Wrapping and taping techniques

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.

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

Injuries for Ace Bandage Wrapping techniques Sprain Strain Closed Fractures Swelling Bruising

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

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

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

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!!!!

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.

Tearing tape

Arch Technique 3 arches Function: to support arch support the arch

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

Components and Functions for the arch tape job Anchor- to secure tape components to it. Must be at Metatarsal heads. Must end on dorsal surface of foot. X’s- support the arch Horizontal strips-support arch. The side you pull up on is the side you support.

________ ask permission ________ expose the area and simulate spraying adhesive spray ________ dorsiflex the foot ________ place anchor at metatarsal heads(dorsal side) ________ start at plantar surface of pinky or great toe ________ finish at plantar surface of pinky or great toe ________ X’s are present & performed correctly ________ fanning occurs between pinky and great toe ________ close up overlapping by half to metatarsal heads ________ use prewrap and conform tape to foot ________ end tape job on dorsal surface of forefoot ________ performed under 5 minutes

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 5 th 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 2 nd figure eight 13. Close up

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(1pr.=2)- locks in the heel Horse shoes(3)-secure posterior heel Figure eight (1)-same Close up-secure area 2 anchor 1 anchor Close down Heel lock(4) Close up

2 Anchors- place at base of calf and before styloid process. 3 Stirrups-(Medial side)base of calf, under foot, base of calf (Fan them out overlapping by half) 2 Figure eights-(lateral sprain) medial 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, achilles tendon, malleolus

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

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

3 wrist anchors 1 anchor through palm of hand 3 or 4 spicas so X is over 1 st 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

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

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

Elbow Taping Function: to prevent elbow hyperextension