced concepts without really understanding the theoretical background of the cones Diiculties have asen when a practioner has completed a course and ‘oe introduced to ctnical applications without receiving advanced taining (Corrective Techniques. Many peaciioners have thought that each clit application as unigue, This require the pratitionerin thei mint learn cach linicalapplication separately with bile or 0 terconnecton In ely, this isnot eae fy z The clinical application of the Kinesio"Taping® Methox is the systematic application a several clement of the Kineso Taping Technic with each ‘element having 4 specific function, The practioner initially evakates the patient's condition, determines which muscles af invotved and initiates treatment to those muscles inyoived chase concepts an aplication. Once the invotvel muscles are taped the practitioner then seeds to appa cca corrective technique toast the body in eorectng te condition. There are 6 current Corrective Techniques: mechanical asl, space, Tigameniytendon, Amctional. and Iymphatic.The application methods of several the Corrective Techniques overlap, The Kinesio Taping Practitioner determines the paper application filessing hier evaluationCorrective Application Techniques ecbantcal Correction "Recollag= hz: este stretchina quae ofthe Kinesiow® Tex Tipe with inward prestre to peovde for postions si tough the skin, The degree (of simmlcion is deserined by the percentage bfsretch applied tthe tape ding aptiation, Combined withthe degree of inward pressure Tree techniques wed ae: I) using he ase of the¥ to provide tension, 2 ning te tis ofthe Xo provide enon and 3 ing te tension a te cenicraf an Isp. fesse esate ree mere ate to severe 50798 of avalable tension, The practioner ey cect to uc Fl esl, ap- propeate Fascia Correction "Holding” to erate and/or szather fascia in onl to align the gssue in the Uesired position. The tension in the KinesioTex® “Tape is used to either hold or assse the sci in the desired postion. Two techniques are used 1) manually positioning fascia then using tape to Jol in pce, 2) creating tension by “oscillating” the tape and ereating movement af the fascia, Fascia correction, generally, uses light to moderate 25-50% of available tension Space Correction "Lifting to create more space directly above the area of pain, inflam: mation, swelling, oF edema. The increased space is believed £0 reduce pressure by Iie ing the skin, Three techniques are used: 1) ‘manually gather tissue into desired position and use tension of Kinesio Tex Tape t0 hole the position of the tissue, 2) utilize fas Gia technique 8f “oscillation”, 3) use elas tie qualities of Kinesio Tex® Tape to pull and hold connective tissue in desired area Space correction generally uses light rodenite, of 25.50P% of available tension Ligament/Tendon Correction "Pres Sure" to create increased stimulation lover the area of the ligament and/or ten: don, resulting in increased stimulation of the ‘ich RAPE APPLCRTONG OF HE mechanoreceptors, The stimulus is believed t0 be perceived 4s proprioceptive, sinralating mace normal issue. Ligament technique; KinestoTex® Tape és placed over the ligament with moderate to severe, or 50.75% of avallable tension. Tendon technique: tape over tendon is applied with mod! crate to severe, or 50-75% of available tension For both techniques the practitioner may apy ply fall,or 100% of availabe tension, Functional Correction “Spring wses when the practitioner desires sensory stimulation to elther assist oF limita motion. The Kinesio Tex® Tape ‘applied tothe skin with moderate to ul, 0¢50-100% ‘of available cension diring active movernent. The increased mechanoteceptor still are believed to act asa preload during end of motion positions Lymphatic Correction "Chasneling” — used 10 create areas of decreased presse under the ‘Kinesio Text! Tape shat actos channels to dict the exudate to the nearest Iymph duet. Tape is applied with the base near the Iyimph node to ‘which the exudate is to be directed, and the re: maining tape is applied im 2 fan-ike pattern with one t0 very light, OF 015% of avallable tension ‘The desired outcome is that, following a course In the Corrective Techniques, the practitioner wll be able to select the technique appropriate for their patient's condition, and not be lim- ited to only those specific applieaions they have seen in 4 photo oF demonstrated in a seminar. ‘The practitioner should recognize that for ‘each clinical condition they may use a series of, Corrective Techniques depending on the patient's Condition and the therapeutic goal of the pract tioner: Pain reduction may be the fist therapeutic ‘goal and application of a space or ymphatie car rection may be selected, After pain has decrease, mechanical correction o fascia correction mixin be selected, The Corrective Technique allows the practitioner the opportunity to design a course Df treatment fo" each patient based upon the patient's nceds and not a predetermined formula song et 21Mechanical Correction ‘Tis tecnica Conecton sou be toast ‘of as positisnal in natore and not as an attempt 42 keep the tissue or joint in a fixed position. This technique uses the properties ofthe Kinesio Tex® ‘Tape, through the application of moderate to se vere tension, to provide a stimulus perceived by the mechanoreceptors. The degree of stimulation is determined by the Combination of appropriate tension and inward pressure that provides stimulus ta deeper tissue. YoU, as a practitioner, will ned {0 adjust Your application vechnique to the needs of the patient This echnique can be used to asist inthe post tioning of muscle fascia tisie,or int to stimulate sensation which results inthe body's adaptation to the stimolus. Fonctional support can be maintained ‘without losing active range of movin oF inhibiting circulation, The Mechanical Correction can be used to-ther positon the ussue i the desied position provide stimlus in which the body wil adjust po- sition to minimize the created tension, o¢ provide blocking” action of joine oF tissue Movement There are «wo methods used to place the ts- sue in the desired position: one, use of & mantal technique, and, Wo, use of the elaste qualities of the Kinesio Tex? Tape. If using a manual therapy to provide positioning ist place the tissue fa the correct oF