Fichas
Taping
Fichas del conjunto (42)
- 1Indicatiosprevention
rehabilitation
improve proprioception - 2Prevention• Measure in high risk activities
⇨ ankle in basketball - 3Rehabiliatation• protective mechanism during healing and rehab process
- 4Improve proprioceptiondue to skin contact of tape
compression especially around ankle (fat pad) - 5Improve performance• assist muscle contracture – elastic
• improve confidence - 6Evidence• no effctive for primary injury prevention of
⇒ knee, shoulder, elbow, spine
• evidenct suggest that MAY prevent re-injuries for pt. With previous ankle sprain - 7Taping typesrigid vs. flexible
- 8Rigid type features• many different types & thicknessess
- 9Goal• restrict undesired motion
- 10Good tape sould have• adhesive
• strong
• non-irritant
• easily torn – Looks good in front of pt. (perforated edges) - 11Preparation• pt in comfortable position
• provide support, don’t restrict movment needed for activity
• injured lig. Held in shortened position
• non injured lig. Held in neutral position
• !!!!shave body hair!!!! - 12Preparation cont.⇒ clean skin to remove grease & sweat (friars balsam, optionally alcohol wipe)
⇒ use under-wrap is allergy to adhesives (hypofix0)_
⇒use appropriate width
⇒ take care with non-stretch tape around swollen joints & across dorsum of foot - 13Application• various techniques
• use anchor proximaly & distally
• unroll tape before application
• apply even pressure
• overlap by ½ to ensure strength and even application
• smooth out folds and prevent creases
• if discomfort is present, readjust - 14Removal• use vegetable oil or eucalyptus oil is better than water
• if area itchy, remove tape - 15Contra indications• allergy to adhesives
• infection present
• frail skin (elderly_)
• neurological and circulatory issues - 16Treatment directed testing (TDT)• Vincenzino (2004)
-> foot orthoses in treatment of lower limb conditions: a MSK physiotherpy perspective Manual therapy
-> clinical relevancy? used prefab orthotics for reseach..... - 17Augmented Low Dye Taping Indication• Pain and dysfunction with abnormal pronation
(excessive & prolonged) - 18Position• Moderately supinated the rearfoot with neutral forefoot
- 19Tape• 38 mm rigid
depending on foot type & size - 20Technique includes- spur
- Mini stirrups
- Spur lock off
- Reverse sixes
- Calcaneal sling
- Lock off tape - 21Spur• runs from medial to lateral metatarsal phalangeal joint line
-> try to PF 1st ray - 22Mini stirrups• commence lateral plantar foot
• course underneath foot
• finish at medial side
• 4-6 stirrups are applied - 23Spur lock off• covers ends of min-stirrups
- 24Reverse sixes• apply anchor strap around leg
⇒ ¼ to 1/3 wary to proximal ankle
⇒ start at medial malleoli
⇒ run across front of ankle to lateral midfoot
⇒ under plantar midfoot and then rup up medial side of foot to anchor strap
(cover navicular and sust. Tali)
• 3 are required - 25Calcaneal sling• anterior aspect of distal leg (at anchor strap)
• course distally and plantarly to warp obliquely about achilles and heel
• then warpping beneath foot
⇒ 2 required - 26Lock off tapesame as anchor
- 27Low dye x-arch/copelandsanchor
X's
Mini stirrups - 28Anchor• plantar PMA region (medial to lateral)
- 29X’s• from PMA 1
• course plantarly towards heel
• wrap around heel and return to PMA 1
• do this for all met heads - 30Mini stirrups• lateral to medial starting at mid heel
• working towards PMA region
• should cover all X’s
-> build supinatory moment till navicular
-> build PF force from 1st ray onwards - 31Patella taping Mc Connell• pt relaxed with knee flexed over foam roller
• push knee cap towards medial aspect and hold with tape
• skin wrinkles OK - 32Elastic tapingKinesio taping
- 33Kinesio taping• tape allows unidirectional elasticity of up to 60% of resting length
• 1st used over 25 yrs ago in Japan (Dr. Kenzo Kase)
• variety of colours
• used in variety of activities - 34Application• either influence muscle facilitation or inhibition (theoretically)
- 355 physiological responses1. skin function
2. circulatory/lymph
3. Fascia
4. muscle
5. Joint - 36skin function• gentle sensory stimulation during movment
- 37Circulatory• elastic properties cause gentle massage movment
• opens closes lymphatic vessels - 383. Fascia• minimize fascial contraction during soft tissue injury
- 394. muscle• replicates and enhances function of muslce
- 405. Joint• Stimulate proprioception
- 41Research by Chen• Tape change in timing of VMO
• Imrpove ratio of VMO/VL for mechanism of efficacy - 42Halseth• Checked effects of Kinesio taping on proprioception
• Does NOT appear to enhance proprioception
Información
- Descripción
- Aaron (Week 2) SportsMed Fichas sobre Taping, creado por Dan Wiendl el 10/03/2016.
- Creado por
- Dan Wiendl
- Visitas
- 1
- Valoración