37
Kinesiology Taping for Orthopedic Conditions: Summary
○ Ligament sprain: Provide support via parallel decompression Orthopedic Assessment • Assess active and passive ROM ○ Can be limited by weakness, joint capsule restrictions, fascial restrictions, tight muscles, nerve tension ■ Fascial restrictions assessed via skin gliding
• Neuromyofascial manipulation (cupping, dry needling, IASTM , soft tissue mobilization) • Joint manipulation/mobilization toward dysfunction • PROM/stretching/AROM • Home exercise education- strengthen through available ROM, neuromuscular re-education Documentation Documentation should include the following:
■ Muscle tension assessed via proprioceptive neuromuscular facilitation (PFN) contract/relax techniques to differentiate from fascial tightness
• Treatment area • Tape size (1-4”) • Tape cut (I, Y, fan) • Purpose of taping
Adjunctive Treatments Taping is not a stand-alone treatment and should be used to reinforce the target outcome. Adjunct treatments should be specific to the tissue specific impairment. Treatments may include: • First, patient education on condition and taping
○ Decompression for pain ○ Lymphatic drainage/edema ○ Muscle facilitation/inhibition ○ Correction (joint, ligament, fascia Billing Match rationale for application: • 97112: Neuromuscular Re-education • 97140: Manual Therapy
Clinical Applications for Muscle/Fascial Restrictions
Patient Position
Condition
Tape
Base
Direction of Pull Picture
Crural fascia/ gastroc tightness
Prone with foot dorsiflexed off table Prone with leg off the table, hip extended, knee flexed Sitting comfortably
“I” or “Y” strip
Calcaneus Proximally, over gastrocnemius/ soleus
Anterior thigh fascia/ rectus femoris tightness Thoracolumbar fascia/ erector spinae tightness
“I” strip Tibial
Proximally over the rectus femoris
tuberosity
“I” strip Lower ribs Proximally towards PSIS
Powered by FlippingBook