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Therapeutic Taping for the Shoulder Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP Dr. Scott Rezac, PT, DPT, OCS, CSCS, CKTP, CEAS.

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Presentation on theme: "Therapeutic Taping for the Shoulder Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP Dr. Scott Rezac, PT, DPT, OCS, CSCS, CKTP, CEAS."— Presentation transcript:

1 Therapeutic Taping for the Shoulder Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP Dr. Scott Rezac, PT, DPT, OCS, CSCS, CKTP, CEAS

2 Scott & Dyanna Rezac - Shoulder Taping 2 Taping Hemiplegic Shoulder Limits Shoulder Pain Griffin A, Bernhardt J. Strapping the hemiplegic shoulder prevents development of pain during rehabilitation: a randomized controlled trial. Clinical Rehabilitation 2006; 20: 287/295. Therapeutic strapping limited development of shoulder pain during rehabilitation in hemiplegic shoulders.

3 Scott & Dyanna Rezac - Shoulder Taping 3 Kinesio® Taping Pediatric Neuro Insult Improved UE Function Yasukawa A, Patel P, Sisung C. Pilot Study Investigating the Effects of Kinesio® Taping in an Acute Pediatric Rehabilitation Setting. Am J Occup Ther; 60 (1): children (10 F, 5 M) ages 4-16 at Rehab Institute of Chicago following neurological insult (brain tumor, encephalitis, SCI, CVA, TBI) with UE involvement Had statistically significant improvement in function

4 Scott & Dyanna Rezac - Shoulder Taping 4 Kinesio® Tape Shoulder Pain Improve Pain & Function Frazier S, Whitman J, Smith M Utilization of Kinesio® Tex Tape in Patients with Shoulder Pain or Dysfunction: A Case Series Regis University, Advance Healing, Summer male patients: 2 shoulder pain, 1 RTC, 1 impingement, 1 s/p acromioplasty All patients demonstrated improvements in function, pain & disability

5 Scott & Dyanna Rezac - Shoulder Taping 5 Kinesio® Tape Costochondritis Decreased Pain Aspegren D Conservative treatment of a female college volleyball player with costochondritis Journal of Manipulative & Physiological Therapeutics, May2007; 30 (4): year-old female college volleyball player with 8 months of costochondral pain Results: Patient reported 70% reduction in pain after 4 treatments over two weeks

6 Scott & Dyanna Rezac - Shoulder Taping 6 Deltoid Athletic & Kinesio® Technique –Split strip mod to max stretch along anterior and posterior borders of deltoid –Single strip over muscle belly mod to max stretch

7 Scott & Dyanna Rezac - Shoulder Taping 7 Glenohumeral Laxity / Anterior Instability Acute Phase/Edema Kinesio® Technique –Two multiple split strips (cut one 2 piece into 4-6 strips leaving last square intact) –Place with minimal to no stretch in perpendicular fashion

8 Scott & Dyanna Rezac - Shoulder Taping 8 Glenohumeral Laxity / Anterior Instability Subacute / Chronic Phases Kinesio® Deltoid Tape Mulligan & Kinesio® Technique –2-4 Single strips applied with maximal pull from anterior to posterior over superior and lateral aspects of shoulder

9 Scott & Dyanna Rezac - Shoulder Taping 9 Multiaxial Instability Kinesio® Technique similar to Athletic Training Shoulder stabilizing strip –Single strip 3-4 inches proximal to ac joint to 3-4 inches below deltoid tuberosity mod to max stretch with arm at 90 degrees abduction –Bring arm into ADD and rub down

10 Scott & Dyanna Rezac - Shoulder Taping 10 Subacromial Bursitis Mulligan, Athletic Training & Kinesio® Technique 2-4 Space Corrections over subacromial space

11 Scott & Dyanna Rezac - Shoulder Taping 11 Acromioclavicular Joint Sprain Athletic Training, McConnell & Kinesio® 2-4 diamond cut outs over ac joint –Kinesio® uses donut strip –Athletic uses donut cut-out –McConnell approximates tissue

12 Scott & Dyanna Rezac - Shoulder Taping 12 Acromioclavicular Separation Athletic Training & Mulligan Single strip posterior to anterior across ac joint maximal stretch approximating ac joint Can apply multiple strips depending on degree of separation