desired position, using techinices such 88 joint posicioning oF myofascial release, before applving the taping technique. When using the clastic qualities of the Kinesio Tex® Tape to peo vide correct positioning, tension can either be ap- piled using the base of the Y ¢with the tails bein used t0 dissipate the zenston) oe the tals Chase of the ¥ 5 applied with no tension and the tails sre stretched maximally with ap tension on the ends), {third method uses tension inthe mide oF the Kineso strip with inward pressure (0 create blocking” action. The approximately 6@inch long &inesio I strip is applied with moderate ro ful tension applied to the middle ofthe strip. The Kinesio strip i then applica dicetly over the joint, for tissue With inward pressute, The desied effect is limited movement of the jane or tissue, When selecting either method, manual or ‘elastic qualities of the Kinesis Tex® Tape. the logent of the tape i 10 use the recoil” effect of the elastic polymer. The tape application is com. plezed so that when the tape *fecols" back to its Sriginal position jt ereates tension upon the skin ‘which creates sensory stimuli. The practitioner ‘can either use the stimulus effect of the elstic ‘qualities of the tape to create a corrective reac ‘Gon of position the tissue without movement The recoil effect of the Kinesio Tex® Tape is in effect up to approximately 50% of available tension, After applying more than 50% of av able teasion, the reco eflect is minimized dic to the inatiity of the elastie polymer «0 reco! ‘The application of inward pressure provides for 2 deeper stimulus to mechanoreceptors affecting deeper layers of tssue, The combination of high tension and! iaware pressure is the primary con pponeat of the mechanical corsective teciniqueMechanical Correction Application Techniques Application of Y Technique, tension on tails pplication of X Technique with tenston on tails of ¥: This technique uses the recoil” effect of the elastic qualisies af the tape t© position the tissue in the direction of the base of the Kineslo strip. The amount of stretch applied to the Kinesio strip and Segree of inward pressure determine the depth and perception of skin move ment, By using tension in the tails, the practitioner is applying 4 subtle stimulus Sez are ith no csion athe bepanng. Hold bse of Y to beginning of tails to not create any tension. Apply moderate to severe tension, 50-75% oF avaiable, Mor tension «a be applied over tendon o igament. Tension is applied both in the longitasinal direction and with inva pressure _when the desired tension has been applied, side the hand which holding the ase of theY tails up othe poiac of end tension Leave approximately a Linch length of tape at nd. Lay down the final approximately | inch of remaining tape tals ‘with no tension. Where appropriste, take join through full ange ‘of motion priors laying down ena.Mechanical Correction Application Techniques Application of ¥ Technique, with tension on base | Atiation Tei wth etn ora Tees ta ths of toapply tension tothe skin, The amount of stretch applied to the Kinesio strip and the degree of inward pressure determine the depth and perception of skin movems uo 2a1109 jeaueNpay Apply moderate 1 severe tension, 50.75% ofarlable. More tension ‘oinbe applied over tendon of ligament. Tension is pied bot in ‘the tongtanal direction and with inward presse, Prior to tape pplication. the practitioner may want to pice the patent's joint ina poston which ma either simulate o iit motion ‘When the desired tension hasbeen apple se the hand which is holding the hase ofthe Yup tothe point of end tension Jay down the tails ofthe with no tension asthe patient moves {through full ange of motion, Thetis should e splayed out to dissipate the tension created over as large an area as possibleMechanical Correction Application Techniques Application of I Technique, with tension in tape DDlication of Technique with tension inthe middle of Kinesgsrp: This technique uses the pplication of tension inthe middle ofthe Kins trp and nwa pressure to prvi block Inet of movemest, The smdunt af tension and inward pesruredetcmine the dcerec of “locking” ren sgn by placing the center of a Kinesio stip, of ap- proximately GBinches in ength directly over the tis tbe treated, apply moderate to ful tension, 50-100% of asia to the mille ofthe strip. Place the Kinesio strip ‘over the treatment area with tension and inward pressure Use the Kinesio strip to cfeatea "block" to limit move ment ofa joint o tissue Have the patient move into a position which plac fs the joint or tissue being treated in a stretched position, Lay down the ends of the Kénesio I Strip with no tension to dissipate the force added. The application shown has approximately 1/2 of the Kinesio | strip over the tateral bor der of the patella to Hait lateral trackingFascia Correction Fascia isan interconnecting matrix that connects tsstes from one layer to the next and within the same lager. tis ikea 3-dimensional sp {derweb which les berween each layer of tissue and apy acbte or chronic Jnvlanimuation there impairs the ability of the tissue to move The fascia technique is applied in two diferent application methods. Fin, one may use the clastic qualities ofthe Kinesio Tex® Tape to repo sition the fscis oF a limits movement. Second, one may use the Kinesio. “Tex Tape to holt the fascia in 4 desited position o¢ limit its movement following application ofa myofascial manual therapy technique: ‘The proper application technique for using the KinesioTex® Tape to hole a manta therapy technique is similar to the mechanical technique previous described. Following the manual herapy technique, ¢he fascia {s held inthe desired position with one hand. The Kinesio st Y pattern is then applied to hold the tissue in the desied position, The specific dference between a fascia correction and a mechanical corsec tion isthe use of inward pressure. Inward pressuce i only applied when the practitioner desires « deeper effect. Generally the fascia correction ‘S applied with litle or no inward pressure The proper application technique for using the elastic qualities ofthe Kinesio'Texa) Tape involves the “oseillaon” ofthe Kineso strip. Apply the hase of the Y strip 1/2 401 inch below the area to be treated, The base is held eo limit