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Provide compression to minimize swelling Injury prevention Provide additional stability to an injured structure |
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Skilled, trained with experience in taping and bandaging. |
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taping overview .. negative aspects |
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Taping supplies are often expensive and may not fit institution’s budget Tape application can be time consuming Tape vs. Bracing – effectiveness in providing support and preventing injury Should never be used as a substitute for rehabilitation Must work to correct deficiency/weakness and use tape/brace as an adjunct |
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what is elastic wrap used for? |
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Compression of acute injuries – limit swelling Secure dressing or ice pack Provide support to injured soft tissue structure Gauze, cotton cloth, elastic wrapping Length and width vary and are used according to body part and size Sizes ranges 2, 3, 4, 6 inch width and 6 or 10 yard lengths |
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how to apply elastic wrap |
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Hold wrap in preferred hand with loose end extending from BOTTOM of roll Back surface of loose end should lay on skin surface Pressure and tension should be standardized Anchor is created by overlapping wrap Start anchor at smallest circumference of limb Body part should be wrapped in position of maximum contraction More turns with moderate tension vs. fewer turns with maximum tension Each turn should overlap by half to prevent separation Begin distally and move proximally Circulation should be monitored when limbs are wrapped |
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Elastic wraps can be used to provide support for a variety scenarios.. name some |
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Ankle and foot spica Lower leg spiral bandage (spica) Groin support Shoulder spica Elbow figure-eight Hand and wrist figure-eight A spica is a figure-eight wrap, with one of the two loops being larger, usually surrounding a joint. |
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A spica is a figure-eight wrap, with one of the two loops being larger, usually surrounding a joint. |
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This technique can be used for compression of new injuries, for holding wound dressings in place, or to stabilize / secure a smaller body part on a larger one. Depending on the size of the ankle/foot, it is recommended to use a 2 or 3 inch (5 – 7.5cm) wrap. |
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Hip/Groin: This is used to support a groin strain and hip adductor strains. One roll of extra-long 6 inch (15cm) elastic wrap, a roll of 1.5 inch (3.8cm) adhesive tape, and non-sterile cotton. One roll of extra-long 6 inch (15cm) elastic wrap, a roll of 1.5 inch (3.8cm) adhesive tape, and non-sterile cotton |
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This spiral wrap is widely used for covering large areas of a cylindrical part. Depending on the size of the area, it is recommended to use a 3 or 4 inch (7.5 – 10cm) wrap |
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Upper extremity spica techniques |
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Definition
Shoulder: Used mainly for retention of wound dressings and for moderate muscular support. One roll of extra-long 4-6 inch (10-15cm) wrap, 1.5 inch adhesive tape, and padding for axial. Elbow: Used to secure dressing or restrain full extension. One 3 inch roll and 1.5 inch adhesive tape. Hand/Wrist: Used for mild wrist/hand support and for holding dressings in place. One 2 inch bandage. |
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non-elastic white adhesive tape |
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Definition
Great adaptability due to: Uniform adhesive mass Adhering qualities Lightness Relative strength Help to hold dressings and provide stability and protection to injured areas Comes in varied sizes (1”, 1 1/2” , 2”) |
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non-elastic white adhesive tape grade, cost, properties, tension |
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Tape Grade Graded according to longitudinal and vertical fibers per inch More costly (heavier) contains 85 horizontal and 65 vertical fibers Adhesive Properties Should adhere regularly and maintain adhesion with perspiration Contain few skin irritants Be easily removable without leaving adhesive residue and removing superficial skin Winding Tension is Critically important If applied for protection tension must be even |
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Used in combination with non-elastic tape Good for small, angular parts due to elasticity. Comes in a variety of widths (1”, 2”, 3”, 4”) Allows for expansion of body parts Muscle during contraction, foot during WB |
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Store in a cool place Stack so that the tape rests on its flat top or bottom to avoid distortion of the roll |
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Definition
Skin surface should be clean of oil, perspiration and dirt Hair should be removed to prevent skin irritation with tape removal Tape adherent is optional Foam and skin lubricant should be used to minimize blisters Tape directly to skin for maximum support Prewrap (roll of thin foam) can be used to protect skin in cases where tape is used daily Prewrap should only be applied one layer thick when taping and should be anchored proximally and distally Preparation for Taping Cont. Proper taping technique Tape width used dependent on area Acute angles = narrower tape
Tearing tape Various techniques can be used but should always allow athletic trainer to hold on to roll of tape Do not bend, twist or wrinkle tape Tearing should result in straight edge with no loose strands Some tapes may require cutting agents
Rules for Tape Application Tape in the position in which joint must be stabilized Overlap the tape by half Avoid continuous taping Keep tape roll in hand whenever possible Smooth and mold tape as it is laid down on skin
Allow tape to follow contours of the skin Start taping with an anchor piece and finish by applying a locking strip Where maximum support is desired, tape directly to the skin Do not apply tape if skin is hot or cold from treatments |
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Manual Removal Always pull tape in direct line with body One hand pulls tape while other hand presses skin in opposite direction Use of scissors and cutters Be sure not to aggravate injured area with cutting device Using “Tape Remover” Alcohol-based liquid useful for removing adherent Works best when scrubbing with towel or cloth Wash tape remover off with soap and water |
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Swimmer, diver, or water polo player might require application of adhesive tape If waterproof tape is not available, duct tape can be used as an effective substitute |
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Supports entire plantar aspect of the foot, e.g., plantar fasciitis, arch sprain, or shin splints. One roll of 1inch (2.5cm) and one roll of 1.5 inch (3.8cm) white adhesive tape and tape adherent. Procedure: Use one anchor strip around ball of foot. Use teardrop strips at the metatarsal heads that alternate medial and lateral placements (see Figure 10-13). Lock strips using 1.5 inch tape and encircling the complete arch |
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Arch Taping Supports entire plantar aspect of the foot, e.g., plantar fasciitis, arch sprain, or shin splints. One roll of 1inch (2.5cm) and one roll of 1.5 inch (3.8cm) white adhesive tape and tape adherent.
