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Kinesio Taping

:
An Introduction on Technique and Results

Chris Keating SPT Thomas Jefferson University

Overview

Introduction to Kinesio Taping
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Properties Theoretical Benefits Types of Application Application Guidelines Shoulder Pain Lower Trunk ROM Lateral Patella Dislocation Acute Pediatrics Population

Clinical Implications Application of Kinesio Tape
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RTC Impingement Taping Quadriceps Facilitation Taping

Current Evidence
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Kinesio Tape Properties

Properties of Kinesio Tape   Mimics skin qualities Tape is replicating hands on the patient    Sensiomotor stimulation   Allows longitudinal stretch of 30-40% of its resting length Effective for 3-5 days of constant use Latex free and heat activated adhesive Acrylic adhesive applied in wave fashion to allow for moisture escape .

Theoretical Benefits .

Theoretical Benefits  Analgesic Affect    Mechanoreceptors Create space for areas of pain and inflammation Assist or limit motion through sensory stimulus Increase lymph drainage from the area via increased subcutaneous space  Lymphatic Drainage  .

Theoretical Benefits  Correct Malalignment   Positional stimulus Align fascia tissues Breaks adhesions Reduce irritation  Scar Tissue   .

Types of Application .

Types of Application       Y I X Fan Web Donut .

Types of Application: Y    Used to surround muscle Either to facilitate or inhibit muscle stimuli Should be 2 inches longer than target muscle Teres Minor Y .

Type of Application: I   Used for more acute injuries in place of Y Primary purpose for edema and pain  Greater surface area  Used for alignment correction Tricep I strips .

Type of Application: X and Donut  X  Used when origin and insertion change depending on movement (Rhomboids) Specifically used for edema Use overlapping strips and the center is cut out over area of focus  Donut   .

Types of Application: Fan/Web   Chief use for edema Web different because ends remain intact .

do not take up full stretch* .Type of Application Stretch      Muscle should be elongated prior to application KT requires none to partial stretch Stretch results in skin convolutions whether they are visible or not they are present Would rather have too little than too much stretch This is not athletic taping.

15-25% None.0% Percentage stretch refer to percentage of available stretch .100% Severe.75% Moderate.Types of Application Stretch       Full.50% Light.

Type of Application Direction  Insertion to Origin   Used to inhibit overused or stretched muscles Light stretch required to achieve this goal Used to facilitate weak or under performing muscles Light to moderate stretch required  Origin to Insertion   .

Application Guidelines .

pat dry Do not use hair dryer on tape Use alcohol to prep skin if needed .Application Guidelines      Shave hair if interfering with adhesive No oils or lotions on skin If wet.

Application Guidelines      Measure appropriate length.allowing for desired stretch Remove tape carefully in order not to touch or increase application difficulty Rub tape after application to activate adhesive Allow 20 mins for adhesive to take effect If KT doesn’t reduce pain than D/C treatment after 20 mins .

Evidence Based Practice .

 Purpose  To compare the short-term effect of a therapeutic KT application on reducing pain and disability in subjects with RTC tendonitis/impingement versus sham KT taping 18-24yo College Students.Shoulder Surgery < 12 months  Population    . .Cervical Involvement. .Shoulder Pain Thelen et al. . + Empty Can. + Pain Before 150° elevation in any plane . (n = 27) + Hawkins-Kennedy.GH Disloction/Subluxation.Fracture.

 Intervention    15-25% Stretch Y-Strip for Supraspinatus 15-25% Stretch Y-Strip for Deltoid 50-75% Stretch Y or I-Strip Coracoid Process -> Posterior Deltoid Only significant difference between groups found on day 1 with treatment group achieving greater abduction (19°) Both groups over 6 days demonstrated improvements in all outcome measures Attrition was high 7/27. due to scheduling conflicts  Outcome    .

15m) Average age (26.20) Volunteered Were excluded if had LBP within 6 months of trial  Population     .Lower Trunk ROM Yoshida et al.  Purpose  To determine the effects of KT on lower trunk flexion. extension and lateral flexion 30 healthy subjects (15f.