tension, and the practitioner “oscillates” or vibrates the tape in a longitdinal direction during application. The“oscilation” or ‘bration is gentle and may include a sight inward pressure i the effects te fet to be required in deeper tissues, This i felt to limit the “recoil” elect of the tape returning 10 its oegina? position towards the baseFascia Correction Application Technique Use of fascia correction technique to reposition fascia, tension on the base eof fascia Correction Fechnique to reposition fascia, with tension on the base: In this technique, the practitioner uses the elastic qusities ofthe KinesioTex® Tape to simulate a manual therapy technique. The elastic qualities of the Kinesio Tex Tape val be applied using an“oscilating” motion inanartempeto reduce tension andadhesions herween and within layersof the fascia. This technique may not be as effective as using 2 manual technique; however, if the practitioner is nat skilled in a manual technique this may still allow an option for treatment. Bos iing te fhe Kies st ap proximately 1/2 to 1 inch below the aea of fasclt {whe treated, with no tension Apply ight to moderate tension, (25.50% of available) to the tape in the direction fascia correction is desired, Fold the tase with one hand to minimize excess ten sion on the base. The tape should be “oscillated” in the Tongitudinal direction. Minimal inward pressure should also be applied as the tape is being aid down. The Inward pressure is not specifically intended to deepen the effect of the tape, but is only used t0 apply the Kinesio Tex® Tape during application; ts function is to reduce the “recoil” effect of the Kinesio Tex Lay dows the tails of the KinesioY strip with no ten This technique can also be used so pul the fascia tn the opposite direction. Ifthe practioner desires tonoxe the fascit"away fom” an area the elastic qualities tthe Kinesio Tex Tape can be used to accomplish this goalFascia Correction Application Technique Manual fascia winding or myofascial release, tension on base. egret erie oeaian od eat ging aoe eg eae Tr er ce ec ae pe eee race rae ep re ete eae pa cee eae ae Sa Sener sae emer oe ee ere woRD21i09 epsey fe a manual technigue to collector correct fascia and sof dssne as appropiate Place base oftape slighty above orbelow soft tissue which has been gathered. Placing base of Kinesi strip with no tension at sat, hold ase to ensue no tension is added to the base. Apply teasion to the tape in the iection/opposite di rection fiscia correction is desired. Moderate to severe ‘ension, (50-75% of available) is applied with mint mal inward pressure. The desired effect is 10 “hold” the myofascial release technique in the desired position. This can also be accomplistea by using the tls to hold the myofseit efease as described in mechanical carection lay the tall ofthe tape down with no tension. The ta should be splayed out to dissipate the created tension lover as large an area as possible ‘LCA MAPEUTE MPPUCAPOME FT alg ete oe 28Space Correction pe space correction s applied to create more space directly above an area ‘ofpain inflammation, swelling.or edema. The increased space tat cre ated decreases pressure by lifting the skin diectly over the treatment area The resulting decreased pressure assists in reducing the amoun of irritation on the chemical receptors, thus decreasing pain. An increased level of circulation is also felt 10 occur in the ara allow ing for increased removal of exudate, Stimulation of the mech: anoreceptors may also aid in decreasing pain. By increasing sen: Sory stimulation, the gate control theory of pain may be initiated Space is created by using the elastic qualities of the Kinesio® Tex Tape ‘oli fascia and sof tissue over the areaof pain or inflammation. Tape app cation needs tobe performed slowlvand the practitioner should nat allow the ‘skin to bunch (can cause a blister) under the KinesioTex® Tape or allow the technique tobe applied with too much tension (causing irritation tothe ski), The space correcvon technique may be selected by the practitio ner aS 4 primary therapeutic technique following inti evaivation of the patient's condition. The patient may initially receive the greatest, benefit from reduction of inflammation and pain. Following inital re duction in inflammation and pain, the practitioner may select another therapentic technique sich as fascia correction or mechanical correction, There are four main techniques used with space coFFeesian, One. the clastic qualities ofthe Kinesio Strip can be used to pul the connective tis sue toward the desired area by applying the Kinesio strip with tension out ‘ofthe middle ofthe srip with no tension on the ends (modification of lig ‘meat and tendon correction), Multiple layers can be used depending upon the size of the sea Two, practitioners can utilize a manval therapy tech- rique to gently gather the skin and faseia and se the KinestoTex® Tape 0 ‘maintain the tsse over the desired 2rea(ascia manual Winding technique sce fascia correction technique). Thee, practioners Can use fascia correc tion technique to create and hol tissue over the desired area (se fascia CoP rection technique). Four practitioners can tse thedonut hole” or web CutSpace Correction Application Techniques: |-Strip olcation of Kinea Lstnp for space corecon THs technique wes the laste quale of the cesivTec Tipe 19M ihe sis and cea pace This Wu Srompleuctby apphiontcwion © the mide 3 section ofthe Kinela sip wd lays down bath cnde with tena. Angle eal traserlesofovedapping sips can hc applied. Withthis metho. ‘pocket i fmed unde the tp, decreanng pressure span Cs nerally aa strip is used for thistechakque. Cut ‘the Kinesio strip to desired length, generally &- Sinches, Tear the KinesioTex® Tape paper backing fn the mildle of the strip. Fold hack the paper ang apply tension 30 he middle 1/3 of the Kineso stip Apply light to moder cension, (25.50 % of avai able) to the Kinesio 1 strip in the middle 1/3. of the strip. Place the center of the Kinesio strip over the region of the desired space correction. A se ries of strips ean be applied, with the intersection of each strip Incated over the desired space Cor rection location (area of desired “pocket”. I av Liple strips acc used, decrease tension applied to cach stip vo imit accumolation of excess