Assessing an Injury Before any preventative or supportive
technique, a proper evaluation should be completed
Slide 3
Only a qualified health care professional can make
recommendations concerning the application of protective
techniques.
Slide 4
Purpose of Taping & Wrapping With proper application,
taping & wrapping techniques can be applied to: Shorten the
muscles angle of pull Decrease joint ROM Secure pads, bandages, and
protective devices Apply compression to aid in controlling
swelling
Slide 5
Adhesive Tape Adhesive Tape Traditional tape marketed as
non-elastic or white tape.
Slide 6
Elastic Tape Elastic Tape a woven fabric that also allows for
expansion and contraction, and it is used for compression or
supportive techniques.
Slide 7
Both adhesive tape and elastic tapes are produced in a variety
of widths. Tape or Not to Tape That is the question? Positives:
Protection Comfortable Allows Full ROM Follow up Athlete
Slide 8
Tape or Not to Tape That is the question? Negative: Cost of
Tape Tape loosens with sweat and use Weakens support structures
Need an athletic trainer to apply; may not always be
available.
Slide 9
Purpose of Taping & Wrapping With proper application,
taping & wrapping techniques can be applied to: Shorten the
muscles angle of pull Decrease joint ROM Secure pads, bandages, and
protective devices Apply compression to aid in controlling
swelling
Slide 10
Elastic Tape & Wrap Application vs. Adhesive Tape With any
tape application, proper angle, direction must be considered.
Elastic tape has the ability to contract & expand and is
commonly used in areas that need greater freedom of movement.
Slide 11
Elastic Tape is also Comfortable & Strong. It can be placed
on the body part with fewer wrinkles and at greater angles. When
applying elastic tape, proper tension must be applied. Elastic
wraps are used primarily used in the application of applying either
compression of support.
Slide 12
Taping Prep: Removal of Hair ensures a good foundation. Tape
just sticks better Cleanse the Area make sure skin is clean &
moisture free Special Consideration allergies, infections, or open
wounds. Spray Adherent Skin Lubricants in areas of high friction.
Heel & Lace Pads on Ankle Behind the knee (poplatiel space)
Prewrap used to improve compliance. Hold Heel & Lace Pads. Can
compromise the stability of tape job.
Slide 13
Application & Removal Although you try to describe it, you
just got to do it! To tear tape, the adhesive tape is held firmly
on each side of the proposed tear line. With proper tension on the
tape, the free end is pulled away at an angle so that the force
crosses the lines of the fabric of the backcloth at a sharp angle.
The tear occurs sequentially through the backcloth. The quicker it
is done, the more evenly tape edges will be torn.
Slide 14
Application Some brands of tape are not meant to be cut by
hand, but instead by scissors. Removal Again, obvious but not to
those who are not on the field. Done with scissors or by a
specially constructed cutting device. Shark Zipper I you lubricate
the tip it will make for easier cutting.
Slide 15
Removal Seriously Now! You do have to assure the athlete that
you cannot cut them Avoid bony prominences, move scissors / Shark
along the natural channels or areas of greatest soft tissue
cushion. Ankle Just Posterior to the Medial Malleolus, along the
Posterior Tibialis
Slide 16
Elastic Wraps Supportive Wraps utilized to aid muscle function
& support, reduces excessive ROM Usually used for short time
periods, practice or games Spica Wraps usually used around the hip
or shoulder Figure 8 ankle, knee, wrist & hand joints
Pad/Protective Device Support secures felt, foam pads, &
protective devices.
Slide 17
Compression Wraps Utilized in initial injury treatment protocol
(PRICES) Use a spiral pattern and begin distal to the injury, cross
the injured joint, and finish proximal to the affected area.
Removal & Re-application of compression wrap should take place
every 4 hours Always be aware of specific rules for that particular
sport governing body (FHSAA) has regarding tape/or wrap
application.
Slide 18
Braces & Special Devices Primary purpose is to prevent an
injury and to protect injured area from further aggravation. Adds:
Additional protection Additional Support Stability Compression Can
be beneficial if used appropriately, fitted, & properly
applied. Remember there are also rules governing the use of braces
as well.
Slide 19
Common Specialty Supplies Foam: Foam: Can be adhesive or non
adhesive, used with various taping procedures to increase efficacy
of the technique. Keep in Mind Proper: size, thickness, shape,
& foam composition prior to application. Thermoplastic:
Thermoplastic: Used to protect the injury, like contusions. Be
aware of stringent rules against the use of this materials in
competition.
Slide 20
Common Specialty Supplies Felt: Used with the same
considerations as in foam padding When constructing a special pad
the following 4 criteria should be considered: 1. Meets Specific
Rules 2. Performs the function it was designed for 3. Will it make
the injury worse? 4. Will it void the warranty of the manufactured
piece of equipment? (especially the helmet & shoulder
pads)
Slide 21
Tips Know what body part & injury you are providing support
Cover sensitive parts Tape from a stationary position (avoid
fatigue) Position body part at elbow height when possible When
learning use elastic wraps till you becoming proficient, then use
tapes
Slide 22
Tips cont. Apply Proper Tension do not cut circulation Overlap
tape/wrap to avoid spaces that can cause cuts & friction When
applying a compression always start distally and work proximately
When applying tape to the foot/ankle, pull tape lateral to avoid
excessive tension/compression on the 5 th metatarsal area. Finally
PRACTICE!