K- TAPING TECHNIQUES - PRACTICAL APPLICATION CAMS, MAJMAAH UNIVERSITY Muscle tape Lymphatic tape Tapping technique s Corrective tape Ligament tape GENERAL TECHNIQUES OF K-TAPING APPLICATION: ▪ Tape application in muscle: ▪ Muscle applications are affixed with 10% tape tension. Because the tape is already pre-stretched by 10% on the roll, this is referred to as an unstretched application. The patient is place with the muscle in the elongated position. I- and Y-tapes are predominantly used. ▪ Indications: ▪ Hypertonicity, ▪ Hypotonicity, ▪ Muscle injuries, ▪ Muscle pain ▪ During the K-Taping training, students are taught that a tonus increasing application is affixed from the muscle of origin to the muscle of insertion. ▪ for a tonus-decreasing effect, the application is affixed in the opposite direction, from muscle insertion to muscle origin. TAPING MATERIALS o ▪ Measure the required tape strips on the patient with the muscles in the elongated position ▪ Cut the tape strips into the appropriate form (e. g. Y-tape. Cut the corners at the tape ends into a rounded form) Figure: 9-11a: ▪ Place the patient in the resting position ▪ Affix the base - Figure: 9-11b. Figure: 9-11a Figure: 9-11b ▪ Place the patient in position for the necessary muscle elongation. Figure: 9-11c ▪ Therapist affixes the base with one hand and then positions the skin. Figure: 9-11d. ▪ Affix the tape strips with the other hand along the course of the muscle with 10% stretch ▪ Rub the affixed tape strips while the muscle is elongated. Figure: 9-11c Figure: 9-11d K-TAPING PROCEDURES IN COMMON CLINICAL SCENARIOS: ▪ 1. Taping Biceps Brachi: ▪ Muscle technique is used; Y-tape is use for the treatment of the short and long head. I-tape is used for the treatment of the short head. For greater muscle masses, the application can also be carried out using the Y-technique with both tail strips culminating on the short head. PROCEDURES ▪ The tape is measured from the crook of the elbow to the coracoid process. ▪ The arm is extended and lightly pronated. ▪ The small degree of pronation makes it easier to affix the tape. Figure: 9-13a. ▪ The base is attached to the insertion point of the muscle in crook of the elbow in the resting position FIGURE 9-13a ▪ The muscle is elongated with extension and pronation and the base anchored with skin displacement. The tape is affixed with 10% stretch along the muscle margin up to the origin of the short biceps head at the coracoid process. Figure: 913b&c r - 1 ▪ The tape is rubbed in the elongated muscle position. Figure: 9-13b Figure: 9-13c TAPE APPLICATION IN LIGAMENTS: ▪ The tape application for ligaments is affixed with maximum stretch. The joint is positioned so that the ligaments are under tension. Exclusively I-tapes are used. ▪ Indications: ▪ Ligament injuries ▪ Overloading of ligaments ▪ Overloading of tendons. ▪ (The similar technique can be used to treat pain points, trigger points, or spinal segments) STEPS FOR APPLICATION ▪ Position the joint so that the ligament is in a state of tension. Measure the tape from insertion to insertion ▪ Cut the tape strips and round the edges ▪ Tear the backing paper down the middle and remove up to the width required for the respective bases at the ends of the tape. ▪ Apply maximum stretch to the tape ,affix en bloc over the ligament structure ▪ Position the joint so there is maximum skin tautness. Figure: 9-12 ▪ Remove backing paper and affix the tape ends. Figure: 9-12 LATERAL COLLATERAL LIGAMENTS OF THE ANKLE JOINT: ▪ Ligament technique I-tape, alternative: Y-tape is used ▪ Procedures: ▪ The tape strip is affixed maximally stretched over its entire length. The Figure: 9-15 shows the completed application with individual strip for the anterior talofibular muscle. This application can be used for the three ligaments mentioned. ▪ Alternative method: The Y-technique for the anterior talofibular & calcaneofibular Ligaments. Figure: 9-15 LYMPHATIC TAPE ▪ This kind of tape applications are used in disorders of lymphatic drainage. The lymphatic application brings about lifting of the skin. ▪ The space between the skin and subcutaneous tissue is thus increased, thereby stimulating the lymphatic collectors to resume their function. The lymphatic application is affixed with 25% tension in the tape. The patient is in the pre-stretched position. Exclusively fan tapes are used. Figure: 9-12 Figure: 9-12 LYMPHEDEMA OF HAND: ▪ In conditions where the oedema of the hand becomes a major problem to patient, The therapist goal is to drain the fluid accumulated in hand. Lymphatic technique is used and the tape is cut in the model of a fan termed as fan tape. PROCEDURE: ▪ The fan tape is measured from the wrist to the distal phalanges with the hand and fingers flexed. ▪ A separate tape strip is cut for the thumb and affixed using the same method. ▪ The base lies on the wrist. ▪ The tape ends are affixed without tension. ▪ Remove the backing paper completely and lightly affix only the ends. ▪ For affixing the individual tape strips, the hand and fingers are flexed. ▪ The individual tape tails are detached one after the other and with anchored base, affixed with 25% tension to fingers II to IV. ▪ The tape is rubbed after the application has been completed. K-TYAPINFG FOR LYMPHEDEMA OF HAND