tension, Move the patient through as fulla range of motion 3 possible to minimize tension at ends of application. Lay ‘down exch end ofthe Kinesio strip with no tension, Convedutions of the skin should be evident during joint cange of motion. If convolutions are not pres teat, the tape was applied with too mich tension MCA RAPE APU OF THe Tp Madge 30Space Correction Application Techniques: Facia Corrections used for Space Correction ‘ditional methods of space correction application: These ate fascia correction techniques with the desired dherapeutic goal of pain an intlammation redhction. The base facia correction application technique does not change,oalythe therapeutic goal changes. For complete explanation of each tech nique refer 0 Fascia Correction. Us ck.nanea sen ining or msi release technique: Following the appli cetion of a manual therapy technique, position the fascl/skin in the desited position prior 10 tape application. With this application, the de: sired therapeutic goal is space correction. Eeets fon fascia may he a secemilary therapeutic result. For review, see fascia correction. The region of space correction should be atthe base of the ws. Use of fascia correction techisiaue to reposition fascia: In this technigue, the practitiones is going ous the clastic qualities ofthe KinesioTex® Tape to simulate a manual therapy technique. With this application, the desired therapeutic goal is space conection, Effects on fascia may be a secondary therapentic resale. For review, se fascia correction, Use of a Kinesio { strip of approximately 68 inches with light tension, (15-25% of availabe, ‘oF paper off tension). The tension is added 10 the middle 1/3 region of the Kinesto 1 steip. Begin the strip with no tension, sad have the patient move the joint or issue t be qeated toa sretched position, Asthe patient movesintoan ative ‘motion lay down the Kinesio strip with light tension. If the application is apptied correct ly, convolutions in the skin will be present‘Space Correction: Hole and Web Technique is tcchnie pes a hole cat inthe center ofthe Reso strip shy ange than the ae tobe Treated The two cndsare cunt ee tals fapproimately 13 ofthe enn ofthe Kies stip. BSE GE ete eer ene eerste ere Wie be cee Gur eee eee (25:50 of ealsbl) appli the Kinesosrp proto placerent n te peo while they aren the mre portion. Ti ails areal Gown with no ension to casipae any force created using eerste Hole Technique Basins tin otto comer fan aproninaty inch Kinesio | stip. Be careful to nee eut more than i/of the available width of the KinesioTex® Tape, This wil maximize its ability to adhere to the patient's skin Gut approximately 2 inches of each end into 2 oF 3 snips ed Pace the joint intoa maxima stretched position as pain and swelling alla fitially this may be a limited ROM, however 235 pain and swelling are seduced ROM will improve ln the center of the Kineso step tea the paper backing and peel back to allow for tension to be applied to the Ke nesio Tex» Tape. Apply bight to moderate tension, 25-50% ‘of available) tothe Kinesio strip and place the hole directly lover the area of desired Mee. if more than One strip i ap | pled. use igh sension Tay down he tails on both ends with no tension, Splay the tends to dissipate tension which was created in the area of the donut. tate glue activation prior to any patel movement Web Cut "Wr the appropriate length of tape, and fold the tp In halt. Cut the Kanes stip ino 4-H strips leaving Inch at each cenduncut, Begin by placing the joint into a maximally stewed Position as pain and swelling allow, Tw methods can he wed 1) esa By applying one cn of the web cut with no tension below thears toe treated, Remove the web sips Ung paper ff teasion ancl apply the sccond ae, 2) tae the paper ick ing atthe center ofthe fan et and peel bck the paper backing Apply very Hah to light tension, (15-28% of aval) tn the enter ates ofthe web cit As Best 5 you can separte the eb fan strips, s0 there is approximately 1/4 inch separation, Place the wed fa strips over the deste eatment area Lay down the fends with no tension, Initiate gle activation prio to any patent movementLigament/Tendon Correction "Tit tamenttendon correction sapped to rea increased stimulation over the area of 2 ligament or tendon fesulting in fnereased stimulation to the mechanoreceptors, This stimuli is believed to be perceived as proprioceptive stimulation that isin terpreted by the brain as more similar to normal tissue tension, Kineslo Tex® Tape is applied for ligaments with moderate to severe tension (50-75% of availabe) wit the tape directly aver the area ofthe ig ‘ment. Maximum o full tension, (100% of available) may also be used I the practitioner determines it appropriate. The ends ofthe tals as always, hhave no tension at the start or end ofthe tape application. Itcan either be applied from origin to insertion or insertion to origins determined By the Practitioner, Generale tape should be applied from insertion o origin this manner the tension ofthe tape will be lmiting the allowable movement ofthe ligament. may be desirable to have the patient move the area being taped teen timid or ful range of motion iFappropeiate fr function) Ligament/ Tendon Correction Two methods of appiicition for the ligamenttendon can be used. 1p, begin by applying the Kinesio I strip with no sensfon atthe begin hing; apply desired tension over the length of the ligament; and then lay down the end of the stip with no tension. 