Procedure: Use one anchor strip around ball of foot. Use teardrop strips at the metatarsal heads that alternate medial and lateral placements (see Figure 10-13). Lock strips using 1.5 inch tape and encircling the complete arch. Great Toe / Toe Taping Used for taping a sprained great toe. One roll of 1 inch (2.5cm) white adhesive tape and tape adherent.
Procedure: Using the spica technique on the top of the foot, use separate tape strips (3) that encircle to the great toe and its joint. Use a closing strip around the ball of the foot (see Figure 10-14).
Toes: Using ½ - 1 inch tape, place a pre-cut foam piece between the involved toes, then wrap two to three strips around the toes (see Figure 10-15). |
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Definition
Used for taping a sprained great toe. One roll of 1 inch (2.5cm) white adhesive tape and tape adherent. Procedure: Using the spica technique on the top of the foot, use separate tape strips (3) that encircle to the great toe and its joint. Use a closing strip around the ball of the foot (see Figure 10-14). Toes: Using ½ - 1 inch tape, place a pre-cut foam piece between the involved toes, then wrap two to three strips around the toes (see Figure 10-15). |
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Closed Basket Weave Ankle Taping |
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Definition
Used for newly sprained ankles or for chronically weak ankles. One roll of 1.5 inch (3.8cm) white adhesive tape and tape adherent. Procedure: Place two anchors, one at the instep of the foot and the other below the belly of the calf muscle. Alternate strips that (a) run vertically medial to lateral covering both malleoli and (b) strip that run horizontally medial to lateral covering both malleoli. Use overlapping strips from the malleoli to the calf anchor strip; then from malleoli to instep anchor. End with 2-3 heel locks (see Figure 10-16). |
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Used to prevent the Achilles tendon from overstretching. One roll of 3 inch (7.5cm) elastic tape, one roll of 1.5 inch (3.8cm) white adhesive tape, heel and lace pad, and tape adherent. Procedure: Place two anchors, one at the ball of the foot and the other below the belly of the calf muscle. Cut two strips of 3 inch elastic tape running just under the full length between the two anchor strips; apply. Apply overlapping, encircling strips of tape above and below the malleoli to secure the longitudinal strips (see Figure 10-17). |
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To help in providing protection to the knee and aid in the rehabilitation process. One roll of 2 inch (5cm) white adhesive tape, one roll of 3 inch (7.5cm) elastic tape, a 1 inch (2.5cm) heel lift, heel and lace pads, and tape adherent. Procedure: Have patient stand on a 1 inch heel lift to allow slight knee flexion, then apply two anchor strips at the upper-thigh and lower leg. Using precut elastic tape strips (12) approximately 9 inches long, stretching and apply them in the pattern (see Figure 10-18, steps 3 - 14). Apply three strips of 2 inch white adhesive tape as shown (steps 15 – 22). Option closure with elastic wrap. |
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Used to prevent hyperextension One roll of 1.5 inch (3.8cm) white adhesive tape, heel and lace pad, tape adherent, and 2 inch (5cm) elastic bandage. Procedure: Loosely apply three anchor strips above and below the elbow joint while the patient’s elbow is in 90 degrees flexion. Construct a checkrein by cutting a 10 inch and 4 inch strips of tape. Place the checkrein so it spans beyond the length of the two anchor strips for security; add additional 10 inch strips for strength. Conclude by securing the checkrein ends with three lock strips on each end of the arm. Close with figure-eight using elastic wrap (see Figure 10-19). |
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Stabilizes and protects badly injured wrists. One roll of 1 inch (2.5cm) white adhesive tape and tape adherent. Procedure: Apply one anchor strip around wrist with the other around the spread of the hand. With the wrist bent to side of injury, apply X strips over the wrist joint, 3-4 sets. Apply two or three series of figure-eight (spica) tapings over the X strips (see Figure 10-20).
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Used to give both protection for the muscle and joint and support to the thumb. One roll of 1 inch (2.5cm) white adhesive tape and tape adherent. Procedure: Loosely place anchor strip around wrist and other around distal end of the thumb. From anchor to anchor covering the outside thumb, overlap four strips, then anchor the exposed ends. Add three thumb spica strips that overlap each other (see Figure 10-21). |
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