Taping techniques
Moazzam Hussain Khan
M.P.T. Sports Medicine
New Delhi
Taping Objectives
Support and protect an injured structure
Limit harmful movements
Allow pain free functional movements
Permit early resumption of activities by
protecting area from further injury
Benefits
Enables circulation
Compress recent injuries thus reduce bleeding
Control swelling
Prevent worsening of injuries
Allows continued body conditioning and
strength training
Maintains ability to react
Prevent re injury
Effects of taping
Mechanical stability
Functional stability
Reduce oedema
Reduce pain
Taping supplies
1. Essential supplies
2. Optional supplies
Essential supplies
Razor and soap
Adhesive elastic tape
White zinc oxide tape
Underwrap- polyurethane foam
Skin toughner spray
Adhesive spray
Lubricating ointment
Cont…
Sterile / non sterile gauze pads
Elastic bandages
Band aids
Tape cutters/ scissors
Optional Supplies
Adhesive remover Nail cutter
Tongue depressor Anti fungal
Blister protector spray/powder
Triangular bandage Antibiotic ointment
Waterproof tapes Surgical gloves
Types of tape
Stretch adhesive tape – muscles
a) One way stretch: length/width
b) Both end stretch: length and width both
Non stretch adhesive tape: ligaments, tendon
a) To limit joint movements
b) To act prophylactically
c) To secure ends of stretch tape
d) To reinforce stretch tape
Hypoallergic tape alternative to zinc oxide tape
Water proof tape
Taping consideration
Pre taping considerations
Post taping considerations
Pre taping considerations
S welling
U ndue stress
P rotection
P ain
O ptimal healing and repair
R ehabilitation
T herapeutic care
Post taping considerations
P remature participation
R ange of motion
E xpert opinion
C irculation
A llergies and skin irritation
U ndue dependency on tapes
T endons muscles and bone
I ce
O nly top quality supplies
N erve conduction
Taping principles
Has the injury been thoroughly assessed?
How did the injury occurred?
What structure were damaged?
What tissues need protection and support?
What movements must be restricted?
Is the injury acute or chronic?
Is immobilization necessary at this stage?
Cont…
Are you familiar with anatomy &
biomechanics of part involved?
Can you visualize the purpose for which
tape is to be applied?
Are you familiar with taping technique?
Do you have suitable materials at hand..?
Taping guide line
Wash, dry and shave the skin in downward
direction
Remove the oil for better adhesion..
Cover broken lesion b/f taping
Check the athlete is allergic to tape or spray
Apply lubricated protective padding to friction
and pressure area
Apply adhesive spray for skin protection and
better adhesion
Apply underwrap for sensitive skin
Avoid….
Excessive traction on the skin
Gaps and wrinkles
Continuous circumferential taping
Excessive layer to tape
Too tight an application over bony area
Pre application check list
Is taping going to work for this injury?
Is taping the correct procedure?
What materials are needed?
What is injured or at risk?
What is the athletes normal joint range and
flexibility?
Meets movement dements on the athletes?
Application check list
Skin consideration
Selection or correct tape
Taping application
Taping technique
Quality control
Post application check list
Monitoring the results
Functional testing
Tape removal
Sign of skin damage
Using adhesive tape in sports
Preparation of taping
Clean, shaved dry skin
underwrap
Proper taping technique
tape selection
correct tape width
Tearing tape
Rules of tape application
Removing adhesive tape
Rules for tape application
Place part in the position in which its to be
stabilized
Overlap the tape at least half the width of the
tape below
Avoid continuous taping
Keep the tape role in hand whenever possible
Whenever maximum support is required tape
directly over the skin
Key taping technique
Anchors Figure- 8
Stirrups Compression
Vertical Reinforcing strips
Butterfly or check rins Closing up
Heel lock
Anchors:
Two types. 1. Full circle - Normal
2. U shape - swelling
First tape strips used
for each tape job
May be elastic or inelastic
Forms a stable base
Placed circumferentially
Both above and below the injury
Applied directly to the skin
Must follow anatomical
contours for good adherence
Stirrups
U shaped loop of inelastic tape
Directly support the
injured ligament
Provide medial/
lateral stability
Pulled tighter on injured
side
Vertical strips
Non elastic tape strips
applied under tension
from one anchor to other
Limits lateral mobility
Butterfly or check reins
Combination of three
or more vertical strips at
angles of 10 to 45 degree
to each other
Placed at the axis of rotation
Elastic or inelastic tape used
Restrict movements
in more than a simple
uniplanar direction
Can restrict inherent
torsion stresses
Vertical strips, X shaped
with two strips, re anchoring
Locks
Inelastic tape firmly attached
to the underlying
anchors to reinforce
support
Yet allow protected
functional movements
Strongtension applied
at key points
Figure of - 8
Non elastic tape forming
a figure - 8
Added stability, covers
any remaining open areas
and/ or tape ends
Closes the tape application
neatly
Encircles one segment
of the limb in one
direction, crosses over
to encircle the adjacent
segment in opposite
direction
Forming a figure- 8
Compression strips
Elastic adhesive tape,
localized compression
over a muscle
Provide strong
compressive forces
Minimizes subsequent
swelling
Minimal tension to
form a base
Pressure strips
Closing up/ Re anchoring
Tightly placed strips, either elastic or non
elastic tape, cover remaining open areas/ tape
end
Reduces the risk of skin blisters
Protect the tape job
Neat appearance
Applied circumferentially on the limb one third
to one half width overlap
Starting proximal and moving down distally
Advantage of taping
Specific to the part
Specific to the structure
Specific to the stage of healing
Specific to demand of sports
Custom made
Early return to training
Disadvantages
Cost
Skill
Compliance
Time consuming
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