BANDAGING

An EFFECTIVE
bandage
1. smooth and wrinkle
free,
2. emphasize angular
turns,
3. provides pressure
distally, and
4. encourages proximal
joint extension.
Purposes and Function
• Protect injured areas
• To hold dressings
and splints in place
• To exert pressure
• To support parts of
the body
• To restrict or limit
motion
Guidelines
• It should hold the dressing of splints in
place
• It should be comfortable
• It should have a neat appearance
• It should not come off
• It should not be too constrictive
• In the LE, it should have a pressure
gradient
Principles

• It should be allowed to follow its

natural course
• It should not gap
• Do not cover a gapped turn
• It should be applied in the direction of
venous circulation
• Turns should be made from distal to
proximal
• In bandaging a limb, it should start at
the narrowest point
• Do not bandage too tightly
• Leave tips of fingers or toes
uncovered
• Never apply the bandage if wet
Materials
• A 6 inch bandage is used as a
support for thighs and joint
strains, for splint support,
compression in soft tissue
injuries or for temporarily
wrapping other taped jobs
• A 4” bandage is used as a support for
ankle sprains, or in devising a sling
• 3” bandage is used for small ankles
and large wrists
• 2” bandage is used for wrist sprains
and children injuries
Classification of Bandages
• Circular
• Spiral
• Spiral reversed bandage
• Oblique bandage
• Figure of 8 Bandage
Circular bandage
• Indications
Hold devices in
contact with the skin

• Disadvantage
It may be too
constricting
Spiral Bandage
• Indications
Stabilization of the joint
Gives support and gradual pressure from distal to proximal
Reverse Spiral
• INDICATIONS
1. Used to maintain
pressure gradient
2. Used for contoure d
part of the body
Oblique bandage/ open spiral
• Indication
Used for splints and holding of dressing
Figure of 8 Bandage
• Indication
For acute swelling following sprain
Elbow Figure 8
Hand figure 8
Ankle Dorsiflexion Assist
(ADA)
AMPUTATION
 Stump Wrapping
Below knee amputation
Above knee amputation
Wrist Disarticulation
Hip Spica
Shoulder
Spica

Indication
Management of
acute injury
For functional
support in later
stage of
rehabilitation
Thumb and Wrist spica
Bobath
Sling
Shoulder subluxation
 Bandage as a support device
in emergency situation
• used to stabilize a segment,
• restrict motion of a joint
• control edema or joint effusion

• The most common injury that would require use

of a bandage for any of these purposes is a sprain or strain.

• Materials often used for a bandage are muslin (i.e., nonelastic

unbleached cotton)

• Elastic bandage provides limited support and protection to a

joint but can be an effective temporary method to control or
reduce edema
 Types of Bandages
• Triangular bandage- is a large piece of cloth
cut or formed into a triangle. Often used as a
temporary sling to support the weight of a
patient’s upper extremity.
• Cravat - support the upper extremity, but it will not support
well as a triangular sling.
• Ankle wrap – use to support and contain swelling of the
ankle after a sprain has occurred
 Bandaging

• Absolute contraindications – None

• Relative contraindications in injuries that
require immediate evaluation or
intervention by a consultant (eg, orthopedic
surgeon, hand surgeon, plastic surgeon)
Complicated fractures
Open fractures
Injuries with associated neurovascular
compromise
ATHLETIC AND
KINESIO TAPING
THANK YOU!