2) begin by tearing the paper backing in the middle of the I strip. Apply desired tension to the middle 1/3 of the strip, then with tension eld in the Kinesio steip apply the strip over the length of the ligament. End the appl cation by having the patlent move the body part through as much range of motion as possible and apply ends of ssiy with no tension, ‘Tape application for the tendon is similar, except that less tension, 60% of available) is applied directly aver the area of the tendon. In the cexireme case, severe (75%) tension may be applied. The ends ofthe ails as always, have no tension atthe start or end of the tape application Tet ston ean be increased directly over the area of che tendon. When the tape Crosses aver the muscle belly, the tension should be adjusted for either an origin to insertion (very light tension, 15% of availble), or insertion to origin (ight to moderate tension, 25-50% of availabie) applicationen Ligament Correction Application Technique of igament correction technique application to create ieteased simulation over the area of ligament ceulting in increased simulation to dhe mechanoreceptors. General, the ase of the corrective stip shouldbe stared atthe Insertion of the ligament. Ths should ensure the tension being created by the Kineso step has a shortening effect on the skin and joint. ply base of tape with no tension. Hold the tape base Co ensure wt no tension is added. Practcones may wan to practice the Placement ofthe Kincso rip prior to ase placement to init ere | mn nl application, | | | Apply moderate to severe tension, 50-75% of avaible) along. the approximate pesiton of che figament, with patent in functional position (eg knee 20-30 degrees of flexion) The pratitioner may use Up © 100% of avaiable tension, f appropriate Sie the hand hat was hokting tension atthe se up wo the end of | tensoa postion a approximately the origin of the amen. Lay down the uf the tape with no tension, Prior to completion ofthe Kinesis ssrip applica, the joint may need to be mone through fal range fof motion. Example: forthe Wrist cortective Sp applied in neutral position, as may be applied dug Hexion or extension,Tendon Correction Application Technique of tendon correction techingue aplication to crea increased simulation over the area of a Sgr eee ie ees eee Era oti coe rege eee eerie tomrere 60-75% of salable tension) over the ngih ofthe ton. ape applied beyond the tendon thal be eppropraicfocan © a for 110O sptitenton ply end of ape with no tension. Holt the tape end to entre that no tension will be placed on the base of the ape. Apply moderate to severe tension, (5075% of avallable) sf the length ofthe tendon, with patent in a stretched ponition. Remember wo reduce tension over belly of muscle for ether origin ro insertion or insertion #9 igi Application Slide the hand that was holding the base up 0 the end of tension poston, Lay down the base or tas ofthe tpe with appropriate rension fort 0.0 oF Oto! application. ‘Lach WEP APPUCATONE OF HER apig thd he 9 Tention Correction: Functional Correction “The Kinesio Tex Tape is applied by cutting the appropriate fength of an-T°strip. Length should be approximately 4 inches above and below the Joint ora length appropriate forthe joint chosen. Place the joint or mascle {oxe taped in the appropriate position. Example:ifasisting flexion and resiting extension place the join in flexion, egin ape application a the distal end of selected joint with a minimum of 2 inches of tape wath ao tension. Apply appropriate tension (light, moderate severe of full) then ure the second base ofthe tape atthe roximal end ofthe selected joint, When first asing the functional correction, the most difficult partis determining the proper tension during this phase of appl: aon. The first time a practitioner applies this technique, do not be surprised if either too much of to0 litle tension is applied. The ‘base should also be a minimum of 2 inches in length with no #ension ‘With one hand placed on each base, both proximal and distal, have the patient actively move the joint into the apposite range of ‘motion postion, Example: if asisting flexion and resisting extension, hhave the patieot now actively move into extension. To finish the tape application, move both hands towards the middie of the joint and apply the remaining tape. Making sure to activate the acrylic glue by rubbing the Kinesto strip prior to releasing tension on the joint Following the fimetional rape application a5 described above, the patient will perceive stimull, which will assist with Hexion and resist the end position of extension (in example given), This is accomplished because the mechanoreceptors interpret the stimuli as normal joint position, During extension, the increased tension on the skin will provide 2 stimulus perceived as reaching the end of normal joint pos tion, This perception is created through increased skia tension which ‘WoUk! normally occur at end of motion. Flexion will be assisted ax the perception of increased tension in positions of extension causes the fepostioning of the joint to normalize perceived skin teasion ‘Lata THOAPEUTEARPLEATONE OF TER oping MatosFunctional Correction Application Technique Lirsiinastns ces cine ests mon og xn o ern esicrcd tes accomplahed by clanging the peecpon oft postion thvoupineresed te thon inthe ain The body wl sec jane postion to male he cease tna on the ee nel {Toe Kino Tex tape sapped by cating te appropriate length of an Seip. Length should be appeoximately 4 inches above and below the joint (or 8 length appropmate forthe joint chosen), Place the joint or muscle to be taped in the appropriate position. Example if assisting dorsiflexion and reiting plantar flexion, place the joint in dorsiflexion. Begin {ape application at the dial end of selected joine with a minimum of aches of tape with no tension Apply an appropriate degree of tension from light 1 fll and adhere the second base of the tape atthe proximal ‘nd of the selected join. tally it may be dificult (0 devermine the eppropriate amount of tension; seveel applications may be needed prior to estabishing proper tension. This bis should also be a minimam of 2 inches ‘of tape with no tensionea With one hand placed on each base, both proximal and distal, have the patiene actively -miove the joint into the opposite ange of mo- tion position. Example: if assisting dorsiflexion and resisting plantar flexion, have the patient ‘now actively move into plantar flexion, To finish the tape application, move bork hands towards the middle of the joint and apply remaining tape, Make sure 10 activate the acrylic adhesive prior to releasing tension otherwise the Kinesio sep will have limited adherenceLymphatic Correction Pinos conection se atin he ea of ee by preare e Nirman enon ar ioaton Pace the base of second strip directly in feo ofthe fist stp, inthe deection feam the TMY tothe chin. Apply the base with no tension; hold the hase with one hand to ensure no tension 'sadde! Place the other hand in the tegion ofthe chin, and pall he shin towaeds the chin Apply the second Kineso I strip with 15.2% paper of tension Initia glue