 Intervention     Cross-over Study 15-25% stretch with Y-Strip Place base above sacrum Attach tails on each erector spinae group with light tension Taping significantly increased flexion (17cm) over non-taping No control group Needs more detailed measurements  Outcomes    .

restriction of quadriceps muscle contraction and altered sense of weight bearing stability in patella dislocation rehabilitation 49 yo female PT who sustained a traumatic left knee patella lateral dislocation while cross country skiing  Population  .Traumatic Patellar Dislocation Osterhues  Purpose  To demonstrate the use of KT for control of pain.

 Intervention     10% Stretch Y-Strip from the insertion to origin Base placed without tension Tails across medial retinacular tissue and lateral quadriceps border with paper off tension Treatment also included:  IFC. static and dynamic balance training. however both numbers outside (below) normal ranges . ice with compression. ROM exercises. stationary bike. (2000) study which put timetable at 6 months Tests with NeuroCom Balance Master higher for taped condition than no taped. massage  Outcome   Reduced pain with activity 4 weeks after injury with KT use function comparable to Atkin et al.

2 Birth Defects Grades of 3 or more on Mod.KT effect on Peds Yasukawa et al  Purpose  To describe the functional arm and hand skills for children admitted into a rehab program subsequent use of KT 15 Children (10f. 3 Brain Tumor. Ashworth were excluded Trace on MMT or sensory issues were also excluded  + muscle weakness or abnormal muscle tone    No cognitive or motivation issues . 2 CVA. 2 TBI. 5m) Ages 4-16   Population  4 SCI. Seizure. CP.

 Intervention  Wide variety of KT techniques. Individualized Melbourne Assessment    Outcome  16 pt questionnaire measuring upper limb function Designed for CP population    Scores significantly improve pre-test to post-test as well as 3 days after taping Its hard to draw specific treatment from study Overall function improved in group average immediately after taping limiting learning curve   Increase of 5 on MA immediately after application Increase of 10 on MA 3 days after application .

Clinical Implications .

Clinical Implications  Level of evidence   Weak. presented were a sample of the most PT relevant Increase in ROM Increase in function  What does the evidence support   . Cochrane.only one RCT found (via Medline. Cinahl. ACP) Mainly case studies. DARE.

Clinical Implications  Why use it    Pros   Tool in the toolbox Treats patient for 72 consecutive hours Feeling of treatment -> encourage movement    Placebo or Treatment?   Some evidence proves theories PTs provide treatment Applicable to multiple pt populations Constant treatment Some evidence proves theories Expensive Requires practice Skin reaction  Versatile Cons     .

more research needed May be a way to facilitate and encourage movement  Clinical Opinion    .Clinical Implications  Athletic Taping v Kinesio Taping   Bragg article demonstrates AT decrease in support within an hour of use Since KT does not focus on support its means of sensory stimulus to enforce movement may just be a better form of AT Kinesio Taping could be a useful tool for therapist who see patients only a handful of times during rehab Little evidence supports its multiple theories.

RTC Impingement Taping .

1st Y or I Strip. 3rd Y-Strip Deltoid.Y-Strip Supraspinatus. Anterior displacement. 2nd .

Quadriceps Taping .

Y-Strip 1st Y-Strip 2nd .

Dauber. D. Stoneman. Clinical Trial. R. Atkins. J.References        Clinical Theraputic Applications of the Kinesio Taping Method. A. KS Marangi. C Sisung. American Journal of Occupational Therapy. Osterhues. A Case Study.W. Kaze. Yoshida. Yasukawa. T. M. P. DM. K. Tokyo. The American Journal of Sports Medicine. Bragg. Wallis. 38:7 2008 Pilot Study: Investigating the Effects of Kinesio Taping in an Acute Pediatic Rehabilitation Setting. 60:1 2006 The Use of Kinesio Taping in the Management of Traumatic Patella Dislocation. Journal of Orthopaedic and Sports Physical Therapy. J. P. A.M. 28:4 2000 Failure and Fatigue Characteristics of Adhesive Athletic Tape. Medicine and Science in Sports and Exercise 34:3 2002 . Kase. J. Macmahon. Dc Fithian. Research in Sports Medicine. 15 2007 Characteristics of Patients with Primary Acute Lateral Patellar Dislocation and Their Recovery Within the First Six Months of Injury. Patel. Japan. Physiotherapy Theory and Practice. Thelen. Double-Blinded. L Kahanov. 2003 The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized. 20:4 2004 The Effect of Kinesio-Taping on Lower Trunk Range of Motions.