Presentation on theme: "Strapping for sports injuries"— Presentation transcript:
1 Strapping for sports injuries A physiotherapists perspectiveTheo Kapakoulakis
2 Benefits of strapping /taping. Prevent injuryReduce the severity of injuryProvide supportPain relief.Limit specific movement at a jointAllow desired movement at a jointImprove postureFacilitate desirable muscle functionInhibit undesirable muscle function
3 Strapping / taping for sports injuries. Is an adjunct treatmentDoes not replace a strengthening / neuromuscular program as taping does not provide the same motion restriction as an uninjured ligament with intact muscle function.Is a technical skill and requires expertise to apply correctly
4 Selection of tape .Appropriate size for injured limb and size of athleteEg: 3.8cm for ankle/shoulder, 2.5cm for thumb, 1.25 cm for fingers.Rigid vs ElasticRigid for joint supportElastic for compression +/- joint supportAdhesive qualitiesMaintain adherence despite perspirationNot irritate skinRemovable without leaving excessive residue
5 Guidelines for tape application Preparation of the areaSkin clean/dry, no lotions, oil or dirt.Preferably shaved the day beforeApply padding to areas that require protectionApply a tape adherent if requiredConsider applying underwrap if athlete has tape sensitivityUse plastic skin or hypoallergenic tape in sensitive areas that have frequent tape application
6 Guidelines for tape application TapingSelect appropriate sizePlace the joint in an appropriate positionIf taping over muscle allow for contraction and expansion of areaAvoid continuous tapingOverlap the tape by at least half the width of the tape belowTape from the roll where possibleLay tape of the roll and only apply tension in the direction of movement restrictionAllow tape to follow contours of limb. No gaps or creasesStart with an anchor and finish with a locking piece
7 Guidelines for tape application Post taping checks.Check for impaired circulationCapillary refill distal to tape applicationCheck for impaired sensationAny pins and needles?Normal feeling in area?Is there any pain?Does the tape feel too tight?Check that tape is restricting the movement intendedAsk athlete to move the joint through the required functional movements
8 Guidelines for tape application. Removing the tapeUse tape scissors with blunt nosePull the tape back on itself and place pressure on the skin as close as possible to the line of the attachment with the tapeDo not wrench the tape from the skinIf an injury has occurred , cut the tape at a site remote from the injury and avoid placing undue stress on the injured area
9 Ankle strapping. Popular application. Mandated by many sports insurance and sporting bodiesResearch available indicating validity but showing reduction of motion control over timeRole in proprioception?Used in prophylaxis and rehab+/- bracing?
10 A) Leukowrap: (underwrap) is applied in a Figure eight "overwrapping" style. (Shaving is preferred). B) Leukofoam: is cut to shape and stuck to skin to pad out the hollow below the ankle bone. Leuko Spray Adhesive: is normally used to help secure the Leukowrap.Anchors: (Green Tape) are next applied to firmly attach the stirrups to. First Stirrup: (Red Tape) is firmly attached to the anchor. 3.8cm width Leuko Sportstape is the most popular for use throughout the technique. (Note: Coloured tape is only for demonstration purposes.).Three Stirrups: (Blue Tape Stirrups Two and Three) are generally applied. Theses attach to the anchors starting from inside to outside in a U shape formation. They provide excellent support.Two Figure Six's: (Red first, Blue second) are to further counteract the inversion movement that causes injury. Applied from the inside to the outside returning to the inside after crossing the front of the foot. Locking Strap: (Green Tape) is to hold the Stirrups and Figure Six's in place.First Half Heel Lock: (Green Taper) is for support to the rear ankle region. Begin on front of lower leg and move under foot, to outside of heel. Finish on the inside of the lower leg where you started. Second Half Heel Lock: (not shown) is applied in the opposite direction.
11 Preventative Taping For The Finger This taping method is to support a sprained finger joint. Tape is applied above and below the joint. Use next finger as a splint: and position a strip of Leukofoam? Orthopaedic Support Foam to prevent rubbing between the fingers.Apply 2 simple spirals: (Blue Tape) of Leuko Sportstape 1.25cm around the fingers. Leave the joint area exposed: to allow some movement. Always finish off on top to prevent tape rolling in contact sports.
12 Preventative Taping For The Thumb This taping is to support the proximal metacarpophalangeal joint of the thumb. Support is required following a thumb (abduction) sprain or to help stop reinjury of a weakened joint.
13 Patellofemoral taping. For patellofemoral pain syndrome.Used for pain relief and to facilitate VMO functionMcConnell:PT