13 Scott & Dyanna Rezac - Shoulder Taping 13 Clavicular Fracture (stable) Athletic Training Technique Non-displaced, stable fx Single strip distal to proximal clavicle max stretch across fracture site Can combine with space correction over site

14 Scott & Dyanna Rezac - Shoulder Taping 14 Supraspinatus Kinesio® Technique –Shoulder in IR & horizontal ADD –Split strip from the greater tubercle of humerus with mod to max stretch tails along the borders of supraspinatus Modified Tape Practical Application –Over supraspinatus moderate stretch with single strip tape

15 Scott & Dyanna Rezac - Shoulder Taping 15 Infraspinatus Kinesio® Technique –Shoulder in IR & horizontal ADD –Single strip from the greater tubercle of humerus with mod to max stretch tails along the borders of infraspinatus Modified Tape Practical Application –Over infraspinatus, single strip, mod to max stretch

16 Scott & Dyanna Rezac - Shoulder Taping 16 Teres Minor Kinesio® Technique –Shoulder in IR and ABD –Split strip from greater tubercle of humerus with mod to max stretch tails along the lateral border of scapula Modified Tape Practical Application –Single strip mod to max stretch

17 Scott & Dyanna Rezac - Shoulder Taping 17 Bicipital Tenosynovitis Kinesio® Technique –Bicep Unload Split strip with mod to max stretch from the radial tuberocity with tails to the coracoid process and supraglenoid tubercle of scapula –Space Correction Over long head of biceps Modified Tape Practical Application –single strip moderate stretch over bicep

18 Scott & Dyanna Rezac - Shoulder Taping 18 Brachial Plexus Neuropraxia Single strip split proximally applied with min to mod stretch 1 st tail along upper trapezius 2 nd tail along inferior angle of scapula With shoulder in horizontal ADD apply along posterior brachium to forearm with diamond cut hole over olecranon Apply to point of most distal symptoms

19 Scott & Dyanna Rezac - Shoulder Taping 19 Pectoralis Minor Kinesio® Technique Split strip from coracoid process of scapula to ribs 2-5, minimal stretch Generally for inhibition to improve postural alignment (decrease forward pull on scapula)

20 Scott & Dyanna Rezac - Shoulder Taping 20Rhomboid Kinesio® Technique Tape with scapula abducted / anteriorly rotated Double split strip sp T2- T5 to medial border of scapula between spine and inferior angle, maximal stretch middle of tape, no pull on tails Improve scapular stabilization / postural control

21 Scott & Dyanna Rezac - Shoulder Taping 21 Kinesio® Tape for Rhomboid Decreased Pain/Increased ROM Murray H, Husk L, Garcia D, 2001 –Awaiting publication, presented at 16 th Annual Kinesio® Taping Symposium –Effects of Kinesio® Taping on Posture and Upper Extremity Pain –Unilateral rhomboid facilitation and pectoralis inhibition –15 subjects –Pain complaints significantly decreased and GHJ AROM flexion increased by an average of 15 degrees

22 Scott & Dyanna Rezac - Shoulder Taping 22Scapular McConnell Technique Scapular Stabilization Two single strips along borders of scapula pulling into retraction and depression

23 Scott & Dyanna Rezac - Shoulder Taping 23 Edema / Lymphedema Kinesio® Techniques Edema Reduction through active joint motion Min to no stretch over edematous site Fan shape most common, direction not important Lymphatic Drainage Direction of lymphatic flow No stretch

24 Scott & Dyanna Rezac - Shoulder Taping 24 Clinical Evidence-Based Objective Assessment (* Sign) –Special Tests: RTC, impingement, instability –Pain at rest, with AROM and previously aggravating motions –MMT – GH and scapulothoracic –AROM – range and painfree –GHS rhythm

25 Scott & Dyanna Rezac - Shoulder Taping 25 Clinical Evidence-Based Objective Assessment (* Sign) –Functional Assessment Lifting (weight, reps) ADL – grooming, housework, dressing Pushing / Pulling – lawnmower, vacuum, grocery cart Overhead reaching

26 Scott & Dyanna Rezac - Shoulder Taping 26 Questions Comments Discussion rezacpt.com


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