Wrapping and taping techniques

1. Wrapping and taping techniques

2. Steps • 1. Ask Permission • 2. Expose the area • 3. “Roll” the bandage on • 4. Start on top of hand/foot and pull slightly tight. Overlap by half. As you go down the extremity pull LESS on the bandage. We want the swelling to go out to the body. • 5. Secure with clip on top of area.

3. Signs & Symptoms if it is “too” tight • Red, white or blue skin • Patient feels numbness and tingling in area • Patient feels pain • Extreme tightness. SOLUTION: REMOVE IMMEDIATELY

4. Wrist compression wrap-decrease swelling and create support (2 inch Ace bandage)

5. Ankle compression wrap-decrease swelling (3 inch bandage) Start by toes With a lot of tension Less tension

6. Ankle wrap for sprains/strains with figure eight-compression & prevent inversion or eversion (3 inch Ace bandage)

7. Taping materials Heel and lace pads-put on highest friction areas of a tape job Adhesive spray(tufskin)-makes tape stick to skin Prewrap-covers hair on extremity Conform tape-covers area & provides compression White tape (Zonas)-provides support & stability Elastikon-most expensive tape for BEST support and Stability SAFETY SCISSORS-only type of scissors used to cut of tape job Best tape job is tape to skin!!!!

8. Tape sizes • ½ inch for fingers(2-5) and toes(2-5) • 1 inch for thumb, great toe and arch of forefoot • 1 ½ inches wrist, ankles, forearm, and knee • 2 inches shoulder, hip and back * 250 pound + person for ankles, wrists, forearm and knees.

9. Tearing tape

10. Arch Technique • Function: to support the arch

11. 3 types of arch support • 1. Medial arch-start opposite side and pull up medial • 2. Lateral arch-start opposite side and pull up lateral • 3. Neutral-pull up on both sides at the same time.

12. Great Toe Taping

13. Function: to support 1st metatarsophalangeal joint To prevent: hyperextension and support joint Taping for Sprained Toes

14. Steps for ankle tape job 1. ask permission and what side hurts 2. expose the area 3. simulate spray adhesive to ankle 4. simulate applying heel and lace pads 5. apply prewrap 6. apply 2 anchors-base of calf and under base of 5th metatarsal 7. apply 3 stirrups 8. close down 9. apply 1 figure eight 10. apply heel locks- 2 total 11. apply horseshoes(2) 12. Apply 2nd figure eight 13. Close up

15. Sprain/Strain Taping Functions Anchors(2)- to secure tape components to it Stirrups(3)-prevent inversion or eversion Close down-secure area Figure eight(1)-prevent inversion or eversion Heel locks(2pr.=4)-locks in the heel Horse shoes(3)-secure posterior heel Figure eight (1)-same Close up-secure area 1 anchor Close down 2 anchor Close up Heel lock(4)

16. 2 Anchors- place at base of calf and below styloid process. • 3 Stirrups-base of calf, under foot, base of calf (Fan them out overlapping by half) • 2 Figure eights-(Medial sprain) lateral malleolus, under foot, top of foot, around lower leg. • 2 (pr. each side)Heel locks-malleolus, achilles tendon, lock in heel ,under foot, top of foot, malleolus, achilles tendon, lock in heel, top of foot • 3 Horseshoes-malleolus, achillestendon, malleolus

17. Thumb and Wrist Taping • Function: to provides support for the thumb joint following a sprain injury

18. Supplies-prewrap and 1 inch white tape (thumb)1 ½ inch white tape for wrist • Spicas-prevents thumb flexion Location-anchor, around 1st MCP jt, anchor • C-strips- prevents thumb extension Location- anchor to anchor

19. 3 wrist anchors • 1 anchor through palm of hand • 3 or 4 spicas so X is over 1st MCP jt. (metacarpal phalangeal) • C-strips palm anchor to dorsal hand anchor (fill it in overlapping for half) • Perform another anchor through hand • Close down on wrist with 3 more anchors

20. Knee Hyperextension Taping • Functions: • To prevent knee hyperextension • To provide support for hamstrings and cruciate ligaments following injury

21. Collateral Ligament Taping Function: to provide joint stability following injury to the MCL or LCL ligaments

22. Elbow Taping • Function: to prevent elbow hyperextension