activation prior to any futher patent For the superior and meulal Kineso strips, epeat the above proces The supesia Kineso strip should be angled superior to tne eyebrow ofthe patient ‘The medial Kieso I sbip should he angled towards the adil aspect ofthe noseCervical Spondylitis pith degenerative joint disease and arthritis se Kinesi Taping® Method application of misele taping, fr the Splenius Capits and Semispinalis Caps. Begin by measuring the KinesioY strip fom thoracic 350 ‘ceiput ofthe skal Pace the hase othe KinesioY strip over the spinous process ‘of T35 with dhe neck in neutal postion and no tension on the nae ‘Have the patient move into neck flexion. Apply the meal all along te sinus processes with very ight ight tension (15 25% of valle), or pape of tension, rom T$5 «0 C56 Then begin to angle the tal towarcs mastoid proces oe sul along the hai ine ofthe patent 1 the patients hairline Is low, be careful to not apply Kinesio¥ step tail onto the hair as this may cause an increase insymptoms.Ifpossbl ip the hair in this egion. nate glue activation prior to any further patient movement. ave the patient move into neck flexion with lateral rotation to the opposite side. Aim the ler til towards the mastoid Drocess with very light to igh tension, (15-25 % of availabe, ‘cpaperoff tension, lntate gh activation prior to any further patint movement This technique can be applied Naterall: depending upon the patents symptoms. Example of Bilateral Application Splenius Capits recat Spenyitiss a inflammation fone or more vertebra in the cervical ego, Ii ener associated “The Kisesio Taping® Method will sss in the eduction of edema and painpplication of the Kindo Taping® Method for brachial plexus earopraxia Measure length of tae fom just past the most «sal point of paresthesa to te occiput ofthe skal. Cut fom the proximal end to approximately the insertion point of tres ‘minor and major Tea the paper backing atthe base of the Y cu and apply a approximately 24nch area with no tension tothe insertion point ofthe teres minor and major. ave the patent move into shoulder Nexon with horizontal exon and neck rotation with lateral exon tothe opposite side ofthe symptoms ‘App the superior tallalong the upper trpeziusto the occipat ofthe skull. The lower tal placed either over any detectable ‘nigger point or along the teres minor and major to approximately the axillary Borde of the scapi, Have the patent flex hisher wrist and elbow while maintaining shoulder flexion. Apply the Kineso Strip with very lish light tension, (15-25 % of available or paper off along the paresthesia, 'A the elbow acjus the Kineso Strip #0 mis the olecranon pracessto avoid placing pressure ove the olecranon bursa, or cu aoe inthe center ofthe Kinesio Strip dzetly over the olecesnon process Continue over the dorsum of the forearm to the dorsum of the hand ‘The brachial plexus nerve strip only needs tobe applied as ar down the arm asthe radiating pain i felt by the patient. ‘Completed application ofthe KinesoTaping® Method for cervical spondsNeck Sprain or Whiplash sprain othe neck generly occurs asthe resul of a quick snapping ofthe head in forward flexion. may Ibe asociated with a stsined neck, since the same motion may cause an over stretching ofthe cervical ‘parmspinal muscles. ‘The Kinesio Tping® Technique will asst with eduction in edema and muscle spasm, and, with the application of igiment correction mic panful neck movement, Acute: First 24-72 Hours ities or ese s provi by applying wo Kinesioymphatic corection techniques For review, se lymphatic corection technique (pe 39-40) ‘ein by placing the base of the Kinesio fan stip at approximately the superior ange of the medial horde of | the scapula with the patient in a neutral spine position. ave the patient move into forward flexion with rotation to | the opposite side. The tails ofthe fn stip should be angled ‘upward at 45 degrees over the injured cervical segment with very igh light tension (1525% of valle), The secon Kineso fan strips placed at approximately the superior ange ofthe meal border ofthe scapula opposite to the firs Kinesio fan strip, with patient in neutral spine postion. Have the patient move into forward flexion with rotation to the opposte side, The tis of the fan stip shou be aged upward at 45 degrees over the injured cervical segment The two lymphatic correction strips should form & Method ass by reducing edema and pain and proves stabilization ofthe facture site This technique has heea found to be prefered by patents, ast doesnot apply further pressure to a sensitive area and as allows for easter breathing, In the acite phase of the injury. te practsoner may’ select to apply a Iymphatic correction in a ersserss pattern over the sit of he rate or contusion, Acute phase first 24-72 hours: plication of lymphatic correction technique co reduce fnflammation and pain. For complete review, see Iymphade ‘correction technique (p39) “The first strip is applied inferior and posterioe to the sit of the fb fracture or contusion. Te patient should be placed in as much shoulder abduetion as possible. The fan strips are aid out over the Injury'ste. The tis are applied with very ight tension 10415 % of el ‘The second stip is applied inferior an anterior to the se ofthe ri fracture or contusion. The patent should be placed ins much shoulder abliction as possible. The fan trips are lid on over the Injury ste. The tails are applied with very igh, tension (10-15 % of available, The to lymphatic cortetion steps shoul eriscross over the gion of pain Post Acut first stip applied isa mechanical conection technique. For } complete review, see mechanical cogrecion tecnite (Pk 22) Have the patient abduct ther shoulder to approximately 90 degrees pain allows. Tear the middle of the paper backing of a0 approximately 6inch Kinesio stp and apply75-100% of valle BY] Puce the center of the Kinesio I stip over the fracture of ‘contusion ste with inward pressure, Make sire to not appl 100 much inward pressure as to increase pa, ave the patient ake ina ful breath a lay down the two ends ©) ofthe Kinesio strip with notension, A second corrective stip may be appropriate, depenaling apon the Size of the patientDV malin matted pnt seth ie of the paper backing ofan approximately 464nch Kinesio 1 strip and apply 75-100 % of avaiable tension Apply one mechanical correction strip anterior to the suspected facture or contusion site and perpensticuar tothe ts strip with inward pressure. ave the patient take in a full breath and ly down thet ‘ends ofthe Kinesio Tsp with ao tension, fener \With the arm sin an abducted postion tear the mide ofthe paper backing ofan approximately 4Ginch Kinesi f strip and apply 75100 of avaiable tension, “Apmly another mechanieal correction stip posterior to the suspected fracture of contusion site and perpendicular Ist step with inward pressure ‘ave the patient take ina ful breath and lay down the two ‘ends ofthe Kineso I sip with no tension,Intercostal Neuralgia erst eign sen ah sever sharp pin along the course of the nerves located inthe intercotal gion ley exhibit tel during cases of prolonged cough “The Kinesio Taping® Method will ait by reducing edema and pain along withthe neural aay natment for inftammation s provided by applying 2 Kinesio. Iymphatic eorrectve techniques, For review:sce lymphatic corrective technique (pa 39) Have the patient move into shoulder abduction and lateral bending ofthe spine. Bepin by placing the fist lymphatic Kinesio fan base approximately 34 inches posterior and superior £0 the posterioe superior iliac spine Angle the fan tal at 45 deggces in a Sigh superior and anterior direction, Kineso fan strip is applied ‘with 15.25% af available or paperoff tension, ey ‘The second Iymphati fanbase approximately 34 inches posterior and 6 inches superior to the anterior superior iiac spine. Have the patient move ino abduction ofthe shoulder, lateral bending of the spine, and tran rotation to the side opposite the inflammation Angle the fan tals at 45 degrees in asghty inferior and anterior diecton The fan strips shoul oem a erisscross pattern, Competed application ofthe Kinesio Taping Method for Inercestal Neuralgiafo re Costochondral Separation or Sprain separation of spain to the junction ofthe costacariage and sib isa common injury, even more common than lb feictres. Is generally caused by rotation of the ribcage oF dec Blunt trauma och nding ‘om hal). Pain and possible separation occurs on the junction of the costocatage an the ribs, There wil be tdiclty with breathing and rotation movements ofthe thoracic spine “he Kineso Taping’ Method will ass in reduction of edema or pain and provides taiization ofthe injury site This technique hasbeen found to be preferred by patients, ait does not apply Murer presse toa sense area and also allows for easier breathing. Tn the acute phase ofthe injry: the practioner may select to apply 2 ymphatic correction ina crsscross pater ove the Ste ofthe separation or sprain Acute Phase, first 24-72 hours: te acute phase, two Iymphatic correction strips willbe applied, For complete review, see lymphatic corrective technique (P§ 39 Regin by placing the base of the Kineso fan sep inferior tothe separ rated join and medial othe sternum, diecting the tis ofthe fn over the SC int and towards the superior and posterior edges of the is. A second step begins by placing the base of the Kineso fn sip in- fesioe to the separated joint an lateral to the srt. Direct the tis of the fan over the separated joint and towards the mide of the steoam mans The (wo srips should form a ersersx pattern. The practioner may also select w use the donut technique as described {AC joint sprain (pu 172), The fist Kinesio sip applied is a mechanical correction technique. For ‘complete review, see mechanical correction technic (P22) Have the patient abduct his/her sboukdee to appeoximately 99 degrees, ora ara pin allows, Tear the middle ofa 6#inch Kinesio I stip chrough the paper backingand apply moderato sever tension (50°7Scof available) tothe wpe Pace the centr of the Kineso I strip ciety over the separated joint With inward pressure. Make sure not t apply so much inward pressure as to increase paien' pain, \With he atm in an abducted postion, tear the mide ofthe paper backing fa approximately inch Kineso [strip and apply 75 100% of availabe ‘Apply one mechanical correction strip, both anterioe and posterine to the separated joint, with nwaed presure Have the patient tke ina fl breath and lay down the two ends ofthe Kinesio [inp with no tension LCA HERPETIC APREATONE OF TH HNESIOTHPING METARErector Spinae Muscle Strain, Lumbar Region "Tre nse rien eal bon can ss eeu en cha in extension, weak musccs or rk rotation, and it nay be asocted with lumbar inervetcr disk Tc Kno Tplng® Technic wl ast by sedcing ace or chronic mice spam, edema, snd pan oh Ree fe Gere ieee a eee ee ees eee as eee cate eee option which bat shown the wert wich i dears a toc ber Go bernatn pplication of basic Kinesio Taping’ Method for the Erector Spinae Moscle group with aY strip, blteral treatment Begin by plang the patient na neural spine positon. Apply che base ‘ofthe KinesioY strip in the sacrolae joint region, a sinimum of 2 inches below the nation of pain. Ifthe pain is located in the thoracic or cervical reson, apply the base approximately 2 inches below the are of pain. Perr ry For application ofthe tai of the strip on the right side ak the patient to ‘move into flexion with ration co the opposite side. Apply the tail with ‘er light o light tension (15.25% of avalible) o paper tension. For the last approximacely2 inches, ay dawn the til with no tension. Init glue acsvation peor to any futher patient movement Bither have the patient return to neutral pasture position or have the patient rove into frward flexion with ration othe opposite sid, This wil allow the second KinesioY tal to be propery applicd. For the last approximately 2 inches, ay dawn the tal with no tension. Initiate gine activation prior w any further patient movement This technique can he applied using the KinesioY stip aniaterly oF biateralyHTechnique application plication of biaeral KnesoTstrp. wit space correction foe baizrl Emcor Splese musle esa eee Tas sete te Soh raccelfoe mepene she Apy vey ba oh tension (523% of vale “The third strip isa space correction technique or, if desired, corrective technique may be used in acute muscle spasm or Measure KinesioIsrip long enough to extend approximately ‘wo inches on either side of the previously applied Kinesio sips “Tear the paper backing on one end of the Kinesio 1 strip proximately 2 inches fom one end. Apply light to moderate tension (25-50%) 10 an approximately 2inch region of the: KinesioTex® Tape Place this zone of tension directly over the region ofgreatest pn or spasm. If applying space correction, do not add any inward tension ‘When the third strip has been applied over the area of pai, lay ‘down the end ofthe Kinesio strip which i approximately 2 inches in length. Slide one hand towards the mide of the back and hokd this no tension postion. ving the patient go into rouaion wil asst with ining tension on the ends tay down the mile ofthe Kinet f strip with no tension across the region ofthe transverse and spinous process removing the paper ‘nacking fom the next section ofthe Kinesio sri. With one hand, hold 2one of no tension over the spine; with the other hand apply another zone of light to moderate tension (2550% of avalble) over the region of pain or spasm on the ipsaterl side ‘When the zone a tension haseenappied over the area spasm ‘or pain, apply the base of the Kineso I strip with no tension Init glue activation peioe to any further pavient movement.Optional: X Technique application Alcan net Kins ti, space oteton or ‘lateral Erector Spinae Muscle sain, Begin by measiring 2 Hengeh of 2nce-wide Kinesio Tex Tape fom } approximately the greaer to across lumbar fegon, and nding athe posterior inferior aqle atthe ribs Place the base ofthe Kinesio I stip inferior: to the greater trochan {cr with no tension Have the patient move into laters exon to the ‘opposite side. Apply the Kineso trip, with ight to moderate exsion (25507 of available) over the tensor fascia ata and aver the PSB. ey j Have the patent move into as much hip exon as the patent tolerates. Apply te Kinesio I strip across she area of pain with light tension (25% available) [As the Kineso strip reaches the lateral border ofthe ercetor spinae muscle Rroup, end this section of tape application, ave the patient move into lateral Hexion t0 the side on which ihe tape wasinially started. Angle the remaining Kineso I strip towards the posterior inferior angle ofthe thoracic ribs using ight tension (25% ot available), Initiate uc activation prior to aay further patient movemet For the opposite side, repeat the above stepsMeasure a stip of Sinchwide Kinesio Tex Tape approximately the same length as used inthe fist layer. Begin by placing he base sly medial and inferior tothe fist sirip. Taye the patient move into as much hip flexion as allowed Angle the stip over the ischial tubevosity and over the area of pain pling light tension 25% of available), \With the patient in hip flexion, have them also move into lateral bending to the painful skle. Lay down the remaining length of KinesioTex® Tape Initiate ylue activation prior to any farther patient movement Fy Es For the opposite sie repeat the above steps Measure a strip of 2inch- wie KinesioTex® Tape approximately the same length as used in the fist layer. Begin by pacing the Base slightly medal and superior tothe second strip, lve the pitient move into as much hip flexion 38 allowed. Ame the | strip ever the ischial tiberosiy and over the area of pain applying ight tension 25% of valle). Iniate gue acuvaion prior to any fare patiens movement ‘ANAL HEAPEUT APPUCATONE OF THENESIOTAPNG METHOD a 86| For the opposite side, repeat the above steps. | p Application ofa space correction using a Kinesio I strip, For com plete review,see space correction application modified f stip, (9229), ‘egin the hase of 25 inches (depending upon the patient size) Kinesto I strip 10-12 inches in length in the coceyx region ‘with no tension. 2 bs Fs Have the patient move into as much hip exon as possible. App ight B tension (25% ot avaiable) to the Kineso [strip aver the areaof pain. Lay down te ast 23 inches with no teasion This strip maybe moxkfed by applying the 25% avaliable tension w the center ofthe Kinesio I strip with application direct over the area of pain Initiate glue activation prior to any further patient movement 1a sp is applied horizontally by repeating the above steps The pracutioner may determine that one, two, three, oF all fut strips re appropriate. Sze, activity, patient tenth level, and clinical ‘condition, along with practitioner experience, will determine the appropriate taping application,Sacroiliac Sprain or Inflammation escola Jomtsfomey the sacra um ands eldin place with swonggamentsthat allow fora degree af movement Tis nt can hecome bypermobie, sprained, wlsmed and ypomabie as the esa of ewating rotting or motos that oad ores this it. Fer yeas many beeved dis joim did not move and tht since & id an move; could not become injure When this joint becomes involved, may leat changes poste pei tt pec rotation and tomar spine mobi. ‘The KineioTaping® Method will assist in ection of effusion aja pin and asst in muscular balance associated with peli sabization _ ete ines intention over i provi sg two Kinesiomphatic correction techniques, Foe review, see Iymphatic correction technique (ps, 39) "gin by placing the base ofthe Kineso fn stip approximately 23 {inches superior to the sterile (Sjint long te spinous processes ‘with the patient ina neutral spine postion. Have the patient move ino fora exon with rotation to the opposite sie from the injured joint. The tails of the fin sep shouldbe angled inward at 45 degrees lover the St joint andl end near the superior aspect Of the glateus ‘marin, sng very light ght tension (15:25% of avaiable) foe ‘The second Kinesio fin sip i placed approximately 2:3 inches inferior tothe St join along the spinous processes with the patient in neural spine poston. Have the patient move ito forwantNexion ‘th otation 1 the opposite side of he inured joint. The tas. the fan ip should be angled upward at 45 degrees over the Soin aa ‘end near the superior aspect of the posteior superior lac spine Init glue activation prior to any ether paient movement During evaluation the practioner may determine that several muscles are akoivolied. Possibly igh opmoas,pinformisghites mans, ‘orquadratuslimborum. In addition the above described lymphatic correction, a basic muscle Kino Taping® Technique may aso be appropriate. For ths example the quadeatus kamborum fis been taped. An insertion to agin technique was wed with very High 0 ight, (15 23h aalabie) or paperolt tension.